Femoroacetabular impingement, a condition seen in young active patients, is believed to lead to early degeneration of the hip joint if left untreated. We have over the last 5 years utilized a mini-open direct anterior approach to perform femoroacetabular osteoplasty (FAO) for the hip. Between January 2006 and February 2011, 293 hips (265 patients) underwent direct anterior mini-open FAO performed by a single surgeon; 156 hips (149 patients) have reached a minimum 2-year follow-up, with an average follow-up of 2.3 years (range 2.0 to 4.2 years). Preoperative Short Form 36, Western Ontario and McMaster Universities Arthritis Index, University of California Los Angeles, modified Harris Hip, and Super Simple Hip scores improved significantly (P < .001). This study shows promising mid-term results for the mini-open FAO procedure, alleviating pain and allowing return to activity in young patients with femoroacetabular impingement. Further studies need to be performed to determine risk factors for failure of FAO and ideal patient selection.
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Evaluation of Outcomes Following Arthroscopic Treatment of Femoroacetabular Impingement Syndrome Across Different Surgeons, Surgical Techniques, and Postoperative Protocols: A Multi-institutional Study.
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Department of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, Washington, USA.
Background: Femoroacetabular impingement syndrome (FAIS) is frequently treated arthroscopically with osteoplasty and labral repair. Surgical preferences vary in terms of equipment, technique, and postoperative protocol. Patient-reported outcome measures (PROMs) are valuable tools to assess outcomes across different institutions.
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Department of Orthopaedics and Traumatology, Oncology Training and Research Hospital, Ankara, Turkey.
Purpose: To evaluate the effect of depth and location of femoral osteoplasty or the use of remplissage on the suction seal in a sheep hip model.
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Outcomes and complications of hip arthroscopy for femoroacetabular impingement syndrome: A narrative review.
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Department of Orthopaedics, Hayatabad Medical Complex, Peshawar, Pakistan.
Hip arthroscopy has emerged as the primary surgical intervention for Femoroacetabular Impingement Syndrome (FAIS), a common cause of hip pain in young adults, particularly athletes. This narrative review examines the long-term outcomes, complications, and debates surrounding arthroscopic management of FAIS. Key findings include sustained improvements in patient-reported outcomes, return to sport, and functional recovery, particularly in younger patients and those with cam-type FAIS.
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