Arthroscopic femoro-acetabular surgery for hip impingement syndrome
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.
OPCS code:
Details
Surgical procedures
Contact details:
(for general enquiries or comments)
(for procedure specific enquiries or comments)
ip@nice.org.uk
Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA
