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Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2015 / Cilt: 26 - Sayı: 3

Femoroasetabüler sıkışmada femur başının tıraşlanması ile birlikte osteokondral mozaikplasti: Olgu sunumu

Osteochondral mosaicplasty along with osteochondroplasty of the femoral head in femoroacetabular impingement: a case report

Nusret ÖK
Harun R. GÜNGÖR
Esat KITER
Adem ÇATAK
Pages
181–184
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, we believe that cam type impingement may also have a role in the etiology of parafoveal osteochondral lesions.

📌 3 Key Takeaways

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Objective & Hypothesis:Although femoroacetabular impingement (FAI) syndrome is included in the etiology of lesions involving the acetabular labrum and acetabular cartilage, it is one of many possible reasons behind osteochondral lesions in the femoral head.
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Key Findings & Data:Harris hip scores improved significantly postoperatively and magnetic resonance imaging showed an adequate graft union and formation of a healthy chondral surface at the final assessment.
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Conclusion & Impact:In addition, we believe that cam type impingement may also have a role in the etiology of parafoveal osteochondral lesions.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Although femoroacetabular impingement (FAI) syndrome is included in the etiology of lesions involving the acetabular labrum and acetabular cartilage, it is one of many possible reasons behind osteochondral lesions in the femoral head. Herein, we present clinical findings and outcomes of two cases with osteochondral defects and cam type impingement of femoral head. Both cases underwent autologous osteochondral mosaicplasty along with femoral osteochondroplasty following controlled hip dislocation. Harris hip scores improved significantly postoperatively and magnetic resonance imaging showed an adequate graft union and formation of a healthy chondral surface at the final assessment. Autologous osteochondral mosaicplasty of parafoveal region defects and femoral neck osteochondroplasty combination may be an effective treatment method for young patients with FAI syndrome. In addition, we believe that cam type impingement may also have a role in the etiology of parafoveal osteochondral lesions.

Özet

Femoroasetabüler sıkışma (FAS) sendromu asetabüler labrum ve asetabüler kıkırdak lezyonlarının etyolojisinde yer almasına rağmen, femur başındaki lezyonların arkasındaki birçok olası nedenlerinden biridir. Bu yazıda, femur başında osteokondral defekt ve cam tipi sıkışması olan iki olgunun klinik bulguları ve sonuçları sunuldu. Her iki olguya da kontrollü kalça çıkarılmasını takiben, otolog osteokondral mozaikplasti ile birlikte femoral tıraşlama uygulandı. Ameliyat sonrası Harris kalça skorları anlamlı düzeyde iyileşti ve son değerlendirmede elde edilen manyetik rezonans görüntülemede yeterli greft kaynaması ve sağlıklı kondral yüzey oluşumu tespit edildi. Parafoveal bölgedeki defektlerin otolog osteokondral mozaikplastisi ve femoral boyun tıraşlanması birlikteliği, FAS sendromlu genç hastalarda etkili bir tedavi yöntemi olabilir. Ayrıca, cam tipi sıkışmanın, parafoveal osteokondral lezyonların etyolojisinde rol alabileceği düşüncesindeyiz.

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Cite This Article

ÖK, N., GÜNGÖR, H. R., KITER, E., ÇATAK, A. (2022). Femoroasetabüler sıkışmada femur başının tıraşlanması ile birlikte osteokondral mozaikplasti: Olgu sunumu. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 26 - Sayı: 3, 181–184. https://ajindex.com/articles/498556

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