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Surgical Treatment for FAI: Arthroscopic and Open Techniques for Osteoplasty

  • Femoroacetabular impingement/labral tears (A Zhang, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of Review

To review the relevant literature and techniques regarding arthroscopic and open treatment of femoroacetabular impingement (FAI). To discuss both the senior authors’ preferred method of arthroscopic and open treatment of FAI.

Recent Findings

Routine treatment of FAI has moved away from open techniques and is more focused arthroscopic methods. Arthroscopic treatment of FAI has more recently focused on differing techniques of hip access and capsular management. Open techniques still have a role in FAI, but indications for open management are focused on cases with more severe pathology.

Summary

While arthroscopic techniques have shown better outcomes in the short term and higher return to play, it is not without risk and is a procedure with a steep learning curve. In cases of complex joint pathology, such as FAI coupled with dysplasia or Legg-Calve-Perthes, arthroscopy may be not indicated and an open approach preferred. We outline various techniques for both arthroscopic and open treatment of FAI and their outcomes when possible.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Utah Health Center, 590 Wakara Way, Salt Lake City, UT, 84108, USA

    Alex G. Dukas, Andrew S. Gupta, Christopher L. Peters & Stephen K. Aoki

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Correspondence to Stephen K. Aoki.

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Alex G. Dukas, Andrew S. Gupta, and Christopher L. Peters declare that they have no conflicts of interest.

Stephen K. Aoki is a paid consultant for Stryker (Kalamazoo, MI).

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Dukas, A.G., Gupta, A.S., Peters, C.L. et al. Surgical Treatment for FAI: Arthroscopic and Open Techniques for Osteoplasty. Curr Rev Musculoskelet Med 12, 281–290 (2019). https://doi.org/10.1007/s12178-019-09572-4

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