Skip to main content

Surgical Technique: Mini-Open Acetabular Rim Trimming, Labral Refixation, and Femoral Osteochondroplasty

  • Reference work entry
  • First Online:
Hip Arthroscopy and Hip Joint Preservation Surgery

Abstract

Femoroacetabular impingement (FAI) is a condition that results from a mismatch of congruency between the femoral head and the acetabulum. This incongruence leads to repetitive trauma to the intervening soft tissues leading inevitably to labral and chondral injuries that can subsequently result in degenerative joint disease of the hip. Early appropriate treatment of the lesion may preserve the longevity of the patient’s native joint. Utilizing a mini-Hueter anterior approach, adequate exposure and correction of the pathology can be performed in a minimally invasive fashion. In this manner, the hip joint is exposed and the osseous, labral, and chondral pathology is assessed. A femoral neck osteoplasty with possible acetabular rim trimming is then performed, followed by labral reattachment. Postoperatively, the patient can be weight bearing as tolerated using crutches or another assistive walking device for 6 weeks to protect the labral repair.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 699.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 799.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.

    Google Scholar 

  2. Collins JA, Ward JP, Youm T. Is prophylactic surgery for Femoroacetabular impingement indicated? Am J Sports Med. 2013;42(12):3009–15.

    Article  Google Scholar 

  3. Tannast M, Siebenrock K. Conventional radiographs to assess femoroacetabular impingement. Instr Course Lect. 2009;58:203–12.

    PubMed  Google Scholar 

  4. Malik AK, Chou DT, Witt JD. Anterior approaches to the hip for the treatment of femoro-acetabular impingement: a cadaveric study. Hip Int. 2010;20(4):482–8.

    Article  Google Scholar 

  5. Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87(7):1012–8.

    Article  CAS  Google Scholar 

  6. Mardones RM, Gonzalez C, Chen Q, Zobitz M, Kaufman KR, Trousdale RT. Surgical treatment of femoroacetabular impingement: evaluation of the effect of the size of the resection. J Bone Joint Surg Am. 2005;87(2):273–9.

    PubMed  Google Scholar 

  7. Lavigne M, Parvizi J, Beck M, et al. Anterior femoroacetabular impingement: part I. Techniques of joint preserving surgery. Clin Orthop Relat Res. 2004;418:61–6.

    Article  Google Scholar 

  8. Bedi A, Dolan M, Magennis E, Lipman J, Buly R, Kelly BT. Computer-assisted modeling of osseous impingement and resection in femoroacetabular impingement. Arthroscopy. 2012;28(2):204–10.

    Article  Google Scholar 

  9. Ecker TM, Puls M, Steppacher SD, Bastian JD, Keel MJ, Siebenrock KA, et al. Computer-assisted femoral head-neck osteochondroplasty using a surgical milling device an in vitro accuracy study. J Arthroplast. 2012;27(2):310–6.

    Article  Google Scholar 

  10. Mofidi A, Shields JS, Tan JS, Poehling GG, Stubbs AJ. Use of intraoperative computed tomography scanning in determining the magnitude of arthroscopic osteochondroplasty. Arthroscopy. 2011;27(7):1005–13.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Yacovelli, S., O’Toole, P., Chen, A.F., Minori, J., Parvizi, J. (2022). Surgical Technique: Mini-Open Acetabular Rim Trimming, Labral Refixation, and Femoral Osteochondroplasty. In: Nho, S.J., Bedi, A., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-43240-9_55

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-43240-9_55

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-43239-3

  • Online ISBN: 978-3-030-43240-9

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics