femoroplasty

Femoroplasty is a surgical procedure used to reshape the proximal femur, the upper part of the thigh bone. It is most commonly performed to address femoroacetabular impingement (FAI), a condition where abnormal bone shapes in the hip joint cause friction and pain during movement. FAI can be broadly categorized into two types: cam impingement, characterized by an excess of bone on the femoral head or neck, and pincer impingement, where the acetabulum (hip socket) has an abnormal overhang. Femoroplasty specifically targets the cam type by removing the excess bone.

The procedure is typically performed arthroscopically, meaning it is done using small incisions and specialized instruments including a camera. This minimally invasive approach generally leads to shorter recovery times and less pain compared to traditional open surgery. During the procedure, a surgeon will insert an arthroscope into the hip joint to visualize the area. Then, using small surgical tools, they will carefully shave away the abnormal bone growth on the femoral head or neck that is causing the impingement. The goal is to restore a smoother contour to the bone, allowing for freer and pain-free movement of the hip joint.

Post-operative recovery varies but often involves a period of protected weight-bearing and physical therapy to regain strength, flexibility, and range of motion. While generally successful in alleviating symptoms of FAI, potential risks include infection, bleeding, nerve damage, and incomplete symptom resolution. The decision to undergo femoroplasty is made after a thorough evaluation of the patient's symptoms, physical examination, and imaging studies, and in consultation with an orthopedic specialist.