journal article·2021-06-29Open access

What Is the Impact of a CAM Impingement on the Gait Cycle in Patients with Progressive Osteoarthritis of the Hip?

Eike Franken, Thilo Floerkemeier, Eike Jakubowitz, Alexander Derksen, Stefan Budde, Henning Windhagen, Nils Wirries

Applied Sciences· Volume 11· Issue 13

Abstract

(1) Background: The femoroacetabular impingement (FAI) type cam leads to a conflict between the acetabular rim and a bony thickening of the femoral neck junction. While maximal excursions in flexion, adduction and internal rotation provoke pain, the aim of this study was to analyze if a cam morphology shows an impact on gait pattern. (2) Methods: Fifty-five patients with end-stage hip osteoarthritis performed gait analysis before hip replacement as well as three, six and 12 months postoperatively. Thirty-three (60%) of them presented an FAI type cam. An ANOVA was used to compare the hip angles in sagittal, frontal and transversal planes between patients with a FAI type cam (group “+cam”) and without (group “−cam”). (3) Results: Before surgery the patients of the +cam-group showed a tendency towards a reduced flexion and internal rotation at the heel strike (p > 0.05). Over time, the differences were adjusted by total hip arthroplasty. (4) Conclusions: We did not find any differences in the gait analysis of patients with a FAI type cam compared to patients without.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Hip disorders and treatments · Orthopaedic implants and arthroplasty · Total Knee Arthroplasty Outcomes

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department for Orthopaedic Surgery and Traumatology, Hospital Agnes Karll, 30880 Laatzen, Germany

go:h Gelenkchirurgie Orthopädie: Hannover, 30159 Hannover, Germany

Laboratory for Biomechanics and Biomaterials, Hannover Medical School, 30625 Hannover, Germany

Department for Orthopaedic Surgery at Diakovere Annastift, Hannover Medical School, 30625 Hannover, Germany

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