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Revision FAI Surgery

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Diagnosis and Management of Femoroacetabular Impingement

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Abstract

Revision hip preservation for failed FAI surgery will play a growing role as the numbers of primary procedures increase. Effective treatment requires diagnosing the cause of failure and formulating an appropriate treatment plan that considers all potential diagnoses and treats the cause of failure, lest the same mistake be made again. The most commonly reported reason for revision is under-resection of the impinging bone; however, bony over-resection, extra-articular impingement, joint instability, labral insufficiency, and heterotopic ossification may also necessitate revision procedures. Outcomes typically improve after revision surgery, but are inferior to the results seen with primary procedures. Patients with extensive cartilage damage do not predictably improve with further preservation attempts and may be candidates for hip arthroplasty.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, St. Luke’s Health System, Boise, ID, USA

    James T. Beckmann

  2. Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA

    Marc R. Safran

Authors
  1. James T. Beckmann
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  2. Marc R. Safran
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Corresponding author

Correspondence to Marc R. Safran .

Editor information

Editors and Affiliations

  1. McMaster University, Hamilton, Ontario, Canada

    Olufemi R. Ayeni

  2. Hosp, Academy University of Gothenburg, Dept. of Orthopaedics, Sahlgrenska Univ Hosp, Academy University of Gothenburg, Gothenburg, Sweden

    Jón Karlsson

  3. Steadman Clinic, Ste 1000, Steadman Philippon Research Inst Steadman Clinic, Ste 1000, Vail, Colorado, USA

    Marc J Philippon

  4. Stanford University Dept of Orthopaedic Surg, M/C 6342, Redwood City, California, USA

    Marc R. Safran

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© 2017 Springer International Publishing Switzerland

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Beckmann, J.T., Safran, M.R. (2017). Revision FAI Surgery. In: Ayeni, O., Karlsson, J., Philippon, M., Safran, M. (eds) Diagnosis and Management of Femoroacetabular Impingement. Springer, Cham. https://doi.org/10.1007/978-3-319-32000-7_18

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  • DOI: https://doi.org/10.1007/978-3-319-32000-7_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-31998-8

  • Online ISBN: 978-3-319-32000-7

  • eBook Packages: MedicineMedicine (R0)

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