Abstract
The use of hip arthroscopy, as a surgical technique, has increased significantly over the past ten years. The procedure has shown good and excellent results in symptom relief and function improvement for patients with femoro-acetabular impingement (FAI) and concurrent chondro-labral lesions. It is also a reliable method to correct the characteristic pathomorphologic alteration of FAI. However, surgical results are less successful among patients with advanced articular damage and secondary hip osteoarthritis. The aim of this article is to present some clinical and imagenological tools to discriminate the good candidates for arthroscopic FAI treatment from those who are not, due to extensive articular damage.
Highlights
In the last 20 years, hip arthroscopy has achieved important breakthroughs, making it a safe and precise surgical technique
While this is true for femoroacetabular impingement (FAI), it cannot be extrapolated to dysplasia, as no correction of the etiological factor is made with arthroscopic intervention
It is widely accepted that bone deformities of the hip as FAI and dysplasia, among others, can cause a progressive chondral damage leading to osteoarthritis
Summary
Villalón*, Álvaro Núñez, Daniel Paccot, and Claudio Díaz-Ledezma. Facultad de Medicina Clínica Alemana de Santiago – Universidad del Desarrollo, Santiago, Chile. Abstract – The use of hip arthroscopy, as a surgical technique, has increased significantly over the past ten years. The procedure has shown good and excellent results in symptom relief and function improvement for patients with femoro-acetabular impingement (FAI) and concurrent chondro-labral lesions. It is a reliable method to correct the characteristic pathomorphologic alteration of FAI. Surgical results are less successful among patients with advanced articular damage and secondary hip osteoarthritis. The aim of this article is to present some clinical and imagenological tools to discriminate the good candidates for arthroscopic FAI treatment from those who are not, due to extensive articular damage
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