Zusammenfassung
Die arthroskopische Behandlung des femoroazetabulären Impingements (FAI) ist technisch anspruchsvoll. Der Arthroskopeur muss sowohl mit der Behandlung der kausalen Pathologie (Wiederherstellung der physiologischen Kopf-Hals-Rundung beim Cam-FAI und Pfannenrandtrimmung beim Pincer-FAI) als auch mit der Therapie der Kollateralschäden (Synovektomie, Kapselrelease, Entfernung von Ossifikationen, Knorpeltherapie, Labrumrefixation etc.) vertraut sein. Der vorliegende Beitrag liefert eine Übersicht über die Prinzipien, Indikationen und Kontraindikationen, präoperative Planung, Ergebnisse und mögliche Komplikationen der arthroskopischen Therapie des FAI. Die arthroskopische Operationstechnik wird im Detail beschrieben.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Empfohlene Literatur
Byrd JW, Jones KS, Gwathmey FW (2016) Femoroacetabular impingement in adolescent athletes: outcomes of arthroscopic management. Am J Sports Med 44(8):2106–2111
Dienst M, Kusma M, Steimer O, Holzhoffer P, Kohn D (2010) Arthroscopic resection of the cam deformity of femoroacetabular impingement. Oper Orthop Traumatol 22(1):29–43
Domb BG, Chaharbakhshi EO, Perets I, Walsh JP, Yuen LC, Ashberg LJ (2018) Patient-reported outcomes of capsular repair versus capsulotomy in patients undergoing hip arthroscopy: minimum 5-year follow-up – a atched comparison study. Arthroscopy 34(3):853-863e.
Domb BG, Stake CE, Botser IB, Jackson TJ (2013) Surgical dislocation of the hip versus arthroscopic treatment of femoroacetabular impingement: a prospective matched-pair study with average 2-year follow-up. Arthroscopy 29(9):1506–1513
Frank RM, Lee S, Bush-Joseph CA, Kelly BT, Salata MJ, Nho SJ (2014) Improved outcomes after hip arthroscopic surgery in patients undergoing T-capsulotomy with complete repair versus partial repair for femoroacetabular impingement: a comparative matched-pair analysis. Am J Sports Med 42(11):2634–2642
Jackson TJ, Hammarstedt JE, Vemula SP, Domb BG (2015) Acetabular labral base repair versus circumferential suture repair: a matched-paired comparison of clinical outcomes. Arthroscopy 31(9):1716–21
Krych AJ, Thompson M, Knutson Z, Scoon J, Coleman SH (2013) Arthroscopic labral repair versus selective labral debridement in female patients with femoroacetabular impingement: a prospective randomized study. Arthroscopy 29(1):46–53
Masoud M, Dienst M (2016) Arthroscopic treatment of femoroacetabular impingement. In: Randelli P et al (Hrsg) Arthroscopy – basic to advanced. Springer, Berlin, S 815–834
Matsuda DK, Carlisle JC, Arthurs SC, Wierks CH, Philippon MJ (2011) Comparative systematic review of the open dislocation, mini-open, and arthroscopic surgeries for femoroacetabular impingement. Arthroscopy 27(2):252–269
Minkara AA, Westermann RW, Rosneck J, Lynch TS (2018) Systematic review and meta-analysis of outcomes after hip arthroscopy in femoroacetabular impingement. Am J Sports Med 47(2):488–500
Möckel G, Labs K (2014) Complications in hip arthroscopy and follow-up therapy. Analysis over a 5-year time period with a total of 13.000 cases. Orthopäde 43(1):6–15
Nwachukwu BU, Rebolledo BJ, McCormick F, Rosas S, Harris JD, Kelly BT (2016) Arthroscopic versus open treatment of femoroacetabular impingement: a systematic review of medium- to long-term outcomes. Am J Sports Med 44(4):1062–1068
Larson CM, Giveans MR, Stone RM (2012) Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement: mean 3.5-year follow-up. Am J Sports Med 40(5):1015–1021
Poh SY, Hube R, Dienst M (2015) Arthroscopic treatment of femoroacetabular pincer impingement. Oper Orthop Traumatol 27(6):536–552
Redmond JM, El Bitar YF, Gupta A, Stake CE, Vemula SP, Domb BG (2015) Arthroscopic acetabuloplasty and labral refixation without labral detachment. Am J Sports Med 43(1):105–112
Sawyer GA, Briggs KK, Dornan GJ, Ommen ND, Philippon MJ (2015) Clinical outcomes after arthroscopic hip labral repair using looped versus pierced suture techniques. Am J Sports Med 43(7):1683–1688
Schilders E, Dimitrakopoulou A, Bismil Q, Marchant P, Cooke C (2011) Arthroscopic treatment of labral tears in femoroacetabular impingement: a comparative study of refixation and resection with a minimum two-year follow-up. J Bone Joint Surg Br 93(8):1027–1032
Schmaranzer F, Lerch TD, Steppacher SD, Tannast M (2017) Röntgendiagnostik der Hüfte. In: AGA-Hüftkomitee (Hrsg) Diagnostik des Hüftgelenks, 20–32
Tannast M, Siebenrock KA, Anderson SE (2007) Femoroacetabular impingement: radiographic diagnosis – what the radiologist should know. AJR Am J Roentgenol 188:1540–1552
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature
About this chapter
Cite this chapter
Dienst, M. (2021). Arthroskopische Behandlung des femoroazetabulären Impingements. In: Günther, KP., Schaser, KD. (eds) Hüfte. Meistertechniken in der operativen Orthopädie und Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62085-4_4
Download citation
DOI: https://doi.org/10.1007/978-3-662-62085-4_4
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-62084-7
Online ISBN: 978-3-662-62085-4
eBook Packages: Medicine (German Language)