Acessibilidade / Reportar erro

Femoroacetabular Impingement and Acetabular Labral Tears - Part 3: Surgical Treatment* * Study carried out in the Hip Group of the Department of Orthopedics and Traumatology of the Faculty of Medical Sciences, Santa Casa de Misericórdia de São Paulo (FCMSCSP), São Paulo, SP, Brazil.

Abstract

In the last 15 years, the diagnosis of femoroacetabular impingement has become more frequent; with the advance of surgical indications, different techniques have been developed. Surgical treatment includes a wide variety of options, namely: periacetabular osteotomy, surgical hip dislocation, arthroscopy with osteochondroplasty via a small incision, modified anterior approach technique, and exclusively arthroscopic technique. The type of approach should be chosen according to the complexity of the morphology of the femoroacetabular impingement and to the surgeon's training. The techniques most used today are arthroscopy, surgical dislocation of the hip, and periacetabular osteotomy. The present article aims to describe the current main surgical techniques used to treat femoroacetabular impingement, their indications, advantages and disadvantages, complications and clinical results.

Keywords
hip; femoroacetabular impingement/therapy; femoroacetabular impingement/surgery; arthroscopy

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br