Complications of hip preserving surgery

EFORT Open Reviews

article

Markus S. Hanke¹  Till D. Lerch²  Florian Schmaranzer²  Malin K. Meier¹  Simon D. Steppacher¹  Klaus A. Siebenrock¹ 

[1] Department of Orthopaedic and Trauma Surgery, Inselspital, University of Bern;Department of Diagnostic, Interventional and Pediatric Radiology University Hospital of Bern, Inselspital, University of Bern

关键词: femoroacetabular impingement;    hip arthroscopy;    hip dysplasia;    periacetabular osteotomy;    SCFE;    surgical hip dislocation;   

DOI  :  10.1302/2058-5241.6.210019

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

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.

【 授权许可】

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