Hip arthroscopy for femoroacetabular impingement

Abstract

The purpose of this article is to give a general overview of femoroacetabular impingement (FAI) and how it could be treated arthroscopically, with some details about indications, the procedure itself and some of the complications associated with the surgery.FAI is a dynamic condition of the hip that can be a source of pain and disability and could potentially lead to arthritis.When symptomatic, and if conservative treatment fails, FAI can be addressed surgically.The goal of surgical treatment for FAI is to recreate the spherical contour of the femoral head, improve femoral offset, normalize coverage of the acetabulum, repair/reconstruct chondral damage and repair/reconstruct the labrum to restore normal mechanics and joint sealing.Advances in equipment and technique have contributed to an increase in the number of hip arthroscopy procedures performed worldwide and have made it one of the more common treatment options for symptomatic FAI.Hip arthroscopy is a procedure with an extremely steep and long learning curve.Cite this article: EFORT Open Rev 2018;3:121-129. DOI: 10.1302/2058-5241.3.170041

Femoroacetabular Impingement: What the Surgeon Wants to Know

“…25,33 Interportal and T-shaped capsulotomy is now accepted as a standard step in central compartment access because it allows a better exposure of the posterolateral/inferior aspects of the joint and nonconstrained manipulation of the instruments. [34][35][36][37] Some published reports about cases of acute hip dislocation after large unrepaired capsulotomy [38][39][40][41] raised concerns about iatrogenic hip instability after arthroscopy, and some authors now recommend meticulous capsule closure in all cases. [41][42][43][44] The next step in hip arthroscopy is to repair the labrum and cartilage lesions.…”

Csípőarthroscopia: rövid távú eredményeink

“…A csípőarthroscopia indikációi és kontraindikációi [4][5][6][7][8] Indikáció Kontraindikáció [19]. Osztályunkon a hanyatt fektetésben végzett technikát honosítottuk meg (1. ábra).…”

Hip Arthroscopy for Femoral Acetabular Impingement: A Bird's-Eye/En Face Perspective With Ultrasound Guidance and 3-Dimensional Hip Printing

“…Hip arthroscopy is a minimally invasive procedure used in the treatment of hip pathology 1, 2. Femoral acetabular impingement (FAI) is a common indication that may have different biomechanical mechanisms including genetic influences 3 . Associated lesions are classified as being of a cam (i.e., femoral head abnormality) or pincer type (i.e., acetabular overcoverage), with some patients having a mixture of both 2, 3.…”

“…Femoral acetabular impingement (FAI) is a common indication that may have different biomechanical mechanisms including genetic influences 3 . Associated lesions are classified as being of a cam (i.e., femoral head abnormality) or pincer type (i.e., acetabular overcoverage), with some patients having a mixture of both 2, 3. Joint cartilage and labral damage are believed to be the result of such abnormalities with progression to articular surface arthritic changes 2, 3, 4…”

“…Conventionally, history and physical examination followed by imaging including radiography, computed tomography (CT) scanning, and magnetic resonance arthrography have been used for preoperative planning 1, 3. Three-dimensional (3D) printed models are becoming increasingly popular in medicine, including orthopaedic trauma, planning of osteotomies, deformity corrections, and oncology 5 .…”