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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(05): 532-536
DOI: 10.1055/s-0040-1714220
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Femoroacetabular Impingement and Acetabular Labral Tears - Part 3: Surgical Treatment[*]

Article in several languages: português | English
Marcelo C. Queiroz 
1   Faculdade de Ciências Médicas, Santa Casa de Misericórdia de São Paulo (FCMSCSP), São Paulo, SP, Brasil
,
Walter Ricioli Junior 
1   Faculdade de Ciências Médicas, Santa Casa de Misericórdia de São Paulo (FCMSCSP), São Paulo, SP, Brasil
,
Leandro Ejnisman 
2   Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brasil
,
Henrique Melo de Campos Gurgel 
2   Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brasil
,
Helder de Souza Miyahara 
2   Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brasil
,
Giancarlo Cavalli Polesello 
1   Faculdade de Ciências Médicas, Santa Casa de Misericórdia de São Paulo (FCMSCSP), São Paulo, SP, Brasil
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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

* 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.




Publication History

Received: 20 February 2020

Accepted: 15 April 2020

Article published online:
20 October 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil

 

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