Table 3.

Pearls for Trough Femoral Osteochondroplasty Technique

Creation of a sufficient interportal capsulotomy should be performed for visualization.

A T-capsulotomy should be used for increased visualization as needed.

Trough creation should be completed before proximal-distal resection.

Sclerotic-appearing bone is commonly encountered on the femoral neck in areas of impingement.

The burr should be used in forward mode to remove sclerotic cortical bone and in reverse mode to contour softer cancellous bone.

Almost no resection should be performed adjacent to the articular surface with a graded contour to the trough.

The surgeon should confirm that resection is creating appropriate clearance on dynamic examination while completing osteochondroplasty.

Capsular resection should be avoided.

Fluoroscopy should be used in multiple leg positions to confirm complete resection and restoration of head-neck offset.