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Arthroscopic femoro-acetabular surgery for hip impingement syndrome

Guidance issued Guidance issued
 
IP Guidance Number: IPG213
 
Summary:
 The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on arthroscopic femoro-acetabular surgery for hip impingement syndrome.
Description:
 Preservation surgery for femoro-acetabular impingement focuses on improving the clearance for hip motion and alleviation of femoral abutment against the acetabular rim. The patient is placed in a lateral decubitus position and the leg set in a traction device. An arthroscope and surgical instruments are inserted into the hip through two or three portals. The site of impingement is identified and the labrum and acetabular cartilage are assessed for lesions. Surgical treatment involves removing any non-spherical sections of the femoral head or prominent sections of the anterior femoral neck to improve the offset of the neck and increase clearance in the joint, labral lesions are debrided by a shaver or radio thermal device. Femoral and acetabular osteoplasty are achieved where necessary with a burr, the hip is reduced and the range of motion and any residual impingement are evaluated.
Arrangements:

Other (see guidance)
Topic Area:

Musculoskeletal
Surgical procedures
Specialty:

Trauma and orthopaedic surgery
Specialist advice has
been sought from:
Date notified to NICE: 21 November 2005
Provisional Consultation Date: Winter 2006/7
Guidance Publication Date: 28 March 2007
Contact Details:
Project Manager
(for general enquiries or comments)		 Ben Doak
Technical Lead
(for procedure specific enquiries or comments) 		Steven Barnes
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA
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