Abstract
Femoroacetabular impingement (FAI) is a common cause of hip pain, and when indicated, can be successfully managed through open surgery or hip arthroscopy. The goal of this review is to describe the different approaches to the surgical treatment of FAI. We present the indications, surgical technique, rehabilitation, and complications associated with (1) open hip dislocation, (2) reverse periacetabular osteotomy, (3) the direct anterior “mini-open” approach, and (4) arthroscopic surgery for FAI.
Highlights
Frontiers in SurgeryFemoroacetabular impingement (FAI) is a common cause of hip pain, and when indicated, can be successfully managed through open surgery or hip arthroscopy
Femoroacetabular impingement (FAI) is a common cause of hip pain and has been correlated to the development of arthritic changes in the young adult
A recent systematic review including 16 studies and 600 patients comparing open versus arthroscopic treatment of FAI showed that both approaches had similar clinical results when conversion to total hip arthroplasty was used as primary endpoint [15]
Summary
Femoroacetabular impingement (FAI) is a common cause of hip pain, and when indicated, can be successfully managed through open surgery or hip arthroscopy. The goal of this review is to describe the different approaches to the surgical treatment of FAI. Surgical technique, rehabilitation, and complications associated with [1] open hip dislocation, [2] reverse periacetabular osteotomy, [3] the direct anterior “mini-open” approach, and [4] arthroscopic surgery for FAI
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