Hanke, Markus S.; Schmaranzer, Florian; Steppacher, Simon D.; Lerch, Till D.; Siebenrock, Klaus A. (2020). Hip preservation. EFORT open reviews, 5(10), pp. 630-640. The British Editorial Society of Bone & Joint Surgery 10.1302/2058-5241.5.190074
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Classical indications for hip preserving surgery are: femoro-acetabular impingement (FAI) (intra- and extra-articular), hip dysplasia, slipped capital femoral epiphysis, residual deformities after Perthes disease, avascular necrosis of the femoral head.Pre-operative evaluation of the pathomorphology is crucial for surgical planning including radiographs as the basic modality and magnetic resonance imaging (MRI) and/or computed tomography (CT) to evaluate further intra-articular lesions and osseous deformities.Two main mechanisms of intra-articular impingement have been described: (1) Inclusion type FAI ('cam type').(2) Impaction type FAI ('pincer type').Either arthroscopic or open treatment can be performed depending on the severity of deformity.Slipped capital femoral epiphysis often results in a cam-like deformity of the hip. In acute cases a subcapital re-alignment (modified Dunn procedure) of the femoral epiphysis is an effective therapy.Perthes disease can lead to complex femoro-acetabular deformity which predisposes to impingement with/without joint incongruency and requires a comprehensive diagnostic workup for surgical planning.Developmental dysplasia of the hip results in a static overload of the acetabular rim and early osteoarthritis. Surgical correction by means of periacetabular osteotomy offers good long-term results. Cite this article: EFORT Open Rev 2020;5:630-640. DOI: 10.1302/2058-5241.5.190074.
Item Type: |
Journal Article (Review Article) |
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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 (B), Schmaranzer, Florian, Steppacher, Simon Damian, Lerch, Till, 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: |
10 Dec 2020 09:02 |
Last Modified: |
29 Mar 2023 23:37 |
Publisher DOI: |
10.1302/2058-5241.5.190074 |
PubMed ID: |
33204506 |
Uncontrolled Keywords: |
femoro-acetabular impingement hip arthroscopy hip dysplasia periacetabular osteotomy surgical hip dislocation |
BORIS DOI: |
10.7892/boris.148269 |
URI: |
https://boris.unibe.ch/id/eprint/148269 |
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