Femoracetabular impingement treated with surgical hip dislocation: Short-term results | Revista Española de Cirugía Ortopédica y Traumatología (English Edition)

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Sarassa, D. Carmona, D. Vanegas, C. Restrepo, L. Gomez, A.M. Herrera" "autores" => array:6 [ 0 => array:3 [ "nombre" => "C." "apellidos" => "Sarassa" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "D." "apellidos" => "Carmona" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "D." "apellidos" => "Vanegas" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "C." "apellidos" => "Restrepo" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "L." 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"apellidos" => "Herrera" "email" => array:1 [ 0 => "amht73@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Departamento de Ortopedia pediátrica, Clínica del Campestre, Hospital Infantil Santa Ana, Fundación Clínica Noel, CORA group, Medellín, Colombia" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Ortopedia y Traumatología, Clínica del Campestre, Medellín, Colombia" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Programa de Residencia en Ortopedia y Traumatología, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Departamento de Epidemiología e Investigación Clínica, Clínica del Campestre, Medellín, Colombia" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pinzamiento femoroacetabular tratado con luxación quirúrgica de la cadera: resultados a corto plazo" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0025" "etiqueta" => "Figure 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 1001 "Ancho" => 1305 "Tamanyo" => 126197 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0025" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Pre and postoperative images of a mixed type FAI. A) AP radiologic image of a 22-year-old male patient with bilateral mixed type symptomatic FAI; Tönnis grade 0. B) AP and frogleg 30 (left hip) projections and 36 (right hip) months after SHD for the treatment of mixed FAI which shows complete correction of deformities with acetabular and femoral osteochondroplasty. The labrum was not repaired due to bilateral ossification." ] ] ] "textoCompleto" => "IntroductionFemoracetabular impingement (FAI) is defined as an abnormal contact between the femur and the acetabulum during normal range of movement caused by anatomical changes in any of these structures. The change in structural relationships within the hip joint produces permanent joint pain with osteoarthritis (OA) as the principal cause of pain and stiffness in the hip in patients under 50 years of age.<a class="elsevierStyleCrossRefs" href="#bib0005">1–6</a>Several aetiologies have been proposed for FAI, including genetic factors, a history of paediatric hip disease, contact sports and previous ship fracture.<a class="elsevierStyleCrossRef" href="#bib0010">2</a> Medical symptoms may vary, but patients mostly refer to an onset of constant spontaneous groin pain accompanied by occasional pain in the gluteus, sacroiliac or tronchanteric areas with stiffness. Onset may less frequently be rapid after a minor initial trauma event.<a class="elsevierStyleCrossRefs" href="#bib0025">5,7</a>There are 2 different types of FAI depending on the pathomechanics involved. The cam and pincer types may be found in isolated form or combined. The cam type FAI consists in abnormal morphology of the femoral head-neck union, which includes a reduction in the femoral head-neck relationship, asphericity of the femoral head and retroversion of the femoral neck which causes irregular shearing forces in the acetabular cartilage. Pincer FAI is related to an abnormal acetablar morphology and includes the projection of the anterosuperior acetabular edge, acetabular retroversion, acetabular protrusion and coxa profunda, which entail direct contact between the acetabular edge and the femoral head and neck union.<a class="elsevierStyleCrossRefs" href="#bib0005">1,2,5,7</a>,<a class="elsevierStyleCrossRef" href="#bib0040">8</a>After diagnosis, a conservative symptomatic FAI approach may be first line treatment. However, when symptoms persist after several months, and there are morphological changes demonstrated by diagnostic images, surgical intervention is the next therapeutic step. Surgical intervention seeks to restore intraarticular mechanics by reducing abnormal contact between the femoral head-neck union and the acetabulum, repairing the chondral and labral lesions. Although it is unclear whether intervention is able to delay the progression of the coxofemoral osteoarthritis, the aim of surgical treatment is to detain or delay its appearance, thus avoiding the need for total hip arthroplasty (THA).<a class="elsevierStyleCrossRefs" href="#bib0005">1–5,7,9,10</a>Although several surgical techniques have been proposed for the treatment of FAI, such as hip arthroscopy, SHD or mini-open osteoplasty, open SHD described by Ganz et al. in 2001,<a class="elsevierStyleCrossRef" href="#bib0055">11</a> continues to be the gold standard intervention.<a class="elsevierStyleCrossRefs" href="#bib0015">3,12,13</a> SHD leads to complete viewing of the hip, providing access without restrictions to joint anomalies, without compromising the blood supply to the femoral head. This technique has been shown to have excellent medium to long-term results in reduction symptoms and slowing down the progression of OA.<a class="elsevierStyleCrossRefs" href="#bib0020">4,5,9,12</a>,<a class="elsevierStyleCrossRefs" href="#bib0070">14,15</a>In the systematic review by Yeung et al., 2014,<a class="elsevierStyleCrossRef" href="#bib0080">16</a> it was proven that the majority of studies available in the literature relating to FAI treatment originate from Europe and North America and that some demographic differences could condition the findings of the surgical treatment.<a class="elsevierStyleCrossRef" href="#bib0080">16</a> The aim of this study was to improve global evidence on short-term results of SHD for treatment of FAI with results obtained from a Colombian cohort.Materials and methodsPatientsWe conducted a descriptive, retrospective assessment of consecutive patients who had undergone surgical treatment for femoracetabular impingement with a surgical hip dislocation technique from 2006 until 2018 in our hospital, by the same orthopaedic hip surgeon. The hospital ethics committee approved the study. Demographic details, surgical notes and follow-up data of patients were compiled from medical records following prior informed consent by the patients, their tutors or legal guardians.Surgery was indicated in patients with hip pain who had not responded to conservative non-surgical treatment and who had clinical symptoms and radiologic findings of FAI. The exclusion criteria for this procedure included patients with a history of congenital or acquired diseases of the hip which were not FAI (Legg-Calvé-Perthes, hip dysplasia, fractures or epiphysiolysis), those with a history of hip surgery and OA (Tönnis III and IV).The type of FAI was classified as pincer, cam or mixed, in keeping with their distinctive appearance in the radiographies or during surgery. Radiologic assessment also included assessment of femoral or acceptable cartilage lesions, labral tears and the presence of femoral or acetabular deformities.Initial assessment included preoperative measurements of the range of movement, pain and walking, assessed through the Merle d'Aubigné<a class="elsevierStyleCrossRef" href="#bib0085">17</a> scale score. Based on this score, patients’ hips were functionally classified according to categories of the modified Merle d’Aubigné-Postel Score<a class="elsevierStyleCrossRefs" href="#bib0090">18,19</a> as: bad (score < 13), OK (score 13 o 14), good (score 15 a 17) and excellent (score 18). Preoperative stratification was also performed for OA with the Tönnis classification.<a class="elsevierStyleCrossRefs" href="#bib0100">20,21</a>Surgical proceduresThe same senior orthopaedic hip surgeon performed all operations. Controlled surgical dislocation of the hip for the treatment of FAI is a technique previously described by Ganz et al. and other authors.<a class="elsevierStyleCrossRefs" href="#bib0040">8,11,22,23</a> The patient is placed in the lateral position, incision in the skin is performed laterally and focus is on the greater trochanter, following the femur axis. An inverted trochanteric inversion osteotomy is then performed. The gluteus minimus is moved across the gap with the pyriform muscle to the capsule (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). After this, complete exposure of the joint is achieved through capsulotomy in Z throughout the length of the acetabular insertion. The hip is dislocated to allow complete examination of the acetabulum, assessing the status of the labrum and articular cartilage, as well as all the surfaces of the femoral head. When there is a pincer type FAI a resection acetabuloplasty is performed, sutured and labral tears remodelled (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), unstable cartilage is resected and the denuded bone is perforated.<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia>Also, in the case of a cam type FAI, both bone and cartilage are resected (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). The hip is then reduced, verifying the absence of friction in the normal range of movement. A retinacular flap of soft tissue of the neck and the protection of external rotator muscles preserve the blood supply to the femoral head. After this capsulorraphy is performed and the greater trochanter is repositioned and attached with three 3.5 mm cortical nails.<elsevierMultimedia ident="fig0015"></elsevierMultimedia>Postoperative assessment and follow-upFollow-up began from the date of the procedure to the last postoperative assessment recorded in the medical records. All patients had at least one year of follow up. In the final review, the presence of critical clinical findings was assessed. Hip radiographies were used to calculate the Tönnis classification and to assess the presence of non-union or ossification. The measurements from the d'Aubigné scale were taken during follow-ups. They also assessed complications such as avascular necrosis (AVN), non trochanteric union or the need for THA (<a class="elsevierStyleCrossRefs" href="#fig0020">Figs. 4 and 5</a>).<elsevierMultimedia ident="fig0020"></elsevierMultimedia><elsevierMultimedia ident="fig0025"></elsevierMultimedia>Statistical analysisDescription of nominal variables was made using absolute and relative frequencies, and quantitative variable through averages and range (min-max), in keeping with the sample distribution. Comparisons between quantitative variables were assessed with the Student’s t-test. For nominal variables they used the Chi-squared independence test or the exact Fisher test. Analysis was performed with the SPSS® software, versión 21.0. Statistical significance was established at a p value of ≤.05.ResultsOf the total 65 patients who underwent surgical hip dislocation between January 2006 and December 2018, 40 patients (42 cases) met with the defined criteria and had a complete follow-up.There were 15 women and 25 men patients aged between 15 and 56 years of age, with an average of 36.3 years at the time of surgery.Regarding FAI laterality, this occurred on the right side in 20 patients, and on the left side in 18, with bilateral and symptomatic occurrence in 2 patients. According to the type of FSI, 13 cases were cam type, 11 pincer and 18 mixed. The average assessment time of symptoms before surgery was 22.5 months (min 12–max 33 months), and the average time of postoperative evolution was 24 months (min 12–max 37, months) (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>).<elsevierMultimedia ident="tbl0005"></elsevierMultimedia>Preoperative clinical classification according to the modified Merle d’Aubigné-Postel scale was poor in 18 cases, moderate in 13 and good in 11, with a total average score of 12.60. The preoperative Tönnis score for radiologic classification of the OA showed that half of the sample was grade 0, with its majority corresponding functionally as moderate or good (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>).In surgery it was observed that 15 cases had femoral cartilage lesions, 20 acetabular cartilage lesions and 31 had labral tears. The femoral and acetablar deformities were present in 11 and 12 hips, respectively (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>).During the last follow-up, clinical classification according to the modified Merle d’Aubigné-Postel scale was poor in 5 cases, moderate in 2, good in 22 and excellent in the remaining 13 hips, with an average score of 16.28 for the total of cases. There was a significant change regarding the average preoperative Merle d'Aubigné score. Moreover, the pain score improved significantly by 4.26 presurgical points to 5.42 in the last follow-up (p ≤ .05) (<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>).<elsevierMultimedia ident="tbl0010"></elsevierMultimedia>The postoperative classification of Tönnis was grade 0 and grade I in 35 cases; with no changes in the total cases regarding preoperative scoring. However, postoperatively the grade 0 Tönnis score corresponded mostly to hips functionally classified as good or excellent. There were no significant variations in the Tönnis classification after surgery. Only one case progressed to develop OA; the patient who was a woman aged 46, deteriorated from grade II to grade III which required THA 48 months after SHD (<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>).There was also one case of heterotopic ossification and 3 tronchanteric non-unions which required reattachment.DiscussionSurgical hip dislocation in patients with FAI in this Colombian cohort showed highly satisfactory results in the short-term follow-up regarding early functional results. The study results were consistent with previous studies, showing a significant improvement in the Merle d'Aubigne hip scores in patients treated for FAI with SHD.<a class="elsevierStyleCrossRefs" href="#bib0020">4,12,24,25</a>Sample size (n = 42) was comparable to other reported SHD series for the treatment of FAI, such as that of Beck et al., 2004 (n = 19)<a class="elsevierStyleCrossRef" href="#bib0125">25</a>; Espinoza et al., 2007 (n = 60)<a class="elsevierStyleCrossRef" href="#bib0120">24</a>; Yun et al., 2009 (n = 15)<a class="elsevierStyleCrossRef" href="#bib0130">26</a>; Peters et al., 2010 (n = 96)<a class="elsevierStyleCrossRef" href="#bib0135">27</a>; Jäger et al., 2011 (n = 22)<a class="elsevierStyleCrossRef" href="#bib0075">15</a>; Mladenović et al., 2014 (n = 21)<a class="elsevierStyleCrossRef" href="#bib0050">10</a> and Steppacher et al., 2015 (n = 97).<a class="elsevierStyleCrossRef" href="#bib0140">28</a> In a systematic review published in 2014 related to global discrepances in diagnoses, surgical treatment of FAI and research by Yeung et al.,<a class="elsevierStyleCrossRef" href="#bib0080">16</a> showed that out of 105 studies, 34 assessed the results of the treatment with SHD and 91.4% came from North America and Europe, whilst none originated from South America.<a class="elsevierStyleCrossRef" href="#bib0080">16</a> Our findings are therefore the only available evidence in the literature relating to the benefits of SHD as a surgical option in patients with FAI in our region.It has been shown that a dominant male population is linked to FAI, with a male/female ratio of approximately 60/40.<a class="elsevierStyleCrossRef" href="#bib0080">16</a> In keeping with our study, 26 of the 42 cases (62%) occurred in males. Also Amantulla et al., 2015<a class="elsevierStyleCrossRef" href="#bib0025">5</a> and Hellman et al., 2014<a class="elsevierStyleCrossRef" href="#bib0010">2</a> described that cam type FAI was traditionally found in young, athletic males who have an abnormally shaped femoral head, whilst the pincer type FAI is mostly found in active middle aged women with a deep-set or misaligned acetabulum.<a class="elsevierStyleCrossRef" href="#bib0025">5</a> Also, in our sample, the distribution of sexes by FSI type showed greater frequency of males with an average age of 33.1 ± 10.0 years for the cam type,whilst the pincer type was more common among women with an average age of 41.2 ± 7.7 years.The opportune diagnosis of FAI is essential to reduce the risk of permanent joint damage and OA. A delay in diagnosis could be correlated with poor outcomes and progression to OA.<a class="elsevierStyleCrossRefs" href="#bib0060">12,29</a> Several studies have reported good outcomes when the patients refer to an average of 2.3–2.5 years of duration of symptoms prior to diagnosis.<a class="elsevierStyleCrossRefs" href="#bib0060">12,26</a> In our study, the average duration between the onset of symptoms and the diagnosis was approximately 2 years (24 ± 7.00 months), which is in keeping with previous reports.One of the first publications which reported long-term outcomes of SHD for the treatment of FAI was that of Beck et al., 2004,<a class="elsevierStyleCrossRef" href="#bib0125">25</a> who showed satisfactory functional outcomes reflected in improvements in the Merle d’Aubigné score in 13 of 19 patients. After this, several other studies conducted by Espinoza et al., 2006<a class="elsevierStyleCrossRef" href="#bib0120">24</a> and Peters et al., 2010,<a class="elsevierStyleCrossRef" href="#bib0135">27</a> assessed the short and medium-term results of the FAI treatment with SHD. Both studies show a significant improvement in clinical scores, reduction of pain and an improved function compared with their preoperative values in one to four years after surgery.<a class="elsevierStyleCrossRefs" href="#bib0120">24,27</a> In general, the published studies on adults with FAI have demonstrated a estimated rate of 80% of excellent and good clinician outcomes after SHD.<a class="elsevierStyleCrossRefs" href="#bib0030">6,7,12</a> Similarly, our study showed a significant functional improvement reflected in the increase of the average Merle d’Aubigné score from 12.6 to 16.2 points, especially in the reduction of pain from 4.26 to 5.42 points. With regard to the frequency in Merle categories, our cases go from 18 to 5 in the poor category, from 13 to 2 in the moderate, 11 to 22 in the good and zero to 13 in the excellent category.In general, apart from the anatomical restoration of the femoral head and acetabulum close to normality for functional ends, the treatment of FAI has as its objective at the last instance to prevent or delay the degeneration of the hip joint which if not would lead to early osteoarthritis.<a class="elsevierStyleCrossRefs" href="#bib0015">3,7,8,29</a> The Tönnis classification provides the means for assessing the progression or stability of osteoarthritis.<a class="elsevierStyleCrossRefs" href="#bib0100">20,21</a> In our study, the Tönnis scoring showed that permanent joint damage did not progress in most cases, and direct relationship of this scoring with the functional classification was maintained. The hips with the best functional category presented with a Tönnis score of 0 pre and postsurgically. These results reaffirm that in the short term treatment with SHD was successful in achieving one of the essential objectives.Total hip arthroplasty is a common outcome for patients with FAI in an advantage stage of osteoarthritis (Tönnis III-IV) or with chondral damage or extensive labral damage. Beck et al., 2004, reported that 5 out of 19 of their patients required THA due to stage II osteoarthritis, severe chondral damage and labral ossification.<a class="elsevierStyleCrossRef" href="#bib0125">25</a> Equally, Peters et al., 2010; Mladenović et al., 2014 and Steppacher et al., 2015, found absolute and relative frequencies which were similar to patients who underwent THA (6.25%, 11.5% and 11%) in their respective assessed cohorts.<a class="elsevierStyleCrossRefs" href="#bib0050">10,27,28</a> In our series, a case of 42 (2.4%) required THA approximately 4 years after surgery. The patient presented with grade II Tönnis prior to surgery and progressed to grade III.Although in recent years arthroscopic treatment for FAI has been preferred by several surgeons over SHD, various systematic reviews which compare both treatments have concluded that these techniques have similar rates of satisfactory outcomes. Neither has been demonstrated to be higher than the other.<a class="elsevierStyleCrossRefs" href="#bib0035">7,29,30</a> The procedure using surgical hip dislocation described by Ganz et al., 2001,<a class="elsevierStyleCrossRef" href="#bib0155">31</a> is ideal for FAI treatment, since abnormal contact, be it intraarticular or extraarticular, is directly observed during the operation and in particular in posterior defects which may be difficult to observe and repair with the arthroscopic technique.<a class="elsevierStyleCrossRefs" href="#bib0050">10,32</a> Furthermore, the SHD technique enables preservation of blood flow to the femoral head with complete visualisation of the acetabulum, minimising the risk of AVN.<a class="elsevierStyleCrossRefs" href="#bib0050">10,11,32</a> In this study no patients presented ANV as a complication, which shows that SHD is a safe procedure with a low rate of complications when surgeons are experienced.<a class="elsevierStyleCrossRefs" href="#bib0035">7,10,32</a>This study is not exempt from the limitations of its retrospective design, with limited information for the periodical follow-up and the lack of a control group.ConclusionIn keeping with what was previously demonstrated in several publications, we confirmed that SHD may be successfully used to treat patients with FAI and has a low rate of short-term complications. As far as we are aware this is the first report of results from a surgical hip dislocation procedure in this region, which establishes the importance and novelty of this study given the comparable sample size with others previously reported.FinancingThis research did not receive any specific aid from public sector, commercial sector or not-for-profit entities.Conflict of interestsThe authors have no conflict of interests to declare." "textoCompletoSecciones" => array:1 [ "secciones" => array:13 [ 0 => array:3 [ "identificador" => "xres1600642" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Background and objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Patients and methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusion" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1434435" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres1600641" "titulo" => "Resumen" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Antecedentes y objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Pacientes y métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusión" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec1434436" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:3 [ "identificador" => "sec0010" "titulo" => "Materials and methods" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0015" "titulo" => "Patients" ] 1 => array:3 [ "identificador" => "sec0020" "titulo" => "Surgical procedures" "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0025" "titulo" => "Postoperative assessment and follow-up" ] ] ] 2 => array:2 [ "identificador" => "sec0030" "titulo" => "Statistical analysis" ] ] ] 6 => array:2 [ "identificador" => "sec0035" "titulo" => "Results" ] 7 => array:2 [ "identificador" => "sec0040" "titulo" => "Discussion" ] 8 => array:2 [ "identificador" => "sec0045" "titulo" => "Conclusion" ] 9 => array:2 [ "identificador" => "sec0050" "titulo" => "Financing" ] 10 => array:2 [ "identificador" => "sec0055" "titulo" => "Conflict of interests" ] 11 => array:2 [ "identificador" => "xack564540" "titulo" => "Acknowledgements" ] 12 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-11-28" "fechaAceptado" => "2021-02-03" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1434435" "palabras" => array:3 [ 0 => "Femoroacetabular impingement" 1 => "Surgical dislocation of the hip" 2 => "Outcomes" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1434436" "palabras" => array:3 [ 0 => "Pinzamiento femoroacetabular" 1 => "Luxación quirúrgica de la cadera" 2 => "Resultados" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "Background and objectiveMost of the studies available in the literature related to the treatment of femoroacetabular impingement (FAA) with surgical hip dislocation (CLD) come from Europe and North America. This study describes the short-term results of the LQC technique for treating PFA in a cohort of Colombian patients. Patients and methodsWe retrospectively analysed 42 cases of PFA treated with LQC from 2006 to 2018. The same orthopaedic surgeon performed all surgeries. Clinical outcome was assessed using the Merle d’Aubigné scores, while radiological assessment was performed using the Tönnis score. ResultsFifteen women and 25 men were included in the study, with a mean age of 36.3 years. Two patients had bilateral symptomatic involvement. Of the 42 cases, there were 13 cam type, 11 pincer type and 18 mixed. Preoperatively, 31 hips were classified as poor and moderate, and 11 as good according to the Merle d’Aubigné scale. The preoperative Tönnis radiological classification showed grade 0 in half of the cases. The mean duration of follow-up was 24 months (12–37). The final postoperative Merle d’Aubigné scores classified 7 cases as poor or moderate, and 35 as good to excellent (p < 0.05). The postoperative Tönnis score showed no significant variation. As complications, one patient had heterotopic ossification, and three had trochanteric nonunion requiring refixation. ConclusionOur results suggest that the LQC technique for the treatment of patients with PFA shows satisfactory short-term results with a low complication rate. To our knowledge, this is the first report of results of the surgical procedure for hip dislocation in our region." "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Background and objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Patients and methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusion" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "Antecedentes y objetivoLa mayoría de los estudios disponibles en la literatura relacionados con el tratamiento del pinzamiento femoroacetabular (PFA) con luxación quirúrgica de cadera (LQC) provienen de Europa y América del Norte. Este estudio describe los resultados a corto plazo de la técnica de LQC para tratar el PFA en una cohorte de pacientes colombianos. Pacientes y métodosAnalizamos retrospectivamente 42 casos de PFA tratados con LQC desde el año 2006 al 2018. El mismo cirujano ortopédico realizó todas las cirugías. El resultado clínico se evaluó utilizando las puntuaciones de Merle d’Aubigné, mientras que la evaluación radiológica se realizó con la puntuación de Tönnis. ResultadosSe incluyeron 15 mujeres y 25 varones en el estudio, con una edad promedio de 36,3 años. Dos pacientes presentaron afectación sintomática bilateral. De los 42 casos, hubo 13 de tipo cam, 11 tipo pincer y 18 mixtos. Preoperatoriamente, 31 caderas se clasificaron como pobres y moderadas y 11 como buenas según la escala Merle d’Aubigné. La clasificación radiológica Tönnis prequirúrgica mostró grado 0 en la mitad de los casos. La duración media del seguimiento fue de 24 meses (12–37). Las últimas puntuaciones postoperatorias de Merle d’Aubigné clasificaron 7 casos como pobres o moderados y 35 como buenos y excelentes (p < 0,05). La puntuación postoperatoria de Tönnis no mostró variaciones significativas. Como complicaciones, un paciente presentó osificación heterotópica y 3 tuvieron no unión trocantérica que requirió refijación. ConclusiónNuestros resultados sugieren que la técnica LQC para el tratamiento de pacientes con PFA muestra resultados satisfactorios a corto plazo con una baja tasa de complicaciones. Hasta donde sabemos, este es el primer informe de resultados del procedimiento quirúrgico de luxación de cadera en nuestra región." "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Antecedentes y objetivo" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Pacientes y métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusión" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Sarassa C, Carmona D, Vanegas D, Restrepo C, Gomez L, Herrera AM. Pinzamiento femoroacetabular tratado con luxación quirúrgica de la cadera: resultados a corto plazo. Rev Esp Cir Ortop Traumatol. 2021;65:424–431." ] ] "multimedia" => array:7 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 602 "Ancho" => 805 "Tamanyo" => 143649 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Surgical approach. The capsular approach through a trochantic inverted osteotomy with anterosuperior exposure provides excellent viewing of the hip joint. GMED: gluteus medius; GMEN: gluteus minimus; PI: pyriform muscle." ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 495 "Ancho" => 1305 "Tamanyo" => 156290 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Acetabular inspection and labral suture. A) Acetabular inspection enables observation of the status of acetabular cartilage and labral detachment. B) The labrum is repaired with extraarticular bone anchorage sutures." ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 575 "Ancho" => 805 "Tamanyo" => 103416 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Cam type correction of deformity. The image shows the correction of a cam type deformity with an osteochondroplasty of the femoral head-neck union." ] ] 3 => array:8 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 495 "Ancho" => 1305 "Tamanyo" => 90599 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0020" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Pre and postoperative images of a pincer type deformity. A) AP radiologic image of a patient aged 46 years with bilateral pincer type FAI with symptomatic left hip that shows prominent acetabular edges; Tönnis grade I. B.) AP radiographies 12 months after SHD to correct the pincer type deformity that shows the postoperative result after osteoplasty of the acetabular edge and labral repair of the left hip." ] ] 4 => array:8 [ "identificador" => "fig0025" "etiqueta" => "Figure 5" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr5.jpeg" "Alto" => 1001 "Ancho" => 1305 "Tamanyo" => 126197 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0025" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Pre and postoperative images of a mixed type FAI. A) AP radiologic image of a 22-year-old male patient with bilateral mixed type symptomatic FAI; Tönnis grade 0. B) AP and frogleg 30 (left hip) projections and 36 (right hip) months after SHD for the treatment of mixed FAI which shows complete correction of deformities with acetabular and femoral osteochondroplasty. The labrum was not repaired due to bilateral ossification." ] ] 5 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0030" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Women (n = 16 cases) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Men (n = 26 cases) \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p Value \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Age \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">39.6 (27–52)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">33.8 (15−56)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.086 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Type of impingement \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.002<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Cam \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Pincer \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Mixed \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Evolution of symptoms (months prior to diagnosis)) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">22.3 (12–30)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">24 (14–33)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.861 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Last follow-up (months after surgery) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">24 (14–37)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">25 (12–36)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.785 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Merle d'Aubigné scale \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.004<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Poor \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Moderate \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Good \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Total Merle d'Aubigné score \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11.25 (8–14)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13.50 (8–16)<a class="elsevierStyleCrossRef" href="#tblfn0005">a</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.001<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis score \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.001<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Grade 0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">19 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Grade I \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Grade II \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Operated side \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.027<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Right \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Left \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Anatomic abnormalities \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Femoral cartilage lesions \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.045<a class="elsevierStyleCrossRef" href="#tblfn0010">b</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Acetabular cartilage lesions \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1.000 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Labral tears \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1.000 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Femoral deformity \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.313 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Acetabular deformity \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1.000 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2733289.png" ] ] ] "notaPie" => array:2 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "a" "nota" => "Average (min–max)." ] 1 => array:3 [ "identificador" => "tblfn0010" "etiqueta" => "b" "nota" => "Statistical significance." ] ] ] "descripcion" => array:1 [ "en" => "Description of baseline demographic and clinical characteristics of the cases stratified by sex." ] ] 6 => array:8 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0035" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:2 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Preoperative \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Postoperative<a class="elsevierStyleCrossRef" href="#tblfn0015">a</a> \t\t\t\t\t\t\n \t\t\t\t\t\t</th><th class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p Value \t\t\t\t\t\t\n \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Total Merle d'Aubigné score \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1264 (8−16)<a class="elsevierStyleCrossRef" href="#tblfn0020">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1629 (8−18)<a class="elsevierStyleCrossRef" href="#tblfn0020">b</a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.000<a class="elsevierStyleCrossRef" href="#tblfn0025">c</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Merle d'Aubignéscore \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.000<a class="elsevierStyleCrossRef" href="#tblfn0025">c</a> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Poor \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade 0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade I \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade II \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade III \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Moderate \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade 0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade I \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade II \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade III \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Food \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">22 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade 0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade I \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade II \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade III \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Excellent \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">13 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade 0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">11 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade I \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade II \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis grade III \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Tönnis score \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">.733 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Grade 0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">21 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">21 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Grade I \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">14 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Grade II \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Grade III \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab2733290.png" ] ] ] "notaPie" => array:3 [ 0 => array:3 [ "identificador" => "tblfn0015" "etiqueta" => "a" "nota" => "Last follow-up." ] 1 => array:3 [ "identificador" => "tblfn0020" "etiqueta" => "b" "nota" => "Average (min–max)." ] 2 => array:3 [ "identificador" => "tblfn0025" "etiqueta" => "c" "nota" => "Statistical significance." ] ] ] "descripcion" => array:1 [ "en" => "Clinical and radiologic comparative preoperative and postoperative scores." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The early outcome of surgical treatment for femoroacetabular impingement: success depends on how you measure it" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "F.M. Impellizzeri" 1 => "A.F. Mannion" 2 => "F.D. Naal" 3 => "O. Hersche" 4 => "M.A.T. Leunig" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Osteoarthr Cartil." "fecha" => "2012" "volumen" => "20" "paginaInicial" => "638" "paginaFinal" => "645" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Operative treatment of femoroacetabular impingement" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.D. Hellman" 1 => "A.J. Riff" 2 => "R.M. Frank" 3 => "B.D. Haughom" 4 => "S.J.A.T. Nho" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3810/psm.2014.09.2082" "Revista" => array:6 [ "tituloSerie" => "Phys Sportsmed." "fecha" => "2014" "volumen" => "42" "paginaInicial" => "112" "paginaFinal" => "119" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25295773" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical approaches for cam femoroacetabular impingement: the use of multicriteria decision analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Diaz-Ledezma" 1 => "J. Parvizi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s11999-013-2934-6" "Revista" => array:6 [ "tituloSerie" => "Clin Orthop Relat Res." "fecha" => "2013" "volumen" => "471" "paginaInicial" => "2509" "paginaFinal" => "2516" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23532552" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical indications for treatment for femoroacetabular impingement with surgical hip dislocation" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "O.R. Ayeni" 1 => "D. Naudie" 2 => "S. Crouch" 3 => "A. Adili" 4 => "B. Pindiprolu" 5 => "T. Chien" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Knee Surg Sport Traumatol Arthrosc." "fecha" => "2013" "volumen" => "21" "paginaInicial" => "1676" "paginaFinal" => "1683" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Femoroacetabular impingement: current concepts in diagnosis and treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D.F. Amanatullah" 1 => "T. Antkowiak" 2 => "K. Pillay" 3 => "J. Patel" 4 => "M. Refaat" 5 => "C.A. Toupadakis" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3928/01477447-20150305-07" "Revista" => array:6 [ "tituloSerie" => "Orthopedics." "fecha" => "2015" "volumen" => "38" "paginaInicial" => "185" "paginaFinal" => "199" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25760499" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Arthroscopic versus open treatment of femoroacetabular impingement" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "B.U. Nwachukwu" 1 => "B.J. Rebolledo" 2 => "F. McCormick" 3 => "S. Rosas" 4 => "J.D. Harris" 5 => "B.T.A.T. Kelly" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1177/0363546515587719" "Revista" => array:6 [ "tituloSerie" => "Am J Sports Med." "fecha" => "2016" "volumen" => "44" "paginaInicial" => "1062" "paginaFinal" => "1068" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26059179" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A review of outcomes of the surgical management of femoroacetabular impingement" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. MacFarlane" 1 => "S. Konan" 2 => "M. El-Huseinny" 3 => "F.S.A.T. Haddad" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1308/003588414X13946184900723" "Revista" => array:6 [ "tituloSerie" => "Ann R Coll Surg Engl." "fecha" => "2014" "volumen" => "96" "paginaInicial" => "331" "paginaFinal" => "338" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24992414" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Midterm results of surgical hip dislocation for the treatment of femoroacetabular impingement" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "F.D. Naal" 1 => "H.H. Miozzari" 2 => "M. Schär" 3 => "T. Hesper" 4 => "H.P.A.T. Nötzli" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1177/0363546512445884" "Revista" => array:6 [ "tituloSerie" => "Am J Sports Med." "fecha" => "2012" "volumen" => "40" "paginaInicial" => "1501" "paginaFinal" => "1510" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22556199" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Open surgical dislocation versus arthroscopy for femoroacetabular impingement: a comparison of clinical outcomes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "I.B. Botser" 1 => "T.W. Smith" 2 => "R. Nasser" 3 => "B.G.A.T. Domb" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arthrosc J Arthrosc Relat Surg." "fecha" => "2011" "volumen" => "27" "paginaInicial" => "270" "paginaFinal" => "278" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Early clinical results of surgical treatment of patients with femoroacetabular impingement" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D. Mladenovic" 1 => "Z. Andjelkovic" 2 => "Z. Vukasinovic" 3 => "M. Mitkovic" 4 => "S. Milenkovic" 5 => "I. Micic" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2298/sarh1406325m" "Revista" => array:6 [ "tituloSerie" => "Srp Arh Celok Lek." "fecha" => "2014" "volumen" => "142" "paginaInicial" => "325" "paginaFinal" => "329" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25033589" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical dislocation of the adult hip: a technique with full access to the femoral head and acetabulum without the risk of avascularnecrosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R. Ganz" 1 => "T. Gill" 2 => "E. Gautier" 3 => "N. Krüger" 4 => "U.A.T. Berlemann" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Bone Jt Surg Br." "fecha" => "2001" "volumen" => "83B" "paginaInicial" => "1119" "paginaFinal" => "1124" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of mixed type femoroacetabular impingement using safe surgical hip dislocation in adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "U. İnan" 1 => "S. Harmanşa" 2 => "H. Ömeroğlu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5606/ehc.2016.32" "Revista" => array:6 [ "tituloSerie" => "Eklem Hastalik Cerrahisi." "fecha" => "2016" "volumen" => "27" "paginaInicial" => "160" "paginaFinal" => "166" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27902171" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Femoroacetabular impingement" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "E.L. Sink" 1 => "Y.J. Kim" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/BPO.0b013e318259f30d" "Revista" => array:6 [ "tituloSerie" => "J Pediatr Orthop." "fecha" => "2012" "volumen" => "32" "paginaInicial" => "S166" "paginaFinal" => "S171" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22890457" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical dislocation of the hip versus arthroscopic treatment of femoroacetabular impingement: a prospective matched-pair study with average 2-year follow-up" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B.G. Domb" 1 => "C.E. Stake" 2 => "I.B. Botser" 3 => "T.J.A.T. Jackson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arthrosc J Arthrosc Relat Surg." "fecha" => "2013" "volumen" => "29" "paginaInicial" => "1506" "paginaFinal" => "1513" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical hip dislocation in symptomatic cam femoroacetabular impingement: what matters in early good results?" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Jäger" 1 => "B. Bittersohl" 2 => "C. Zilkens" 3 => "H.S. Hosalkar" 4 => "K. Stefanovska" 5 => "S. Kurth" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/2047-783x-16-5-217" "Revista" => array:5 [ "tituloSerie" => "Eur J Med Res." "fecha" => "2011" "volumen" => "16" "paginaInicial" => "217" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21719395" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Global discrepancies in the diagnosis, surgical management, and investigation of femoroacetabular impingement" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Yeung" 1 => "M. Khan" 2 => "V.M. Schreiber" 3 => "J. Adamich" 4 => "S. Ketkemann" 5 => "N. Simunovic" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arthrosc J Arthrosc Relat Surg." "fecha" => "2014" "volumen" => "30" "paginaInicial" => "1625" "paginaFinal" => "1633" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Functional results of hip arthroplasty with acrylic prosthesis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. d’Aubigne" 1 => "M. Postel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Bone Jt Surg." "fecha" => "1954" "volumen" => "36" "paginaInicial" => "451" "paginaFinal" => "475" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Banaszkiewicz PA. Functional results of hip arthroplasty with acrylic prosthesis. In: Classic papers in orthopaedics. London: Springer London, p. 19–22." ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The classic: functional results of hip arthroplasty with acrylic prosthesis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.M. d’Aubigné" 1 => "M. Postel" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s11999-008-0572-1" "Revista" => array:6 [ "tituloSerie" => "Clin Orthop Relat Res." 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"fecha" => "1979" "volumen" => "117" "paginaInicial" => "808" "paginaFinal" => "815" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/549339" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A new method for roentgenologic evaluation of the hip joint—the hip factor [Article in German]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Busse" 1 => "W. Gasteiger" 2 => "D. Tönnis" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/BF00415854" "Revista" => array:6 [ "tituloSerie" => "Arch Orthop Unfallchir." "fecha" => "1972" "volumen" => "72" "paginaInicial" => "1" "paginaFinal" => "9" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5020681" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluating healthcare resource utilization and outcomes for surgical hip dislocation and hip arthroscopy for femoroacetabular impingement" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S.A.##D. de" 1 => "N.S. Horner" 2 => "A. MacDonald" 3 => "N. Simunovic" 4 => "G. Slobogean" 5 => "M.J. Philippon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Knee Surg Sport Traumatol Arthrosc." "fecha" => "2016" "volumen" => "24" "paginaInicial" => "3943" "paginaFinal" => "3954" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of femoro-acetabular impingement with surgical dislocation and débridement in young adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C.L. Peters" 1 => "J.A. Erickson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Bone Jt Surg." "fecha" => "2006" "volumen" => "88" "paginaInicial" => "1735" "paginaFinal" => "1741" ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of femoro-acetabular impingement" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "N. Espinosa" 1 => "M. Beck" 2 => "D.A. Rothenfluh" 3 => "R. Ganz" 4 => "M.A.T. Leunig" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Bone Jt Surg." "fecha" => "2007" "volumen" => "89" "paginaInicial" => "36" "paginaFinal" => "53" ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0125" "etiqueta" => "25" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Anterior femoroacetabular impingement: part II. Midterm results of surgical treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Beck" 1 => "M. Leunig" 2 => "J. Parvizi" 3 => "V. Boutier" 4 => "D. Wyss" 5 => "R. Ganz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Clin Orthop Relat Res." "fecha" => "2004" "paginaInicial" => "67" "paginaFinal" => "73" ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0130" "etiqueta" => "26" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of femoroacetabular impingement with surgical dislocation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H.H. Yun" 1 => "W.Y. Shon" 2 => "J.Y. Yun" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4055/cios.2009.1.3.146" "Revista" => array:5 [ "tituloSerie" => "Clin Orthop Surg." "fecha" => "2009" "volumen" => "1" "paginaInicial" => "146" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19885050" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0135" "etiqueta" => "27" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Open treatment of femoroacetabular impingement is associated with clinical improvement and low complication rate at short-term followup" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C.L. Peters" 1 => "K. Schabel" 2 => "L. Anderson" 3 => "J.A.T. Erickson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s11999-009-1152-8" "Revista" => array:6 [ "tituloSerie" => "Clin Orthop Relat Res." "fecha" => "2010" "volumen" => "468" "paginaInicial" => "504" "paginaFinal" => "510" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19885709" "web" => "Medline" ] ] ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0140" "etiqueta" => "28" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Eighty percent of patients with surgical hip dislocation for femoroacetabular impingement have a good clinical result without osteoarthritis progression at 10 years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S.D. Steppacher" 1 => "H. Anwander" 2 => "C.A. Zurmühle" 3 => "M. Tannast" 4 => "K.A.A.T. Siebenrock" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s11999-014-4025-8" "Revista" => array:6 [ "tituloSerie" => "Clin Orthop Relat Res." "fecha" => "2015" "volumen" => "473" "paginaInicial" => "1333" "paginaFinal" => "1341" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25367110" "web" => "Medline" ] ] ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib0145" "etiqueta" => "29" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efficacy of surgery for femoroacetabular impingement" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "V.Y. Ng" 1 => "N. Arora" 2 => "T.M. Best" 3 => "X. Pan" 4 => "T.J. Ellis" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1177/0363546510365530" "Revista" => array:6 [ "tituloSerie" => "Am J Sports Med." "fecha" => "2010" "volumen" => "38" "paginaInicial" => "2337" "paginaFinal" => "2345" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20489213" "web" => "Medline" ] ] ] ] ] ] ] ] 29 => array:3 [ "identificador" => "bib0150" "etiqueta" => "30" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical treatment of femoroacetabular impingement: a systematic review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.C. Clohisy" 1 => "L.C. St John" 2 => "A.L. Schutz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s11999-009-1138-6" "Revista" => array:6 [ "tituloSerie" => "Clin Orthop Relat Res." "fecha" => "2010" "volumen" => "468" "paginaInicial" => "555" "paginaFinal" => "564" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19830504" "web" => "Medline" ] ] ] ] ] ] ] ] 30 => array:3 [ "identificador" => "bib0155" "etiqueta" => "31" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Ganz" 1 => "T.J. Gill" 2 => "E. Gautier" 3 => "F.K. Ganz" 4 => "N. Krüger" 5 => "U.A.T. Berlemann" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1302/0301-620x.83b8.11964" "Revista" => array:6 [ "tituloSerie" => "J Bone Joint Surg Br." 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Femoracetabular impingement treated with surgical hip dislocation: Short-term results

Pinzamiento femoroacetabular tratado con luxación quirúrgica de la cadera: resultados a corto plazo

