The Circumferential Femoroplasty: An All-Arthroscopic Technique for Addressing a Challenging Hip Deformity
Authors: Owens JS, Saks BR, Fox JD, Jimenez AE, Lall AC, Domb BG
Journal: Arthroscopy Techniques, September 2022
DOI: 10.1016/j.eats.2022.06.009
Background
Cam-type femoroacetabular impingement (FAI) can sometimes involve circumferential deformities of the femoral neck that are challenging to treat. This paper presents an all-arthroscopic, post-less technique for circumferential femoroplasty.
Methods
- Use of 3D preoperative planning combined with fluoroscopy-guided arthroscopic surgery to decompress the entire femoral neck circumference.
- Minimally invasive approach without a perineal post.
Key Findings
- Technique effectively addresses complex cam deformities through precise arthroscopic decompression.
- Avoids the morbidity of open procedures and post-related complications.
Conclusions
The circumferential femoroplasty offers a safe and effective minimally invasive option for challenging cam lesions.
What Does This Mean for Providers?
- Surgeons should consider this advanced arthroscopic technique for patients with extensive cam deformities not amenable to traditional focal femoroplasty.
- Integration of 3D imaging and fluoroscopy enhances surgical accuracy and outcomes.
- Post-less technique improves patient comfort and reduces complications related to traction setup.