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Femoroacetabular impingement: a resurfacing solution.

P Brooks¹, B Bershadsky

¹Dept of Orthopaedics, Cleveland Clinic, 9500 Euclid Ave, A-41, Cleveland, Ohio 44195, USA. brooksp@ccf.org

The Journal of Bone and Joint Surgery. British Volume

|November 3, 2012

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Femoroacetabular impingement (FAI), a cause of hip arthritis, often presents with cam lesions in men. Hip resurfacing effectively addresses FAI and restores hip function in these patients.

Area of Science:

Orthopedics
Sports Medicine
Biomechanical Engineering

Background:

Femoroacetabular impingement (FAI) is frequently linked to early-onset hip osteoarthritis.
FAI involves abnormal bone formation and alignment in the hip joint, leading to impingement and damage.

Purpose of the Study:

To evaluate the role and outcomes of hip resurfacing in patients with femoroacetabular impingement and hip arthritis.
To assess the prevalence of cam impingement lesions in male patients undergoing hip resurfacing.

Main Methods:

Review of a series of 1300 hip resurfacing procedures.
Analysis of patient demographics, focusing on male patients with an average age of 53 years.
Assessment of the presence of cam impingement lesions.

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Main Results:

Over 90% of male patients (average age 53) undergoing hip resurfacing exhibited cam impingement lesions.
FAI is characterized by anterior femoral neck osteophytes and a retroverted femoral head.
Hip resurfacing can correct FAI by re-orienting the femoral head and reshaping the femoral neck.

Conclusions:

Hip resurfacing is a viable treatment for hip arthritis caused by FAI, particularly in younger male patients.
The procedure restores normal hip biomechanics, eliminates impingement, and improves range of motion.
Hip resurfacing offers a solution for FAI-associated osteoarthritis, addressing the underlying cause and improving patient function.