C. Sarassaa,b, D. Carmonab,c, D. Vanegasb,c, C. Restrepob,c, L. Gomezb,c, A.M. Herrerad,

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amht73@gmail.com

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a Departamento de Ortopedia pediátrica, Clínica del Campestre, Hospital Infantil Santa Ana, Fundación Clínica Noel, CORA group, Medellín, Colombia

b Departamento de Ortopedia y Traumatología, Clínica del Campestre, Medellín, Colombia

c Programa de Residencia en Ortopedia y Traumatología, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia

d Departamento de Epidemiología e Investigación Clínica, Clínica del Campestre, Medellín, Colombia

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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Femoracetabular impingement &#40;FAI&#41; is defined as an abnormal contact between the femur and the acetabulum during normal range of movement caused by anatomical changes in any of these structures&#46; The change in structural relationships within the hip joint produces permanent joint pain with osteoarthritis &#40;OA&#41; as the principal cause of pain and stiffness in the hip in patients under 50 years of age&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;6</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Several aetiologies have been proposed for FAI&#44; including genetic factors&#44; a history of paediatric hip disease&#44; contact sports and previous ship fracture&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Medical symptoms may vary&#44; but patients mostly refer to an onset of constant spontaneous groin pain accompanied by occasional pain in the gluteus&#44; sacroiliac or tronchanteric areas with stiffness&#46; Onset may less frequently be rapid after a minor initial trauma event&#46;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#44;7</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">There are 2 different types of FAI depending on the pathomechanics involved&#46; The cam and pincer types may be found in isolated form or combined&#46; The cam type FAI consists in abnormal morphology of the femoral head-neck union&#44; which includes a reduction in the femoral head-neck relationship&#44; asphericity of the femoral head and retroversion of the femoral neck which causes irregular shearing forces in the acetabular cartilage&#46; Pincer FAI is related to an abnormal acetablar morphology and includes the projection of the anterosuperior acetabular edge&#44; acetabular retroversion&#44; acetabular protrusion and coxa profunda&#44; which entail direct contact between the acetabular edge and the femoral head and neck union&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2&#44;5&#44;7</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">After diagnosis&#44; a conservative symptomatic FAI approach may be first line treatment&#46; However&#44; when symptoms persist after several months&#44; and there are morphological changes demonstrated by diagnostic images&#44; surgical intervention is the next therapeutic step&#46; Surgical intervention seeks to restore intraarticular mechanics by reducing abnormal contact between the femoral head-neck union and the acetabulum&#44; repairing the chondral and labral lesions&#46; Although it is unclear whether intervention is able to delay the progression of the coxofemoral osteoarthritis&#44; the aim of surgical treatment is to detain or delay its appearance&#44; thus avoiding the need for total hip arthroplasty &#40;THA&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;5&#44;7&#44;9&#44;10</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Although several surgical techniques have been proposed for the treatment of FAI&#44; such as hip arthroscopy&#44; SHD or mini-open osteoplasty&#44; open SHD described by Ganz et al&#46; in 2001&#44;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a> continues to be the gold standard intervention&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;12&#44;13</span></a> SHD leads to complete viewing of the hip&#44; providing access without restrictions to joint anomalies&#44; without compromising the blood supply to the femoral head&#46; This technique has been shown to have excellent medium to long-term results in reduction symptoms and slowing down the progression of OA&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5&#44;9&#44;12</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">14&#44;15</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">In the systematic review by Yeung et al&#46;&#44; 2014&#44;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> it was proven that the majority of studies available in the literature relating to FAI treatment originate from Europe and North America and that some demographic differences could condition the findings of the surgical treatment&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> The aim of this study was to improve global evidence on short-term results of SHD for treatment of FAI with results obtained from a Colombian cohort&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Materials and methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Patients</span><p id="par0035" class="elsevierStylePara elsevierViewall">We conducted a descriptive&#44; retrospective assessment of consecutive patients who had undergone surgical treatment for femoracetabular impingement with a surgical hip dislocation technique from 2006 until 2018 in our hospital&#44; by the same orthopaedic hip surgeon&#46; The hospital ethics committee approved the study&#46; Demographic details&#44; surgical notes and follow-up data of patients were compiled from medical records following prior informed consent by the patients&#44; their tutors or legal guardians&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Surgery was indicated in patients with hip pain who had not responded to conservative non-surgical treatment and who had clinical symptoms and radiologic findings of FAI&#46; The exclusion criteria for this procedure included patients with a history of congenital or acquired diseases of the hip which were not FAI &#40;Legg-Calv&#233;-Perthes&#44; hip dysplasia&#44; fractures or epiphysiolysis&#41;&#44; those with a history of hip surgery and OA &#40;T&#246;nnis III and IV&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">The type of FAI was classified as pincer&#44; cam or mixed&#44; in keeping with their distinctive appearance in the radiographies or during surgery&#46; Radiologic assessment also included assessment of femoral or acceptable cartilage lesions&#44; labral tears and the presence of femoral or acetabular deformities&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Initial assessment included preoperative measurements of the range of movement&#44; pain and walking&#44; assessed through the Merle d&#39;Aubign&#233;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> scale score&#46; Based on this score&#44; patients&#8217; hips were functionally classified according to categories of the modified Merle d&#8217;Aubign&#233;-Postel Score<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">18&#44;19</span></a> as&#58; bad &#40;score&#160;&#60;&#160;13&#41;&#44; OK &#40;score 13 o 14&#41;&#44; good &#40;score 15 a 17&#41; and excellent &#40;score 18&#41;&#46; Preoperative stratification was also performed for OA with the T&#246;nnis classification&#46;<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">20&#44;21</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Surgical procedures</span><p id="par0055" class="elsevierStylePara elsevierViewall">The same senior orthopaedic hip surgeon performed all operations&#46; Controlled surgical dislocation of the hip for the treatment of FAI is a technique previously described by Ganz et al&#46; and other authors&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;11&#44;22&#44;23</span></a> The patient is placed in the lateral position&#44; incision in the skin is performed laterally and focus is on the greater trochanter&#44; following the femur axis&#46; An inverted trochanteric inversion osteotomy is then performed&#46; The gluteus minimus is moved across the gap with the pyriform muscle to the capsule &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; After this&#44; complete exposure of the joint is achieved through capsulotomy in Z throughout the length of the acetabular insertion&#46; The hip is dislocated to allow complete examination of the acetabulum&#44; assessing the status of the labrum and articular cartilage&#44; as well as all the surfaces of the femoral head&#46; When there is a pincer type FAI a resection acetabuloplasty is performed&#44; sutured and labral tears remodelled &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#44; unstable cartilage is resected and the denuded bone is perforated&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">Also&#44; in the case of a cam type FAI&#44; both bone and cartilage are resected &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46; The hip is then reduced&#44; verifying the absence of friction in the normal range of movement&#46; A retinacular flap of soft tissue of the neck and the protection of external rotator muscles preserve the blood supply to the femoral head&#46; After this capsulorraphy is performed and the greater trochanter is repositioned and attached with three 3&#46;5&#160;mm cortical nails&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Postoperative assessment and follow-up</span><p id="par0065" class="elsevierStylePara elsevierViewall">Follow-up began from the date of the procedure to the last postoperative assessment recorded in the medical records&#46; All patients had at least one year of follow up&#46; In the final review&#44; the presence of critical clinical findings was assessed&#46; Hip radiographies were used to calculate the T&#246;nnis classification and to assess the presence of non-union or ossification&#46; The measurements from the d&#39;Aubign&#233; scale were taken during follow-ups&#46; They also assessed complications such as avascular necrosis &#40;AVN&#41;&#44; non trochanteric union or the need for THA &#40;<a class="elsevierStyleCrossRefs" href="#fig0020">Figs&#46; 4 and 5</a>&#41;&#46;</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><elsevierMultimedia ident="fig0025"></elsevierMultimedia></span></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Statistical analysis</span><p id="par0070" class="elsevierStylePara elsevierViewall">Description of nominal variables was made using absolute and relative frequencies&#44; and quantitative variable through averages and range &#40;min-max&#41;&#44; in keeping with the sample distribution&#46; Comparisons between quantitative variables were assessed with the Student&#8217;s t-test&#46; For nominal variables they used the Chi-squared independence test or the exact Fisher test&#46; Analysis was performed with the SPSS&#174; software&#44; versi&#243;n 21&#46;0&#46; Statistical significance was established at a p value of &#8804;&#46;05&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Results</span><p id="par0075" class="elsevierStylePara elsevierViewall">Of the total 65 patients who underwent surgical hip dislocation between January 2006 and December 2018&#44; 40 patients &#40;42 cases&#41; met with the defined criteria and had a complete follow-up&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">There were 15 women and 25 men patients aged between 15 and 56 years of age&#44; with an average of 36&#46;3 years at the time of surgery&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Regarding FAI laterality&#44; this occurred on the right side in 20 patients&#44; and on the left side in 18&#44; with bilateral and symptomatic occurrence in 2 patients&#46; According to the type of FSI&#44; 13 cases were cam type&#44; 11 pincer and 18 mixed&#46; The average assessment time of symptoms before surgery was 22&#46;5 months &#40;min 12&#8211;max 33 months&#41;&#44; and the average time of postoperative evolution was 24 months &#40;min 12&#8211;max 37&#44; months&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">Preoperative clinical classification according to the modified Merle d&#8217;Aubign&#233;-Postel scale was poor in 18 cases&#44; moderate in 13 and good in 11&#44; with a total average score of 12&#46;60&#46; The preoperative T&#246;nnis score for radiologic classification of the OA showed that half of the sample was grade 0&#44; with its majority corresponding functionally as moderate or good &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">In surgery it was observed that 15 cases had femoral cartilage lesions&#44; 20 acetabular cartilage lesions and 31 had labral tears&#46; The femoral and acetablar deformities were present in 11 and 12 hips&#44; respectively &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">During the last follow-up&#44; clinical classification according to the modified Merle d&#8217;Aubign&#233;-Postel scale was poor in 5 cases&#44; moderate in 2&#44; good in 22 and excellent in the remaining 13 hips&#44; with an average score of 16&#46;28 for the total of cases&#46; There was a significant change regarding the average preoperative Merle d&#39;Aubign&#233; score&#46; Moreover&#44; the pain score improved significantly by 4&#46;26 presurgical points to 5&#46;42 in the last follow-up &#40;p&#160;&#8804;&#160;&#46;05&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">The