Elsevier

Arthroscopy Techniques

Volume 9, Issue 3, March 2020, Pages e303-e313
Arthroscopy Techniques

Technical Note
Achieving a Perfectly Spherical Femoroplasty: Pearls, Pitfalls, and Optimal Surgical Technique

https://doi.org/10.1016/j.eats.2019.10.011Get rights and content
Under a Creative Commons license
open access

Abstract

Femoroacetabular impingement describes a pathologic interaction between the bony femoral head/neck junction and acetabulum. Cam-type femoroacetabular impingement results from an aspherical femoral head architecture, which increases early contact along the acetabular surface during hip range of motion. Errant arthroscopic femoroplasty recently has been discussed within the literature to describe a preventable etiology of failed hip arthroscopy, most notably cam over- and under-resection. We present an arthroscopic surgical technique for achieving the perfectly spherical femoroplasty, meant to minimize complications and improve postoperative outcomes.

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The authors report the following potential conflict of interest or source of funding: B.G.D., or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000-USD 100,000 from Arthrex; an amount of USD 10,000-USD 100,000 from DJO Global; an amount of USD 10,000-USD 100,000 from Medacta International; an amount of less than USD 10,000 from Orthomerica Products; an amount of less than USD 10,000 from Pacira Pharmaceuticals; an amount of less than USD 10,000 from Medwest Associates; an amount of less than USD 10,000 from Prime Surgical; an amount of less than USD 10,000 from Trice Medical; an amount of less than USD 10,000 from Smith & Nephew; and an amount of USD 100,001–USD 1,000,000 from Stryker. A.C.L., or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000-USD 100,000 from Arthrex; an amount of less than USD 10,000 from Medwest Associates; an amount of USD 10,000-USD 100,000 from Smith & Nephew; an amount of less than USD 10,000 from Stryker; and an amount of less than USD 10,000 from Zimmer Biomet Holdings. Full ICMJE author disclosure forms are available for this article online, as supplementary material.

This study was performed at the American Hip Institute, Des Plaines, Illinois, U.S.A.