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Updated: May 17, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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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
PubMed
Summary

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.

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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.