Achieving a Perfectly Spherical Femoroplasty: Pearls, Pitfalls, and Optimal Surgical Technique
Authors
Lall AC, Annin S, Chen JW, Maldonado DR, Rosinsky PJ, Shapira J, Walker-Santiago R, Domb BG
DOI: 10.1016/j.eats.2019.10.011
Background
Femoroacetabular impingement (FAI) is a condition where the femoral head (ball of the hip joint) and acetabulum (socket) are not aligned properly. This causes painful wear and tear on the hip joint. Cam-type FAI is caused by an aspherical femoral head. This article discusses techniques for performing femoroplasty (reshaping of the femoral head) to achieve a perfectly spherical shape, reducing complications in FAI treatment.
Methods
The article presents an arthroscopic technique for femoroplasty, focusing on how to avoid common mistakes like over- or under-resection (cutting too much or too little bone). Proper surgical technique is crucial to ensure good outcomes and prevent complications.
Key Findings
Achieving a perfectly spherical femoral head during surgery minimizes the risk of complications, such as additional hip impingement or joint instability. The article also highlights critical steps in surgical planning and technique.
Conclusions
A well-executed femoroplasty can improve postoperative outcomes for patients with FAI by preventing over-resection or under-resection of the femoral head.
What Does This Mean for Patients
If you are undergoing hip surgery for cam-type femoroacetabular impingement, ensuring that the femoral head is reshaped to a perfectly spherical form can significantly enhance your recovery and reduce the risk of additional surgery.