Overview of Treatment Options, Clinical Results, and Controversies in the Management of Femoroacetabular Impingement

Nepple, Jeffrey J.; Byrd, J. W. Thomas; Siebenrock, Klaus A.; Prather, Heidi; Clohisy, John C. (2013). Overview of Treatment Options, Clinical Results, and Controversies in the Management of Femoroacetabular Impingement. Journal of the American Academy of Orthopaedic Surgeons, 21(Suppl. 1), S53-S58. American Academy of Orthopaedic Surgeons 10.5435/JAAOS-21-07-S53

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The surgical management of symptomatic femoroacetabular impingement (FAI) generally is indicated after the failure of a trial of nonsurgical treatment. Surgical planning includes an assessment of the labrochondral pathology as well as of the acetabular and proximal femoral bony deformity. Advanced articular cartilage disease generally is associated with poorer outcomes. Surgical hip dislocation and hip arthroscopy have been used, with favorable early outcomes and low complication rates. Careful patient selection is important in predicting the success of the surgical management of symptomatic FAI. A trial of nonsurgical management generally is recommended, but limited information exists regarding its success. The early outcomes of both open and arthroscopic surgical techniques demonstrate significant improvement in most patients, with relatively low rates of complications. Because poorer clinical outcomes are associated with more advanced articular cartilage degeneration, improved strategies for the earlier identification and disease staging of symptomatic patients may enhance the long-term outcomes of both nonsurgical and surgical management.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Siebenrock, Klaus-Arno

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1067-151X

Publisher:

American Academy of Orthopaedic Surgeons

Language:

English

Submitter:

Stephanie Schmutz

Date Deposited:

08 Apr 2014 11:37

Last Modified:

08 Apr 2014 11:37

Publisher DOI:

10.5435/JAAOS-21-07-S53

PubMed ID:

23818192

URI:

https://boris.unibe.ch/id/eprint/43295

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