Treatment of Femoro-Acetabular Impingement in Young Adults with Surgical Dislocation and Debridement

Christopher L. Peters, MD

Femoro-acetabular impingement has been associated with acetabular labral and/or articular cartilage damage that may ultimately result in osteoarthritis of the hip. Surgical treatment of femoro-acetabular impingement is directed at restoring a more normal femoral head-neck offset to alleviate femoral abatement against the acetabular rim and treating associated labral and articular cartilage damage. At the time of early follow-up, Christopher L. Peters, MD of Salt Lake City, Utah found that surgical dislocation and debridement of the hip for the treatment of femoro-acetabular impingement in hips without substantive damage to the articular cartilage can reduce pain and improve function. In this JBJS/VJO video supplement to the article, Dr. Peters demonstrates his surgical technique in three active young adults while explaining his intraoperative decision making processes. Material Covered

• Indications
• Contraindications
• Exposure
• Dislocation
• Intraoperative Decisions
• Classic vs Complex Impingement
• Pearls to Avoid Complications
• Postoperative Protocol

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