postoperative classification of T&#246;nnis was grade 0 and grade I in 35 cases&#59; with no changes in the total cases regarding preoperative scoring&#46; However&#44; postoperatively the grade 0 T&#246;nnis score corresponded mostly to hips functionally classified as good or excellent&#46; There were no significant variations in the T&#246;nnis classification after surgery&#46; Only one case progressed to develop OA&#59; the patient who was a woman aged 46&#44; deteriorated from grade II to grade III which required THA 48 months after SHD &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">There was also one case of heterotopic ossification and 3 tronchanteric non-unions which required reattachment&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Discussion</span><p id="par0115" class="elsevierStylePara elsevierViewall">Surgical hip dislocation in patients with FAI in this Colombian cohort showed highly satisfactory results in the short-term follow-up regarding early functional results&#46; The study results were consistent with previous studies&#44; showing a significant improvement in the Merle d&#39;Aubigne hip scores in patients treated for FAI with SHD&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;12&#44;24&#44;25</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">Sample size &#40;n&#160;&#61;&#160;42&#41; was comparable to other reported SHD series for the treatment of FAI&#44; such as that of Beck et al&#46;&#44; 2004 &#40;n&#160;&#61;&#160;19&#41;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a>&#59; Espinoza et al&#46;&#44; 2007 &#40;n&#160;&#61;&#160;60&#41;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a>&#59; Yun et al&#46;&#44; 2009 &#40;n&#160;&#61;&#160;15&#41;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a>&#59; Peters et al&#46;&#44; 2010 &#40;n&#160;&#61;&#160;96&#41;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">27</span></a>&#59; J&#228;ger et al&#46;&#44; 2011 &#40;n&#160;&#61;&#160;22&#41;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a>&#59; Mladenovi&#263; et al&#46;&#44; 2014 &#40;n&#160;&#61;&#160;21&#41;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> and Steppacher et al&#46;&#44; 2015 &#40;n&#160;&#61;&#160;97&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a> In a systematic review published in 2014 related to global discrepances in diagnoses&#44; surgical treatment of FAI and research by Yeung et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> showed that out of 105 studies&#44; 34 assessed the results of the treatment with SHD and 91&#46;4&#37; came from North America and Europe&#44; whilst none originated from South America&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> Our findings are therefore the only available evidence in the literature relating to the benefits of SHD as a surgical option in patients with FAI in our region&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">It has been shown that a dominant male population is linked to FAI&#44; with a male&#47;female ratio of approximately 60&#47;40&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> In keeping with our study&#44; 26 of the 42 cases &#40;62&#37;&#41; occurred in males&#46; Also Amantulla et al&#46;&#44; 2015<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> and Hellman et al&#46;&#44; 2014<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> described that cam type FAI was traditionally found in young&#44; athletic males who have an abnormally shaped femoral head&#44; whilst the pincer type FAI is mostly found in active middle aged women with a deep-set or misaligned acetabulum&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Also&#44; in our sample&#44; the distribution of sexes by FSI type showed greater frequency of males with an average age of 33&#46;1&#160;&#177;&#160;10&#46;0 years for the cam type&#44;whilst the pincer type was more common among women with an average age of 41&#46;2&#160;&#177;&#160;7&#46;7 years&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">The opportune diagnosis of FAI is essential to reduce the risk of permanent joint damage and OA&#46; A delay in diagnosis could be correlated with poor outcomes and progression to OA&#46;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">12&#44;29</span></a> Several studies have reported good outcomes when the patients refer to an average of 2&#46;3&#8211;2&#46;5 years of duration of symptoms prior to diagnosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">12&#44;26</span></a> In our study&#44; the average duration between the onset of symptoms and the diagnosis was approximately 2 years &#40;24&#160;&#177;&#160;7&#46;00 months&#41;&#44; which is in keeping with previous reports&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">One of the first publications which reported long-term outcomes of SHD for the treatment of FAI was that of Beck et al&#46;&#44; 2004&#44;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a> who showed satisfactory functional outcomes reflected in improvements in the Merle d&#8217;Aubign&#233; score in 13 of 19 patients&#46; After this&#44; several other studies conducted by Espinoza et al&#46;&#44; 2006<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a> and Peters et al&#46;&#44; 2010&#44;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">27</span></a> assessed the short and medium-term results of the FAI treatment with SHD&#46; Both studies show a significant improvement in clinical scores&#44; reduction of pain and an improved function compared with their preoperative values in one to four years after surgery&#46;<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">24&#44;27</span></a> In general&#44; the published studies on adults with FAI have demonstrated a estimated rate of 80&#37; of excellent and good clinician outcomes after SHD&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#44;7&#44;12</span></a> Similarly&#44; our study showed a significant functional improvement reflected in the increase of the average Merle d&#8217;Aubign&#233; score from 12&#46;6 to 16&#46;2 points&#44; especially in the reduction of pain from 4&#46;26 to 5&#46;42 points&#46; With regard to the frequency in Merle categories&#44; our cases go from 18 to 5 in the poor category&#44; from 13 to 2 in the moderate&#44; 11 to 22 in the good and zero to 13 in the excellent category&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">In general&#44; apart from the anatomical restoration of the femoral head and acetabulum close to normality for functional ends&#44; the treatment of FAI has as its objective at the last instance to prevent or delay the degeneration of the hip joint which if not would lead to early osteoarthritis&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#44;7&#44;8&#44;29</span></a> The T&#246;nnis classification provides the means for assessing the progression or stability of osteoarthritis&#46;<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">20&#44;21</span></a> In our study&#44; the T&#246;nnis scoring showed that permanent joint damage did not progress in most cases&#44; and direct relationship of this scoring with the functional classification was maintained&#46; The hips with the best functional category presented with a T&#246;nnis score of 0 pre and postsurgically&#46; These results reaffirm that in the short term treatment with SHD was successful in achieving one of the essential objectives&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Total hip arthroplasty is a common outcome for patients with FAI in an advantage stage of osteoarthritis &#40;T&#246;nnis III-IV&#41; or with chondral damage or extensive labral damage&#46; Beck et al&#46;&#44; 2004&#44; reported that 5 out of 19 of their patients required THA due to stage II osteoarthritis&#44; severe chondral damage and labral ossification&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a> Equally&#44; Peters et al&#46;&#44; 2010&#59; Mladenovi&#263; et al&#46;&#44; 2014 and Steppacher et al&#46;&#44; 2015&#44; found absolute and relative frequencies which were similar to patients who underwent THA &#40;6&#46;25&#37;&#44; 11&#46;5&#37; and 11&#37;&#41; in their respective assessed cohorts&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#44;27&#44;28</span></a> In our series&#44; a case of 42 &#40;2&#46;4&#37;&#41; required THA approximately 4 years after surgery&#46; The patient presented with grade II T&#246;nnis prior to surgery and progressed to grade III&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Although in recent years arthroscopic treatment for FAI has been preferred by several surgeons over SHD&#44; various systematic reviews which compare both treatments have concluded that these techniques have similar rates of satisfactory outcomes&#46; Neither has been demonstrated to be higher than the other&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#44;29&#44;30</span></a> The procedure using surgical hip dislocation described by Ganz et al&#46;&#44; 2001&#44;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a> is ideal for FAI treatment&#44; since abnormal contact&#44; be it intraarticular or extraarticular&#44; is directly observed during the operation and in particular in posterior defects which may be difficult to observe and repair with the arthroscopic technique&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#44;32</span></a> Furthermore&#44; the SHD technique enables preservation of blood flow to the femoral head with complete visualisation of the acetabulum&#44; minimising the risk of AVN&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#44;11&#44;32</span></a> In this study no patients presented ANV as a complication&#44; which shows that SHD is a safe procedure with a low rate of complications when surgeons are experienced&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#44;10&#44;32</span></a></p><p id="par0155" class="elsevierStylePara elsevierViewall">This study is not exempt from the limitations of its retrospective design&#44; with limited information for the periodical follow-up and the lack of a control group&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Conclusion</span><p id="par0160" class="elsevierStylePara elsevierViewall">In keeping with what was previously demonstrated in several publications&#44; we confirmed that SHD may be successfully used to treat patients with FAI and has a low rate of short-term complications&#46; As far as we are aware this is the first report of results from a surgical hip dislocation procedure in this region&#44; which establishes the importance and novelty of this study given the comparable sample size with others previously reported&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Financing</span><p id="par0165" class="elsevierStylePara elsevierViewall">This research did not receive any specific aid from public sector&#44; commercial sector or not-for-profit entities&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Conflict of interests</span><p id="par0170" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare&#46;</p></span></span>"
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              "titulo" => "Antecedentes y objetivo"
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          "titulo" => "Introduction"
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          "titulo" => "Materials and methods"
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                  "titulo" => "Postoperative assessment and follow-up"
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              "titulo" => "Statistical analysis"
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          "titulo" => "Financing"
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          "titulo" => "Conflict of interests"
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          "titulo" => "Acknowledgements"
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          "titulo" => "References"
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    "fechaRecibido" => "2019-11-28"
    "fechaAceptado" => "2021-02-03"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1434435"
          "palabras" => array:3 [
            0 => "Femoroacetabular impingement"
            1 => "Surgical dislocation of the hip"
            2 => "Outcomes"
          ]
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec1434436"
          "palabras" => array:3 [
            0 => "Pinzamiento femoroacetabular"
            1 => "Luxaci&#243;n quir&#250;rgica de la cadera"
            2 => "Resultados"
          ]
