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Published in: Current Reviews in Musculoskeletal Medicine 3/2019

01-09-2019 | Hip Dislocation | Femoroacetabular impingement/labral tears (A Zhang, Section Editor)

Surgical Treatment for FAI: Arthroscopic and Open Techniques for Osteoplasty

Authors: Alex G. Dukas, Andrew S. Gupta, Christopher L. Peters, Stephen K. Aoki

Published in: Current Reviews in Musculoskeletal Medicine | Issue 3/2019

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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.

Summary

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.
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Metadata
Title
Surgical Treatment for FAI: Arthroscopic and Open Techniques for Osteoplasty
Authors
Alex G. Dukas
Andrew S. Gupta
Christopher L. Peters
Stephen K. Aoki
Publication date
01-09-2019
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 3/2019
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-019-09572-4

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Minimally Invasive Spine Surgery (W Hsu, Section Editor)

The Current State of Minimally Invasive Approaches to Adult Spinal Deformity

Femoroacetabular impingement/labral tears (A Zhang, Section Editor)

Surgical Treatment of Labral Tears: Debridement, Repair, Reconstruction

Femoroacetabular impingement/labral tears (A Zhang, Section Editor)

Contemporary Management of the Hip Capsule During Arthroscopic Hip Preservation Surgery

Femoroacetabular impingement/labral tears (A Zhang, Section Editor)

Outcomes for Surgical Treatment of Femoroacetabular Impingement in Adults

Concussion (C Senter and M Kapadia, Section Editors)

Current Concepts in the Evaluation of the Pediatric Patient with Concussion