All You Wanted to Know About Femeroacetabular Impingement

Description

The presentation, delivered by Vikas Khanduja as part of the BIOS program, focuses on femoroacetabular impingement (FAI), a condition affecting the hip joint characterized by pain due to abnormal contact between the femoral neck and the acetabular rim. Khanduja expresses his gratitude to the organizers and shares insights on the complexities of FAI, emphasizing the importance of understanding its morphological causes and implications, such as the potential for early osteoarthritis if left untreated. He discusses the historical context of FAI, the increasing recognition of its significance in surgical practice, and recent advances in research and treatment methodologies.



The talk outlines the clinical presentation of FAI, common symptoms, and effective diagnostic strategies, including the use of imaging technologies like MRI and CT scans. Khanduja highlights the increasing prevalence of hip arthroscopy as a surgical treatment option and the importance of personalized approaches to each patient's condition, considering factors such as their activity level and the specific nature of their impingement. He also addresses the challenges in treatment, including the role of physical therapy and the potential for revision surgeries if the initial prognosis is not favorable.



As Khanduja details the evolution of surgical techniques from labral debridement to repair and reconstruction, he indicates promising outcomes from recent studies that show significant improvements in patients' quality of life following appropriate interventions. The talk concludes with a forward-looking perspective on the integration of advanced technologies like robotics and artificial intelligence into surgical practices, hinting at a busy but promising future for hip preservation surgeries aimed at combating FAI.

DOI: 10.1302/3114-221971

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