Dean K. Matsuda
WAILEA, Hawaii – Speakers at
Orthopedics Today Hawaii 2012 meeting debated the use
of arthroscopy to treat femoroacetabular impingement.
Dean K. Matsuda, MD, said that systematic reviews of arthroscopic
surgery performed by experienced surgeons for femoroacetabular impingement
(FAI) have shown outcomes that are at least as good, if not better, than open
and mini-open methods with a lower rate of major complications. Patients also
have accelerated rehabilitation because it is an outpatient procedure, and
patients return to cycling and ambulation earlier. The procedure also permits
high flexion, earlier abductor strengthening and return to sport, he said.
“Is an arthroscope all you need for FAI? From a literal standpoint,
obviously no. You need a good burr, good instrumentation and you need
experience. There will always be an exception to the rule,” Matsuda said.
“But, from a practical standpoint, yes. The arthroscopic method allows for
an outpatient procedure, better outcomes, less danger of complications, quicker
rehab, better cosmesis and the option for a simultaneous bilateral surgery
should you choose to do that.”
In his presentation, Robert T. Trousdale, MD, said that he favors open
surgery for the treatment of FAI when major structural problems present. Open
dislocation and debridement is safe, he said. The procedure carries no risk for
avascular necrosis, trochanteric problems are rare and it can handle all
“I do think the future is for less invasive technology,” he
- Matsuda DK. An arthroscope is all you need for FAI. Trousdale RT.
Open surgical hip dislocation for impingement. Both presented at Orthopedics
Today Hawaii 2012, Jan. 15-18. Wailea, Hawaii.
- Disclosures: Matsuda receives royalties from Smith &
Nephew and the receipt of intellectual property rights/patent holder for
ArthroCare and Smith & Nephew. Trousdale has relationships with DePuy,
Wright Medical, Mako and Mayo Clinical.
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