Complications of hip preserving surgery.

Hanke, Markus S.; Lerch, Till D.; Schmaranzer, Florian; Meier, Malin K.; Steppacher, Simon D.; Siebenrock, Klaus A. (2021). Complications of hip preserving surgery. EFORT open reviews, 6(6), pp. 472-486. The British Editorial Society of Bone & Joint Surgery 10.1302/2058-5241.6.210019

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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. Cite this article: EFORT Open Rev 2021;6:472-486. DOI: 10.1302/2058-5241.6.210019.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Hanke, Markus; Lerch, Till; Schmaranzer, Florian; Meier, Malin Kristin; Steppacher, Simon Damian and Siebenrock, Klaus-Arno

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2058-5241

Publisher:

The British Editorial Society of Bone & Joint Surgery

Language:

English

Submitter:

Maria de Fatima Henriques Bernardo

Date Deposited:

29 Jul 2021 16:55

Last Modified:

29 Jul 2021 16:55

Publisher DOI:

10.1302/2058-5241.6.210019

PubMed ID:

34267937

Uncontrolled Keywords:

SCFE femoroacetabular impingement hip arthroscopy hip dysplasia periacetabular osteotomy surgical hip dislocation

BORIS DOI:

10.48350/157763

URI:

https://boris.unibe.ch/id/eprint/157763

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