Location: MIC-Arena, Maria-Goeppert-Str. 3, 23562 Lübeck
The main clinical indication for hip arthroscopy is femoroacetabular impingement (FAI). FAI can arise due to a bony deformity on the femur, called a cam, or on the acetabular rim, called a pincer. The bony deformity causes compression of soft tissues, cartilage damage and often leads to hip pain. If physical therapy or injection fail to relief the pain caused by FAI a minimally invasive surgery may be performed in which the bony deformity is removed (and the soft tissues repaired as applicable). Accurate resection of cam and/or pincer deformities is difficult, because surgical planning most frequently relies on two-dimensional assessment on radiographs which cannot completely capture the three-dimensional nature of the bone deformity. About 80% of revision hip arthroscopies are a result of inadequate resection or reshaping. Especially acetabular rim resection can be challenging, because over resection can lead to hip instability. This talk will provide clinical background and describe methods for three-dimensional analyses of the hip joint to support pre-operative planning for FAI.
