Complications of hip preserving surgery. Issue 6 (28th June 2021)

• Record Type: Journal Article
• Authors: Hanke, Markus S.; Lerch, Till D.; Schmaranzer, Florian; Meier, Malin K.; Steppacher, Simon D.; Siebenrock, Klaus A.
• Is Part Of: EFORT open reviews. Volume 6:Issue 6(2021)
• Page Start: 472
• Page End: 486
• Publication Date: 2021-06-28
• Subjects: femoroacetabular impingement -- hip arthroscopy -- hip dysplasia -- periacetabular osteotomy -- SCFE -- surgical hip dislocation; Orthopedics -- Periodicals; Musculoskeletal system -- Periodicals; Musculoskeletal system -- Wounds and injuries -- Periodicals; 616.7
• DOI: 10.1302/2058-5241.6.210019
• Languages: English
• ISSNs: 2058-5241

Abstract

Abstract : Preoperative evaluation of the pathomorphology is crucial for surgical planning, including radiographs as the basic modality and magnetic resonance imaging (MRI) and case-based additional imaging (e.g. 3D-CT, abduction views). Hip arthroscopy (HAS) has undergone tremendous technical advances, an immense increase in use and the indications are getting wider. The most common indications for revision arthroscopy are labral tears and residual femoroacetabular impingement (FAI). Treatment of borderline developmental dysplastic hip is currently a subject of controversy. It is paramount to understand the underlining problem of the individual hip and distinguish instability (dysplasia) from FAI, as the appropriate treatment for unstable hips is periacetabular osteotomy (PAO) and for FAI arthroscopic impingement surgery. PAO with a concomitant cam resection is associated with a higher survival rate compared to PAO alone for the treatment of hip dysplasia. Further, the challenge for the surgeon is the balance between over- and undercorrection. Femoral torsion abnormalities should be evaluated and evaluation of femoral rotational osteotomy for these patients should be incorporated to the treatment plan. Cite this article: EFORT Open Rev 2021;6:472-486. DOI: 10.1302/2058-5241.6.210019