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background and objective</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Most of the studies available in the literature related to the treatment of femoroacetabular impingement &#40;FAA&#41; with surgical hip dislocation &#40;CLD&#41; come from Europe and North America&#46; This study describes the short-term results of the LQC technique for treating PFA in a cohort of Colombian patients&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Patients and methods</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">We retrospectively analysed 42 cases of PFA treated with LQC from 2006 to 2018&#46; The same orthopaedic surgeon performed all surgeries&#46; Clinical outcome was assessed using the Merle d&#8217;Aubign&#233; scores&#44; while radiological assessment was performed using the T&#246;nnis score&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Fifteen women and 25 men were included in the study&#44; with a mean age of 36&#46;3 years&#46; Two patients had bilateral symptomatic involvement&#46; Of the 42 cases&#44; there were 13 cam type&#44; 11 pincer type and 18 mixed&#46; Preoperatively&#44; 31 hips were classified as poor and moderate&#44; and 11 as good according to the Merle d&#8217;Aubign&#233; scale&#46; The preoperative T&#246;nnis radiological classification showed grade 0 in half of the cases&#46; The mean duration of follow-up was 24 months &#40;12&#8211;37&#41;&#46; The final postoperative Merle d&#8217;Aubign&#233; scores classified 7 cases as poor or moderate&#44; and 35 as good to excellent &#40;p&#160;&#60;&#160;0&#46;05&#41;&#46; The postoperative T&#246;nnis score showed no significant variation&#46; As complications&#44; one patient had heterotopic ossification&#44; and three had trochanteric nonunion requiring refixation&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Our results suggest that the LQC technique for the treatment of patients with PFA shows satisfactory short-term results with a low complication rate&#46; To our knowledge&#44; this is the first report of results of the surgical procedure for hip dislocation in our region&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Background and objective"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Patients and methods"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Results"
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      "es" => array:3 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Antecedentes y objetivo</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">La mayor&#237;a de los estudios disponibles en la literatura relacionados con el tratamiento del pinzamiento femoroacetabular &#40;PFA&#41; con luxaci&#243;n quir&#250;rgica de cadera &#40;LQC&#41; provienen de Europa y Am&#233;rica del Norte&#46; Este estudio describe los resultados a corto plazo de la t&#233;cnica de LQC para tratar el PFA en una cohorte de pacientes colombianos&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Pacientes y m&#233;todos</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Analizamos retrospectivamente 42 casos de PFA tratados con LQC desde el a&#241;o 2006 al 2018&#46; El mismo cirujano ortop&#233;dico realiz&#243; todas las cirug&#237;as&#46; El resultado cl&#237;nico se evalu&#243; utilizando las puntuaciones de Merle d&#8217;Aubign&#233;&#44; mientras que la evaluaci&#243;n radiol&#243;gica se realiz&#243; con la puntuaci&#243;n de T&#246;nnis&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron 15 mujeres y 25 varones en el estudio&#44; con una edad promedio de 36&#44;3 a&#241;os&#46; Dos pacientes presentaron afectaci&#243;n sintom&#225;tica bilateral&#46; De los 42 casos&#44; hubo 13 de tipo cam&#44; 11 tipo pincer y 18 mixtos&#46; Preoperatoriamente&#44; 31 caderas se clasificaron como pobres y moderadas y 11 como buenas seg&#250;n la escala Merle d&#8217;Aubign&#233;&#46; La clasificaci&#243;n radiol&#243;gica T&#246;nnis prequir&#250;rgica mostr&#243; grado 0 en la mitad de los casos&#46; La duraci&#243;n media del seguimiento fue de 24 meses &#40;12&#8211;37&#41;&#46; Las &#250;ltimas puntuaciones postoperatorias de Merle d&#8217;Aubign&#233; clasificaron 7 casos como pobres o moderados y 35 como buenos y excelentes &#40;p&#160;&#60;&#160;0&#44;05&#41;&#46; La puntuaci&#243;n postoperatoria de T&#246;nnis no mostr&#243; variaciones significativas&#46; Como complicaciones&#44; un paciente present&#243; osificaci&#243;n heterot&#243;pica y 3 tuvieron no uni&#243;n trocant&#233;rica que requiri&#243; refijaci&#243;n&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusi&#243;n</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Nuestros resultados sugieren que la t&#233;cnica LQC para el tratamiento de pacientes con PFA muestra resultados satisfactorios a corto plazo con una baja tasa de complicaciones&#46; Hasta donde sabemos&#44; este es el primer informe de resultados del procedimiento quir&#250;rgico de luxaci&#243;n de cadera en nuestra regi&#243;n&#46;</p></span>"
        "secciones" => array:4 [
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            "titulo" => "Antecedentes y objetivo"
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            "titulo" => "Pacientes y m&#233;todos"
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          2 => array:2 [
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        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0030">Please cite this article as&#58; Sarassa C&#44; Carmona D&#44; Vanegas D&#44; Restrepo C&#44; Gomez L&#44; Herrera AM&#46; Pinzamiento femoroacetabular tratado con luxaci&#243;n quir&#250;rgica de la cadera&#58; resultados a corto plazo&#46; Rev Esp Cir Ortop Traumatol&#46; 2021&#59;65&#58;424&#8211;431&#46;</p>"
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        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
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        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
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            "Alto" => 602
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            "Tamanyo" => 143649
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          0 => array:3 [
            "identificador" => "at0005"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Surgical approach&#46; The capsular approach through a trochantic inverted osteotomy with anterosuperior exposure provides excellent viewing of the hip joint&#46; GMED&#58; gluteus medius&#59; GMEN&#58; gluteus minimus&#59; PI&#58; pyriform muscle&#46;</p>"
        ]
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      1 => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 495
            "Ancho" => 1305
            "Tamanyo" => 156290
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        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Acetabular inspection and labral suture&#46; A&#41; Acetabular inspection enables observation of the status of acetabular cartilage and labral detachment&#46; B&#41; The labrum is repaired with extraarticular bone anchorage sutures&#46;</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 575
            "Ancho" => 805
            "Tamanyo" => 103416
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0015"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Cam type correction of deformity&#46; The image shows the correction of a cam type deformity with an osteochondroplasty of the femoral head-neck union&#46;</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "fig0020"
        "etiqueta" => "Figure 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr4.jpeg"
            "Alto" => 495
            "Ancho" => 1305
            "Tamanyo" => 90599
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0020"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Pre and postoperative images of a pincer type deformity&#46; A&#41; AP radiologic image of a patient aged 46 years with bilateral pincer type FAI with symptomatic left hip that shows prominent acetabular edges&#59; T&#246;nnis grade I&#46; B&#46;&#41; AP radiographies 12 months after SHD to correct the pincer type deformity that shows the postoperative result after osteoplasty of the acetabular edge and labral repair of the left hip&#46;</p>"
        ]
      ]
      4 => array:8 [
        "identificador" => "fig0025"
        "etiqueta" => "Figure 5"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr5.jpeg"
            "Alto" => 1001
            "Ancho" => 1305
            "Tamanyo" => 126197
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        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0025"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Pre and postoperative images of a mixed type FAI&#46; A&#41; AP radiologic image of a 22-year-old male patient with bilateral mixed type symptomatic FAI&#59; T&#246;nnis grade 0&#46; B&#41; AP and frogleg 30 &#40;left hip&#41; projections and 36 &#40;right hip&#41; months after SHD for the treatment of mixed FAI which shows complete correction of deformities with acetabular and femoral osteochondroplasty&#46; The labrum was not repaired due to bilateral ossification&#46;</p>"
        ]
      ]
      5 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0030"
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        ]
        "tabla" => array:2 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Women &#40;n&#160;&#61;&#160;16 cases&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Men &#40;n&#160;&#61;&#160;26 cases&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p Value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Age</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">39&#46;6 &#40;27&#8211;52&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&#46;8 &#40;15&#8722;56&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;086&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Type of impingement</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;002<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Cam&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Pincer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Mixed&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Evolution of symptoms &#40;months prior to diagnosis&#41;&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#46;3 &#40;12&#8211;30&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;14&#8211;33&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;861&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Last follow-up &#40;months after surgery&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;14&#8211;37&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25 &#40;12&#8211;36&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;785&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Merle d&#39;Aubign&#233; scale</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;004<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Poor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Moderate&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Good&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Total Merle d&#39;Aubign&#233; score</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#46;25 &#40;8&#8211;14&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#46;045<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;000&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;000&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#46;313&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Acetabular deformity&nbsp;\t\t\t\t\t\t\n
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                  """
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#46;000<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">c</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Poor</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade 0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade II&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade III&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Moderate</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade 0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade II&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade III&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Food</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade 0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade I&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade II&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade III&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Excellent</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>T&#246;nnis grade 0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                          "autores" => array:6 [
                            0 => "D&#46; Mladenovic"
                            1 => "Z&#46; Andjelkovic"
                            2 => "Z&#46; Vukasinovic"
                            3 => "M&#46; Mitkovic"
                            4 => "S&#46; Milenkovic"
                            5 => "I&#46; Micic"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2298/sarh1406325m"
                      "Revista" => array:6 [
                        "tituloSerie" => "Srp Arh Celok Lek&#46;"
                        "fecha" => "2014"
                        "volumen" => "142"
                        "paginaInicial" => "325"
                        "paginaFinal" => "329"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25033589"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical dislocation of the adult hip&#58; a technique with full access to the femoral head and acetabulum without the risk of avascularnecrosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Ganz"
                            1 => "T&#46; Gill"
                            2 => "E&#46; Gautier"
                            3 => "N&#46; Kr&#252;ger"
                            4 => "U&#46;A&#46;T&#46; Berlemann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Bone Jt Surg Br&#46;"
                        "fecha" => "2001"
                        "volumen" => "83B"
                        "paginaInicial" => "1119"
