Table III.
Advantages and limitations of each surgical technique
| Advantages | Limitations | |
|---|---|---|
| Surgical dislocation of the hip | Access to the entire femoral head and neck | Potential complications of symptomatic hardware and non-union |
| Optimal visualization for correction of deformity | ||
| Ability to confirm sphericity with open templates | Increased blood loss | |
| Treatment of intra-articular cartilage defects | Ligamentum teres disruption | |
| Open dynamic assessment of impingement | Potential for prolonged rehabilitation | |
| Ability to perform other correction procedures | ||
| Hip arthroscopy | Minimally invasive | Traction-related complications and nerve injury |
| Potential reduced pain | Steep learning curve | |
| Can be an outpatient procedure | Incomplete access and correction of deformity | |
| Potentially faster rehabilitation | Inability to directly confirm restoration of sphericity/offset | |
| Potentially reduced soft-tissue injury | Potential for iatrogenic chondral injury | |
| Fluid extravasation and abdominal compartment syndrome | ||
| Portal complications (lateral femoral cutaneous nerve injury) | ||
| PAO | Ability to change acetabular orientation | Very invasive, with a relatively high rate of complications |
| Can treat pincer FAI without reducing coverage | Increased blood loss | |
| Can address dysplasia or severe acetabular retroversion | Much slower rehabilitation | |
| Long learning curve | ||
| Ability to perform other correction procedures | ||
| Table modified from Zaltz et al. [32] |