2023 Annual Meeting Knee Access Pass-Arthroscopic Management of Hip FAI: Are We Better Than Placebo?

Arthroscopic Management of Hip FAI: Are We Better Than Placebo?

Video Transcription

Video Summary

Dr. Brombring discussed arthroscopic management of hip femoroacetabular impingement (FAI), emphasizing patient selection and addressing associated conditions. He noted arthroscopy as an alternative to total hip replacement, showing good long-term outcomes and cost-effectiveness, particularly when combined with dedicated rehabilitation. Conservative management, including physical therapy and activity modification, remains important. Diagnostic precision is critical due to multiple pain sources and anatomical variations like borderline dysplasia or femoral torsion. Capsular management and biologics (e.g., BMAC) show promise. Molecular studies reveal inflammatory factors linked to CAM impingement. Ultimately, arthroscopy benefits select patients, but long-term data is needed to confirm altering FAI’s natural history.

Asset Caption

Srino Bharam M.D., M.B.A.

Keywords

hip femoroacetabular impingement

arthroscopic management

patient selection

capsular management

inflammatory factors