caa a22 4500 605486697 CHVBK 20210128100447.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00064-015-0400-1 doi (NATIONALLICENCE)springer-10.1007/s00064-015-0400-1 Arthroscopic treatment of femoroacetabular pincer impingement [Elektronische Daten] [S.-Y. Poh, R. Hube, M. Dienst] Arthroskopische Behandlung des femoroazetabulären Pincer-Impingements Objective: Arthroscopic resection of the bony overhang of the acetabular rim with concurrent treatment of associated chondrolabral injury in order to improve femoroacetabular clearance, provide symptomatic relief and in theory, delay the onset or progression of osteoarthritis of the hip. Indications: Clinical and radiographic evidence of femoroacetabular pincer or combined impingement, with minimal to moderate degenerative change in the hip joint. Contraindications: Advanced osteoarthritis of the hip joint. Femoroacetabular pincer impingement arising from generalised overcoverage, e.g. coxa profunda. Acetabular retroversion in a dysplastic hip. Surgical technique: Arthroscopy of the peripheral compartment, using a proximal anterolateral viewing portal and anterior and anterolateral working portals. Labral assessment, release from its capsular reflection, limited bony resection of the acetabular rim or labral ossification. Central compartment arthroscopy under traction, using the anterolateral and anterior portals alternately as viewing and working portals, and a distal anterolateral accessory portal. The labrum is detached to expose the bony overhang in the acetabular rim, which is resected with a burr. The labrum is refixed if it is of sufficient quality and debrided or resected otherwise. Postoperative management: Labral resection: partial weight bearing, with pain-controlled progression to full weight bearing over 1-2weeks. Labral refixation: Protected (20kg) weight bearing for the first 4weeks. Continuous passive motion therapy and the use of a stationary bicycle for 4weeks, and early proprioceptive training are part of the rehabilitation regimen. Results: Arthroscopic treatment of femoroacetabular impingement has been shown to provide symptomatic relief, improve hip outcome scores and is postulated to delay progression of osteoarthritis. Better clinical outcomes can be obtained with labral refixation if the labrum is of sufficient quality. Springer-Verlag Berlin Heidelberg, 2015 Femoroacetabular impingement nationallicence Arthroscopy nationallicence Operative technique nationallicence Complications nationallicence Results nationallicence Femoroazetabuläres Impingement nationallicence Arthroskopie nationallicence Operationstechnik nationallicence Komplikationen nationallicence Ergebnisse nationallicence Poh S.-Y Orthopädische Chirurgie München (OCM), Steinerstraße 6, 81369, Munich, Germany aut Hube R. Orthopädische Chirurgie München (OCM), Steinerstraße 6, 81369, Munich, Germany aut Dienst M. Orthopädische Chirurgie München (OCM), Steinerstraße 6, 81369, Munich, Germany aut Operative Orthopädie und Traumatologie Springer Berlin Heidelberg 27/6(2015-12-01), 536-552 0934-6694 27:6<536 2015 27 64 https://doi.org/10.1007/s00064-015-0400-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00064-015-0400-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Poh S.-Y Orthopädische Chirurgie München (OCM), Steinerstraße 6, 81369, Munich, Germany aut NATIONALLICENCE 700 1- Hube R. Orthopädische Chirurgie München (OCM), Steinerstraße 6, 81369, Munich, Germany aut NATIONALLICENCE 700 1- Dienst M. Orthopädische Chirurgie München (OCM), Steinerstraße 6, 81369, Munich, Germany aut NATIONALLICENCE 773 0- Operative Orthopädie und Traumatologie Springer Berlin Heidelberg 27/6(2015-12-01), 536-552 0934-6694 27:6<536 2015 27 64