Dr. James Ross presented his research project titled "Surgery for Femoroacetabular Impingement in Skeletally Immature Patients: Radiographic and Clinical Analysis" at the American Academy of Orthopedic Surgeons (AAOS) Annual Meeting in San Diego, CA. This annual meeting is a internationally-renowned meeting that more than 25,000 health care professionals within the field of orthopedic surgery attend. Dr. Ross' research project was one of the few studies that was selected for presentation from a group of over 7,000 submitted abstracts.
"I am extremely fortunate to have been given the opportunity to present our hip preservation research at the 2017 Annual AAOS Meeting. The AAOS annual meeting is always a very exciting event that joins leaders in the field from around the world, bringing the latest techniques and research within the field of orthopedics. I am extremely grateful to my mentors, Dr. Larson and Dr. Bedi, who have allowed me to be apart of the rapidly evolving field within hip preservation and hip arthroscopic surgery."
Dr. Ross' study specifically looked at young patients with hip pain that underwent hip arthroscopic surgery, in the setting of open growth plates. "We are beginning to really understand the role of femoroacetabular impingement in the development of hip pain and hip pathology. Femoroacetabular impingement is a disorder of the hip, in which there is a mechanical conflict between the femoral head (ball) and the acetabulum (socket). This process can lead to labral tears and cartilage injuries within the hip. If left untreated, this disorder may lead to hip arthritis."
Many recent investigations have demonstrated that the cause of this mechanical conflict arises due to extra bone formation during development. "Athletic activities and stresses about the hip, while the growth plates are open, may lead to the development of femoroacetabular impingement. Surgical treatment of labral tears and impingement in young patients have been shown to have good results, however it was unknown if any consequences resulted from treatment while the growth plates remained open."
An essential portion of the surgical treatment of patients with labral tears is to "re-shape" the bones, thus eliminating any further mechanical conflict. "Many people didn't really understand if any harm would occur in the correction of the extra bone if the growth plates were open and had continued opportunity to grow. We evaluated 37 patients that underwent surgical correction in this setting, and we demonstrated no harm, specifically with regards to growth disturbance or injury. We also demonstrated significant improvement in the patients outcomes with a 93% return to sporting activity."
"We hope that this study continues to evolve the rapidly growing field of hip preservation surgery, as we demonstrate its safety and efficacy in young patients (age 12-16)." Dr. Ross adds, "a critical component to the successful treatment of hip pain is a very thorough evaluation and examination. Successful treatment, whether surgical or non-surgical, relies heavily on the appropriate diagnosis and treatment plan. Here at Boca Care Orthopedics, we provide this in-depth evaluation and the latest, cutting-edge treatment!"