How Does the dGEMRIC Index Change After Surgical Treatment for FAI? A Prospective Controlled Study: Preliminary Results.

CONCLUSIONS: We found a decline in acetabular, femoral, and regional dGEMRIC indices for the surgically treated group at 1-year followup despite an improvement in all PROMs. We observed a similar but less pronounced decrease in the dGEMRIC index in symptomatic patients without surgical treatment indicating continuous cartilage degeneration. Although treatment of FAI is intended to alter the forces acting across the hip by eliminating impingement, its effects on cartilage biology are not clear. dGEMRIC provides a noninvasive method of assessing these effects. Longer term studies will be needed to determine whether the matrix changes of the bradytrophic cartilage seen here are permanent or clinically important. LEVEL OF EVIDENCE: Level II, therapeutic study. PMID: 27709422 [PubMed - as supplied by publisher]

https://www.ncbi.nlm.nih.gov/pubmed/27709422?dopt=Abstract

Source: Clinical Orthopaedics and Related Research - October 4, 2016 Category: Orthopaedics Authors: Schmaranzer F, Haefeli PC, Hanke MS, Liechti EF, Werlen SF, Siebenrock KA, Tannast M Tags: Clin Orthop Relat Res Source Type: research

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