Arthroskopische Behandlung des femoroazetabularen Impingements [Hip arthroscopy for femoroacetabular impingement]

Details

Serval ID
serval:BIB_E8B53D1122EC
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Arthroskopische Behandlung des femoroazetabularen Impingements [Hip arthroscopy for femoroacetabular impingement]
Journal
Orthopade
Author(s)
Wettstein  M., Dienst  M.
ISSN
0085-4530 (Print)
Publication state
Published
Issued date
2006
Volume
35
Number
1
Pages
85-93
Notes
DA - 20060123
LA - ger
PT - English Abstract
PT - Journal Article
PT - Review
Titre original : Arthroskopische Behandlung des femoroazetabularen Impingements
SB - IM
Abstract
Femoroacetabular impingement (FAI) is likely one of the main causes for osteoarthritis in young adults. Surgical treatment has until now been performed via open dislocation of the hip joint. With respect to its invasive nature and long rehabilitation, arthroscopic techniques have become established in recent years. The following article presents the latest developments in hip arthroscopy for FAI with a detailed description of technical aspects, pitfalls, and limitations. Hip arthroscopy is performed in the standard fashion with and without traction for arthroscopy of the central and peripheral compartments. Under traction, the anterosuperior cartilage and adjacent base of the acetabular labrum have to be inspected for frequent lesions such as cartilage flap tears and delaminations of the cartilage from the subchondral bone. An ossified labrum can be trimmed back with a burr. Currently, techniques are being developed for temporary detachment of the labrum, trimming of the acetabular rim, and refixation of the labrum with suture anchors. Without traction, femoroacetabular impingement has to be confirmed arthroscopically under flexion, internal rotation, and adduction of the hip. With respect to the frequent loss of internal rotation, the zona orbicularis and the iliofemoral ligament are released and removed if needed. The anterolateral bump of the head-neck junction is trimmed back for restoration of a more physiological head-neck offset. Postoperatively, continuous passive motion is important to prevent adhesions between the bleeding bone of the head-neck junction and the articular capsule. Weight bearing as tolerated is allowed if no treatment of cartilage defects or refixation of the acetabular labrum was performed. The early results after hip arthroscopy for FAI are very promising. Arthroscopic techniques will upstage open exposures of the hip joint for the treatment of FAI
Keywords
Adult/Arthroscopy/complications/etiology/Hip Joint/Humans/Joint Instability/methods/Osteoarthritis,Hip/pathology/Physician's Practice Patterns/Practice Guidelines as Topic/prevention & control/surgery/Syndrome
Pubmed
Web of science
Create date
29/02/2008 16:14
Last modification date
20/08/2019 16:11
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