APEX Managing Modern Athletic Hip Injuries-Online Didactic (September 2021)-Intra-Operative Fluoroscopy and Dynamic Assessment

Video Transcription

Video Summary

In this video, Dr. AJ Lal from the American Hip Institute discusses the importance of accurate femoroplasty and achieving a perfectly spherical contour in hip surgery. He explains that traditional surgical hip dislocation was used to access the femoral head neck junction, but now tools like fluoroscopy can help achieve the desired contour. Dr. Lal emphasizes the importance of maintaining the labral seal and avoiding under-resection or over-resection, as they can lead to residual femoroacetabular impingement (FAI) and loss of the labral seal. He discusses a study that showed over-resection leading to inferior functional scores and higher rates of conversion to total hip arthroplasty. He also shares his technique for achieving a spherical contour, highlighting the importance of preoperative planning and intraoperative fluoroscopy. Dr. Lal concludes by mentioning the potential future use of robotics, navigation, and virtual reality in hip surgery.

Asset Caption

Ajay C. Lall, M.D., M.S.

Keywords

femoroplasty

spherical contour

hip surgery

labral seal

femoroacetabular impingement (FAI)