                        "paginaFinal" => "1124"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of mixed type femoroacetabular impingement using safe surgical hip dislocation in adults"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "U&#46; &#304;nan"
                            1 => "S&#46; Harman&#351;a"
                            2 => "H&#46; &#214;mero&#287;lu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.5606/ehc.2016.32"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eklem Hastalik Cerrahisi&#46;"
                        "fecha" => "2016"
                        "volumen" => "27"
                        "paginaInicial" => "160"
                        "paginaFinal" => "166"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27902171"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Femoroacetabular impingement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;L&#46; Sink"
                            1 => "Y&#46;J&#46; Kim"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/BPO.0b013e318259f30d"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Pediatr Orthop&#46;"
                        "fecha" => "2012"
                        "volumen" => "32"
                        "paginaInicial" => "S166"
                        "paginaFinal" => "S171"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22890457"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical dislocation of the hip versus arthroscopic treatment of femoroacetabular impingement&#58; a prospective matched-pair study with average 2-year follow-up"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "B&#46;G&#46; Domb"
                            1 => "C&#46;E&#46; Stake"
                            2 => "I&#46;B&#46; Botser"
                            3 => "T&#46;J&#46;A&#46;T&#46; Jackson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arthrosc J Arthrosc Relat Surg&#46;"
                        "fecha" => "2013"
                        "volumen" => "29"
                        "paginaInicial" => "1506"
                        "paginaFinal" => "1513"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical hip dislocation in symptomatic cam femoroacetabular impingement&#58; what matters in early good results&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; J&#228;ger"
                            1 => "B&#46; Bittersohl"
                            2 => "C&#46; Zilkens"
                            3 => "H&#46;S&#46; Hosalkar"
                            4 => "K&#46; Stefanovska"
                            5 => "S&#46; Kurth"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/2047-783x-16-5-217"
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur J Med Res&#46;"
                        "fecha" => "2011"
                        "volumen" => "16"
                        "paginaInicial" => "217"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21719395"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Global discrepancies in the diagnosis&#44; surgical management&#44; and investigation of femoroacetabular impingement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Yeung"
                            1 => "M&#46; Khan"
                            2 => "V&#46;M&#46; Schreiber"
                            3 => "J&#46; Adamich"
                            4 => "S&#46; Ketkemann"
                            5 => "N&#46; Simunovic"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arthrosc J Arthrosc Relat Surg&#46;"
                        "fecha" => "2014"
                        "volumen" => "30"
                        "paginaInicial" => "1625"
                        "paginaFinal" => "1633"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Functional results of hip arthroplasty with acrylic prosthesis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; d&#8217;Aubigne"
                            1 => "M&#46; Postel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Bone Jt Surg&#46;"
                        "fecha" => "1954"
                        "volumen" => "36"
                        "paginaInicial" => "451"
                        "paginaFinal" => "475"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Banaszkiewicz PA&#46; Functional results of hip arthroplasty with acrylic prosthesis&#46; In&#58; Classic papers in orthopaedics&#46; London&#58; Springer London&#44; p&#46; 19&#8211;22&#46;"
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The classic&#58; functional results of hip arthroplasty with acrylic prosthesis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;M&#46; d&#8217;Aubign&#233;"
                            1 => "M&#46; Postel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11999-008-0572-1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Orthop Relat Res&#46;"
                        "fecha" => "2009"
                        "volumen" => "467"
                        "paginaInicial" => "7"
                        "paginaFinal" => "27"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18941852"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#91;Predetermination of arthrosis&#44; pain and limitation of movement in congenital hip dysplasia &#40;author&#8217;s transl&#41;&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46; T&#246;nnis"
                            1 => "A&#46; Heinecke"
                            2 => "R&#46; Nienhaus"
                            3 => "J&#46;A&#46;T&#46; Thiele"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Z Orthop Ihre Grenzgeb&#46;"
                        "fecha" => "1979"
                        "volumen" => "117"
                        "paginaInicial" => "808"
                        "paginaFinal" => "815"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/549339"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A new method for roentgenologic evaluation of the hip joint&#8212;the hip factor &#91;Article in German&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Busse"
                            1 => "W&#46; Gasteiger"
                            2 => "D&#46; T&#246;nnis"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/BF00415854"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Orthop Unfallchir&#46;"
                        "fecha" => "1972"
                        "volumen" => "72"
                        "paginaInicial" => "1"
                        "paginaFinal" => "9"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5020681"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluating healthcare resource utilization and outcomes for surgical hip dislocation and hip arthroscopy for femoroacetabular impingement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;A&#46;&#35;&#35;D&#46; de"
                            1 => "N&#46;S&#46; Horner"
                            2 => "A&#46; MacDonald"
                            3 => "N&#46; Simunovic"
                            4 => "G&#46; Slobogean"
                            5 => "M&#46;J&#46; Philippon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Knee Surg Sport Traumatol Arthrosc&#46;"
                        "fecha" => "2016"
                        "volumen" => "24"
                        "paginaInicial" => "3943"
                        "paginaFinal" => "3954"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of femoro-acetabular impingement with surgical dislocation and d&#233;bridement in young adults"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;L&#46; Peters"
                            1 => "J&#46;A&#46; Erickson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Bone Jt Surg&#46;"
                        "fecha" => "2006"
                        "volumen" => "88"
                        "paginaInicial" => "1735"
                        "paginaFinal" => "1741"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of femoro-acetabular impingement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "N&#46; Espinosa"
                            1 => "M&#46; Beck"
                            2 => "D&#46;A&#46; Rothenfluh"
                            3 => "R&#46; Ganz"
                            4 => "M&#46;A&#46;T&#46; Leunig"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Bone Jt Surg&#46;"
                        "fecha" => "2007"
                        "volumen" => "89"
                        "paginaInicial" => "36"
                        "paginaFinal" => "53"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anterior femoroacetabular impingement&#58; part II&#46; Midterm results of surgical treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Beck"
                            1 => "M&#46; Leunig"
                            2 => "J&#46; Parvizi"
                            3 => "V&#46; Boutier"
                            4 => "D&#46; Wyss"
                            5 => "R&#46; Ganz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Clin Orthop Relat Res&#46;"
                        "fecha" => "2004"
                        "paginaInicial" => "67"
                        "paginaFinal" => "73"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of femoroacetabular impingement with surgical dislocation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;H&#46; Yun"
                            1 => "W&#46;Y&#46; Shon"
                            2 => "J&#46;Y&#46; Yun"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4055/cios.2009.1.3.146"
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                        "tituloSerie" => "Clin Orthop Surg&#46;"
                        "fecha" => "2009"
                        "volumen" => "1"
                        "paginaInicial" => "146"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19885050"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Open treatment of femoroacetabular impingement is associated with clinical improvement and low complication rate at short-term followup"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46;L&#46; Peters"
                            1 => "K&#46; Schabel"
                            2 => "L&#46; Anderson"
                            3 => "J&#46;A&#46;T&#46; Erickson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11999-009-1152-8"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Orthop Relat Res&#46;"
                        "fecha" => "2010"
                        "volumen" => "468"
                        "paginaInicial" => "504"
                        "paginaFinal" => "510"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19885709"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Eighty percent of patients with surgical hip dislocation for femoroacetabular impingement have a good clinical result without osteoarthritis progression at 10 years"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46;D&#46; Steppacher"
                            1 => "H&#46; Anwander"
                            2 => "C&#46;A&#46; Zurm&#252;hle"
                            3 => "M&#46; Tannast"
                            4 => "K&#46;A&#46;A&#46;T&#46; Siebenrock"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11999-014-4025-8"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Orthop Relat Res&#46;"
                        "fecha" => "2015"
                        "volumen" => "473"
                        "paginaInicial" => "1333"
                        "paginaFinal" => "1341"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25367110"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Efficacy of surgery for femoroacetabular impingement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "V&#46;Y&#46; Ng"
                            1 => "N&#46; Arora"
                            2 => "T&#46;M&#46; Best"
                            3 => "X&#46; Pan"
                            4 => "T&#46;J&#46; Ellis"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/0363546510365530"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Sports Med&#46;"
                        "fecha" => "2010"
                        "volumen" => "38"
                        "paginaInicial" => "2337"
                        "paginaFinal" => "2345"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20489213"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical treatment of femoroacetabular impingement&#58; a systematic review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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Article information

ISSN: 19888856
Original language: English

DOI:10.1016/j.recote.2021.08.005

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Year/Month	Html	Pdf	Total

2024 November	7	0	7
2024 October	58	5	63
2024 September	67	6	73
2024 August	49	12	61
2024 July	55	9	64
2024 June	58	4	62
2024 May	63	2	65
2024 April	83	11	94
2024 March	58	5	63
2024 February	57	11	68
2024 January	112	12	124
2023 December	88	10	98
2023 November	78	15	93
2023 October	73	10	83
2023 September	55	7	62
2023 August	36	2	38
2023 July	77	4	81
2023 June	51	4	55
2023 May	53	1	54
2023 April	59	2	61
2023 March	31	9	40
2023 February	27	4	31
2023 January	30	9	39
2022 December	17	6	23
2022 November	31	5	36
2022 October	62	9	71
2022 September	34	7	41
2022 August	39	9	48
2022 July	31	10	41
2022 June	39	10	49
2022 May	43	10	53
2022 April	58	13	71
2022 March	46	14	60
2022 February	45	4	49
2022 January	67	15	82
2021 December	45	14	59
2021 November	33	11	44
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2021 September	2	3	5
2021 August	2	0	2

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