How is an Acetabuloplasty Performed?
If surgery is indicated, Dr. Padalecki will perform arthroscopic hip surgery to correct the impingement. An acetabuloplasty is performed when pincer impingement is present. Using tiny instruments and a small camera, he will assess the inside of the hip. He will then conduct an acetabuloplasty, which entails taking away the area of over coverage on the acetabular side to relieve the bony impingement and create space allowing normal motion of the hip. Cases of mixed type impingement may require both an acetabuloplasty and a femoroplasty (cam impingement treatment), which can be performed during the same surgery.
What Occurs After Pincer Impingement Surgery?
Following pincer impingement treatment, patients will be placed on a strict rehabilitation program that will consist of physical therapy with a skilled therapist. Rehabilitation usually starts immediately after surgery. During therapy, patients will work on regaining motion of the hip while protecting any repairs. Patients are typically on crutches for 3 – 8 weeks depending of what type of procedure was necessary and are also placed in a brace to protect their hip during healing. The results from acetabuloplasty (with labral repair if needed) have been very promising with a majority of the patients being satisfied with the procedure, having improvements in pain and returning to their activities.
For additional resources on the surgical treatment of pincer impingement, or for more information on acetabuloplasty, please contact the Austin, Texas orthopedic practice of Dr. Jeff Padalecki, hip surgeon.