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Review
. 2019 Sep;12(3):281-290.
doi: 10.1007/s12178-019-09572-4. Epub 2019 Jul 1.

Surgical Treatment for FAI: Arthroscopic and Open Techniques for Osteoplasty

Alex G Dukas  1 , Andrew S Gupta  1 , Christopher L Peters  1 , Stephen K Aoki  2
Affiliations
Review

Surgical Treatment for FAI: Arthroscopic and Open Techniques for Osteoplasty

Alex G Dukas et al. Curr Rev Musculoskelet Med. 2019 Sep.

Abstract

Purpose of review: To review the relevant literature and techniques regarding arthroscopic and open treatment of femoroacetabular impingement (FAI). To discuss both the senior authors' preferred method of arthroscopic and open treatment of FAI.

Recent findings: Routine treatment of FAI has moved away from open techniques and is more focused arthroscopic methods. Arthroscopic treatment of FAI has more recently focused on differing techniques of hip access and capsular management. Open techniques still have a role in FAI, but indications for open management are focused on cases with more severe pathology. While arthroscopic techniques have shown better outcomes in the short term and higher return to play, it is not without risk and is a procedure with a steep learning curve. In cases of complex joint pathology, such as FAI coupled with dysplasia or Legg-Calve-Perthes, arthroscopy may be not indicated and an open approach preferred. We outline various techniques for both arthroscopic and open treatment of FAI and their outcomes when possible.

Keywords: Femoroacetabular impingement; Hip arthroscopy; Osteochondroplasty; Osteoplasty; Surgical hip dislocation.

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Conflict of interest statement

Alex G. Dukas, Andrew S. Gupta, and Christopher L. Peters declare that they have no conflicts of interest.

Stephen K. Aoki is a paid consultant for Stryker (Kalamazoo, MI).

Figures

Fig. 1
Fig. 1
Direct Visualization of Cam Deformity
Fig. 2
Fig. 2
Arthroscopic and Fluoroscopic appearance of the Trough
Fig. 3
Fig. 3
Arthroscopic View of Medial Cam Takedown and Dynamic Exam with Showing Proper Amount of Cam Resection
Fig. 4
Fig. 4
Lateral Cam Takedown and Restoration of Head-Neck Offset
Fig. 5
Fig. 5
Placement of “Figure of 8” Stitches and Resultant Water-Tight Capsular Closure
Fig. 6
Fig. 6
Intraoperative and Fluoroscopic images of Femoral Head Reduction for Coxa Magna
Fig. 7
Fig. 7
Preoperative, intraoperative and final fixation of SCFE correction
See this image and copyright information in PMC

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