Decision Making in Combined Hip Arthroscopy and Femoral Derotational Osteotomy Surgeries
نویسندگان
چکیده
Background: Femoral version abnormalities can contribute to intra-articular hip pathology. Combined arthroscopy with femoral derotational osteotomy (FDRO) has been shown successfully treat those pathology excessive anteversion or retroversion of the femur. Indications: We describe technique for combined and FDRO in patients symptomatic setting Technique Description: Hip is performed using standard anterolateral, modified mid-anterior, distal anterolateral accessory portals. The labrum repaired a narrow diameter suture. Femoroplasty utilization fluoroscopic imaging assess resection. Dynamic flexion as final check adequacy Capsular closure all cases. After arthroscopy, patient repositioned on radiolucent table. A piriformis start point obtained guide pin followed by opening reaming ball-tipped guidewire placement. made just proximal isthmus through lateral approach Two K-wires are placed site. goniometer then used measure rotation. drill perforate cortex circumferentially at reaming, sagittal saw cut an osteotome. An intramedullary nail inserted over while rotational reduction assessed from foot operating Distal interlocking screws placed, backslapped create compression site prior placing screws. Results: Recent studies show improved outcome scores who undergo concomitant abnormal version. Discussion/Conclusion: Identifying would benefit surgeries requires thorough preoperative evaluation. Correct identification treatment these leads outcomes. Patient Consent Disclosure Statement: author(s) attests that consent any patient(s) appearing this publication. If individual may be identifiable, included statement release other written form approval submission
منابع مشابه
Modifications to the Hip Arthroscopy Technique When Performing Combined Hip Arthroscopy and Periacetabular Osteotomy
In the realm of hip preservation, hip arthroscopy is often used to address intra-articular impingement pathology, whereas periacetabular osteotomy (PAO) is used to address dysplasia and instability. Indications to combine these 2 procedures include hip dysplasia and symptomatic instability with a concomitant symptomatic labral tear or the other symptomatic intra-articular pathology (i.e., loose...
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This open-access article is published and distributed under the Creative Commons Attribution NonCommercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article witho...
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ژورنال
عنوان ژورنال: Video journal of sports medicine
سال: 2023
ISSN: ['2635-0254']
DOI: https://doi.org/10.1177/26350254231185152