Intraoperative fluoroscopy for evaluation of bony resection during arthroscopic management of femoroacetabular impingement in the supine position.
There is a steep learning curve regarding many aspects of arthroscopic management of femoroacetabular impingement. One of the concerns with regard to this approach is verification of appropriate bony resection for cam- and pincer-type pathology. Dynamic assessment and direct visualization of bony resection are the primary means of evaluating appropriate resection. Intraoperative fluoroscopy, however, can be a helpful adjunct when performing the rim resection or femoral resection osteoplasty. We describe a predictable and reproducible fluoroscopic method for performing and verifying appropriate bony resection of pincer and cam lesions in an attempt to help minimize the risk of under- and over-resection.
Larson
Christopher M
CM
Minnesota Orthopaedic Sports Medicine Institute and Twin Cities Orthopedics, Minneapolis, Minnesota, USA. clars@med.unc.edu
Wulf
Corey A
CA
D000077:Acetabulum / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D005471:Fluoroscopy / Q000379:methods*; D006621:Hip Joint / Q000601:surgery; D006801:Humans; D021621:Imaging, Three-Dimensional; D015641:Radiography, Interventional / Q000379:methods*; D015203:Reproducibility of Results; D016683:Supine Position; D020535:Video-Assisted Surgery / Q000379:methods*