Utility of 3D Planning Software in Understanding Residual Proximal Femoral Deformity for Planning of Revision Hip Arthroscopy
Authors: Carbone AD, Prabhavalkar ON, Perez-Padilla PA, Curley AJ, Nerys-Figueroa J, Domb BG
Journal: American Journal of Sports Medicine, November 2023
DOI: 10.1177/03635465231198051
Objective
Assess the utility of CT scans with 3D planning software for identifying residual proximal femoral deformities missed by X-rays in revision hip arthroscopy planning.
Key Findings
- 3D CT imaging detects detailed deformities (e.g., over-resection, under-resection) that standard radiographs often miss.
- Improved visualization of femoral morphology enables more precise surgical planning.
- Use of 3D software can guide more accurate correction during revision procedures.
Conclusion
3D planning with CT imaging enhances preoperative assessment and allows for more targeted revision arthroscopy, potentially improving surgical outcomes.
What Does This Mean for Providers?
- Utilize CT with 3D planning software when evaluating patients for revision hip arthroscopy, especially after failed primary FAI surgery.
- Incorporate advanced imaging to identify subtle deformities that may contribute to persistent symptoms and surgical failure.
- Enhanced preoperative planning can improve intraoperative decision-making and patient outcomes.