AANA Hip Arthroscopy - September 2024-Intra-Operative Fluoroscopy and Dynamic Assessment

Intra-Operative Fluoroscopy and Dynamic Assessment

Video Transcription

Video Summary

Dr. AJ Lal from the American Hip Institute discusses the importance of achieving a perfectly spherical femoroplasty contour to preserve the labral seal and hip function during CAM lesion surgery. Over-resection leads to poor outcomes, loss of the labral seal, and higher rates of total hip replacement, while under-resection results in residual impingement. Using intraoperative fluoroscopy in multiple views and an algorithmic approach enhances precision. Their study shows over-resection predicts inferior clinical outcomes and increased early hip replacements. Current techniques focus on careful visualization and minimal capsulotomy; future advances may include robotics and virtual reality for improved surgical accuracy.

Keywords

femoroplasty contour

labral seal preservation

CAM lesion surgery

intraoperative fluoroscopy

hip replacement outcomes