AANA19 Hip Access Pass-Master Series_ Bone Resection - How to Get it Right-Dr. Christopher M. Larson, M.D.

Master Series_ Bone Resection - How to Get it Right-Dr. Christopher M. Larson, M.D.

Video Transcription

Video Summary

The talk focuses on achieving accurate bone resections, especially in athletes with femoroacetabular impingement (FAI). Using preoperative 3D imaging aids diagnosis, while templating the lateral center edge angle and acetabular coverage guides pincer FAI resections. Intraoperative fluoroscopy ensures alignment and resection accuracy, with capsulotomy made a centimeter from the rim for access and repair. Rim resections may require traction adjustments, and decompression of the anterior inferior iliac spine (AIS) involves creating a capsular window. CAM deformities are addressed via flexion and extension positioning with fluoroscopic views. Post-resection, dynamic range-of-motion tests confirm impingement relief.

Keywords

Femoroacetabular Impingement

Bone Resection Accuracy

3D Preoperative Imaging

Intraoperative Fluoroscopy

Capsulotomy and Decompression