Femoral Version in Hip Arthroscopy: Does it Matter?

Area of Science:

• Orthopedic surgery
• Hip arthroscopy
• Femoroacetabular impingement (FAI)

Background:

• Femoral version exhibits significant variability among individuals with femoroacetabular impingement (FAI).
• Accurate assessment of femoral anteversion is critical for effective preoperative planning in FAI cases.

Purpose of the Study:

• To highlight the importance of routine femoral version measurement in preoperative planning for hip arthroscopy.
• To discuss the impact of femoral version on surgical outcomes in FAI patients.

Main Methods:

• Review of clinical presentations and implications of varying femoral version degrees.
• Discussion of the role of femoral version management in optimizing hip arthroscopy results.

Main Results:

• Low femoral anteversion can cause anterior impingement, particularly at the subspine and distal medial femoral neck.
• High femoral anteversion may be associated with acetabular dysplasia, leading to anterior hip instability or posterior impingement.

Conclusions:

• Routine measurement and management of femoral version are essential for achieving optimal outcomes following hip arthroscopy for FAI.
• Understanding femoral version's role aids in tailoring surgical approaches for improved patient results.