Surgical Dislocation/
Debridement for FAI
Surgery for femoroacetabular impingement (FAI) is a treatment option for addressing structural abnormalities in the hip joint that cause pain, limit mobility, and may lead to joint damage over time. It aims to restore the normal shape and function of the hip joint while preserving its natural tissues. FAI surgery can be performed using either a minimally invasive arthroscopic approach or open surgery, depending on the severity of the condition and the specific needs of the patient.
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Understanding the Procedure
FAI surgery addresses all components of the condition, such as labral tears, damaged cartilage, and abnormal bone contact between the ball (femoral head) and socket (acetabulum). The choice between hip arthroscopy and open surgery depends on the extent of the damage and the surgeon’s recommendation.
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Hip Arthroscopy:
This minimally invasive technique uses two to five small incisions, each about ¼ inch in size. A small camera, called an arthroscope, is inserted into the joint to allow the surgeon to visualize and treat damage. Procedures like labral repair, cartilage stimulation (microfracture), and reshaping of bone are often performed arthroscopically.-
Simple cases, such as labral debridement, may take less than one hour.
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More complex cases involving labral/cartilage repair and bony decompression usually take around two hours.
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Hip arthroscopy is typically performed as an outpatient procedure, allowing patients to go home the same day.
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Open Surgical Hip Dislocation:
In more severe cases, an open surgical approach may be necessary. This involves making a single incision (7 to 10 inches long) and temporarily dislocating the hip joint. This provides the surgeon with full visibility and access to the joint for comprehensive treatment. Patients undergoing this approach typically stay in the hospital for several days post-surgery.
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Recovery from FAI Surgery
Recovery times vary based on the type of surgery and the condition of the hip joint at the time of treatment. Most patients use crutches during the initial recovery phase, and full return to unrestricted activity typically takes 4-6 months. Your postoperative activity level will depend on your surgeon's recommendations and the specifics of your procedure. Hip arthroscopy often offers faster recovery times compared to the open surgical approach.
Whether performed arthroscopically or as an open procedure, surgery for FAI is highly effective at alleviating pain, restoring hip function, and protecting the joint from future damage.