Skip to main content
SpringerLink
Log in
SpringerLink
Log in

Femoroacetabular Impingement Management Through a Mini-Open Anterior Approach and Arthroscopic Assistance: Technics and Mid-Term Results

  • Chapter
  • First Online:
Femoroacetabular Impingement

  • 1523 Accesses

Abstract

Femoroacetabular impingement (FAI) was first described in the late 1990s by Rheinhold Ganz [2, 3, 12, 19] in Bern, Switzerland, as abnormal contact between the anterior acetabular rim and the femoral neck. It has been described as a common cause of hip pain in young adults and has been proposed as a cause of osteoarthritis. In 2001, Ganz also described a safe technique [11] to dislocate the hip joint to modify the shape of the femoral head at the head–neck junction and to correct the abnormalities on the acetabular side (lesions of the labrum, overcoverage of the anterior acetabular rim and cartilage damage) [8].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Beaule PE, Le Duff MJ, Zaragoza E (2007) Quality of life following femoral head-neck osteochondroplasty for femoroacetabular impingement. J Bone Joint Surg Am 89(4):773–779

    Article  PubMed  Google Scholar 

  2. Beck M, Kalhor M, Leunig M, Ganz R (2005) Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br 87(7):1012–1018

    Article  PubMed  CAS  Google Scholar 

  3. Beck M, Leunig M, Parvizi J, Boutier V, Wyss D, Ganz R (2004) Anterior femoroacetabular impingement: part II. Midterm results of surgical treatment. Clin Orthop Relat Res 418:67–73

    Article  PubMed  Google Scholar 

  4. Bizzini M, Notzli HP, Maffiuletti NA (2007) Femoroacetabular impingement in professional ice hockey players: a case series of 5 athletes after open surgical decompression of the hip. Am J Sports Med 35(11):1955–1959

    Article  PubMed  Google Scholar 

  5. Byrd JW, Pappas JN, Pedley MJ (1995) Hip arthroscopy: an anatomic study of portal placement and relationship to the extra-articular structures. Arthroscopy 11(4):418–423

    Article  PubMed  CAS  Google Scholar 

  6. Christensen CP, Althausen PL, Mittleman MA, Lee JA, McCarthy JC (2003) The nonarthritic hip score: reliable and validated. Clin Orthop Relat Res 406:75–83

    Article  PubMed  Google Scholar 

  7. Clohisy JC, McClure JT (2005) Treatment of anterior femoroacetabular impingement with combined hip arthroscopy and limited anterior decompression. Iowa Orthop J 25:164–171

    PubMed  Google Scholar 

  8. Crawford JR, Villar RN (2005) Current concepts in the management of femoroacetabular impingement. J Bone Joint Surg Br 87(11):1459–1462

    Article  PubMed  CAS  Google Scholar 

  9. Espinosa N, Beck M, Rothenfluh DA, Ganz R, Leunig M (2007) Treatment of femoro-acetabular impingement: preliminary results of labral refixation. Surgical technique. J Bone Joint Surg Am 89(Suppl 2 Pt.1):36–53

    Article  PubMed  Google Scholar 

  10. Espinosa N, Rothenfluh DA, Beck M, Ganz R, Leunig M (2006) Treatment of femoro-acetabular impingement: preliminary results of labral refixation. J Bone Joint Surg Am 88(5):925–935

    Article  PubMed  Google Scholar 

  11. Ganz R, Gill TJ, Gautier E, Ganz K, Krugel N, Berlemann U (2001) Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br 83(8):1119–1124

    Article  PubMed  CAS  Google Scholar 

  12. Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res 417:112–120

    PubMed  Google Scholar 

  13. Guanche CA, Bare AA (2006) Arthroscopic treatment of femoroacetabular impingement. Arthroscopy 22(1):95–106

    Article  PubMed  Google Scholar 

  14. Klaue K, Durnin CW, Ganz R (1991) The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br 73(3):423–429

    PubMed  CAS  Google Scholar 

  15. Laude F, Boyer T, Nogier A (2007) Anterior femoroacetabular impingement. Joint Bone Spine 74(2):127–132

    Article  PubMed  Google Scholar 

  16. Lequesne M, de S (1961) [False profile of the pelvis. A new radiographic incidence for the study of the hip. Its use in dysplasias and different coxopathies.]. Rev Rhum Mal Osteoartic 28:643–652

    Google Scholar 

  17. Lequesne M, Samson M, Gerard P, Mery C (1990) Pain-function indices for the follow-up of osteoarthritis of the hip and the knee. Rev Rhum Mal Osteoartic 57(9 (Pt 2)):32S–36S

    PubMed  CAS  Google Scholar 

  18. Leunig M, Beck M, Dora C, Ganz R (2006) Femoroacetabular impingement: trigger for the development of coxarthrosis. Orthopade 35(1):77–84

    Article  PubMed  CAS  Google Scholar 

  19. Leunig M, Ganz R (2005) Femoroacetabular impingement. A common cause of hip complaints leading to arthrosis. Unfallchirurg 108(1):9–10, 12–17

    Article  PubMed  CAS  Google Scholar 

  20. Mardones RM, Gonzalez C, Chen Q, Zobitz M, Kaufman KR, Trousdale RT (2005) Surgical treatment of femoroacetabular impingement: evaluation of the effect of the size of the resection. J Bone Joint Surg Am 87(2):273–279

    Article  PubMed  Google Scholar 

  21. May O, Matar WY, Beaule PE (2007) Treatment of failed arthroscopic acetabular labral debridement by femoral chondro-osteoplasty: a case series of five patients. J Bone Joint Surg Br 89(5):595–598

    Article  PubMed  CAS  Google Scholar 

  22. Murphy S, Tannast M, Kim YJ, Buly R, Millis MB (2004) Debridement of the adult hip for femoroacetabular impingement: indications and preliminary clinical results. Clin Orthop Relat Res 429:178–181

    Article  PubMed  Google Scholar 

  23. Nogier A (2003) Le conflit fémoro-acétabulaire antérieur. Thèse de médecine. [Thèse de médecine.] Paris, Université Paris 7

    Google Scholar 

  24. Parvizi J, Leunig M, Ganz R (2007) Femoroacetabular impingement. J Am Acad Orthop Surg 15(9):561–570

    PubMed  Google Scholar 

  25. Philippon M, Schenker M, Briggs K, Kuppersmith D (2007) Femoroacetabular impingement in 45 professional athletes: associated pathologies and return to sport following arthroscopic decompression. Knee Surg Sports Traumatol Arthrosc 15(7):908–914

    Article  PubMed  Google Scholar 

  26. Philippon MJ, Stubbs AJ, Schenker ML, Maxwell RB, Ganz R, Leunig M (2007) Arthroscopic management of femoroacetabular impingement: osteoplasty technique and literature review. Am J Sports Med 35(9):1571–1580

    Article  PubMed  Google Scholar 

  27. Sariali E, Leonard P, Mamoudy P (2008) Dislocation after total hip arthroplasty using Hueter Anterior approach. J Arthroplasty 23(2):266–272

    Article  PubMed  Google Scholar 

  28. Stucki G, Sangha O, Stucki S, Michel BA, Tyndall A, Dick W, Theiler R (1998) Comparison of the WOMAC (Western Ontario and McMaster Universities) osteoarthritis index and a self-report format of the self-administered Lequesne-Algofunctional index in patients with knee and hip osteoarthritis. Osteoarthritis Cartilage 6(2):79–86

    Article  PubMed  CAS  Google Scholar 

  29. Zebala LP, Schoenecker PL, Clohisy JC (2007) Anterior femoroacetabular impingement: a diverse disease with evolving treatment options. Iowa Orthop J 27:71–81

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Othopedic Surgery, CMC Paris V, Paris, France

    Frédéric Laude

  2. Department of Orthopedic Surgery, Hopital la Pitié Salptrière, Paris, France

    Elhadi Sariali

Authors
  1. Frédéric Laude
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Elhadi Sariali
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Frédéric Laude .

Editor information

Editors and Affiliations

  1. , Lower Limb Reconstruction Surgery, Hospital Infanta Leonor, C/ Gran Via del Este 80, Madrid, 28031, Spain

    Óliver Marín-Peña

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Laude, F., Sariali, E. (2012). Femoroacetabular Impingement Management Through a Mini-Open Anterior Approach and Arthroscopic Assistance: Technics and Mid-Term Results. In: Marín-Peña, Ó. (eds) Femoroacetabular Impingement. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22769-1_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-22769-1_18

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-22768-4

  • Online ISBN: 978-3-642-22769-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation