Intraoperative fluoroscopy for evaluation of bony resection during arthroscopic management of femoroacetabular impingement in the supine position.

Abstract

There is a steep learning curve regarding many aspects of arthroscopic management of femoroacetabular impingement. One of the concerns with regard to this approach is verification of appropriate bony resection for cam- and pincer-type pathology. Dynamic assessment and direct visualization of bony resection are the primary means of evaluating appropriate resection. Intraoperative fluoroscopy, however, can be a helpful adjunct when performing the rim resection or femoral resection osteoplasty. We describe a predictable and reproducible fluoroscopic method for performing and verifying appropriate bony resection of pincer and cam lesions in an attempt to help minimize the risk of under- and over-resection.