Table of Contents
Advances in Orthopedic Surgery
Volume 2015 (2015), Article ID 239601, 5 pages
http://dx.doi.org/10.1155/2015/239601
Research Article

Variation in Planned Resection of CAM FAI Based on Surgeon Experience

1Nirschl Orthopedic Center, Arlington, VA 22205, USA
2Marymount University, Arlington, VA 22207, USA
3University of Maryland, Baltimore, MD 21201, USA

Received 31 July 2015; Revised 25 October 2015; Accepted 9 November 2015

Academic Editor: Padhraig O’Loughlin

Copyright © 2015 Derek Ochiai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Currently, there are no definitive guidelines for the resection of a cam lesion. The purpose of this study was to investigate factors indicating the potential differences in low and high volume hip arthroscopists in marking the area of resection in cam lesions using X-rays for preoperative planning. Methods. Thirty-nine surgeons with varying levels of hip arthroscopy experience participated in the study. Surgeons filled out a survey and traced the area of optimal resection on radiographs with varying amounts of cam FAI. Participants were grouped by number of hip arthroscopies performed, years of surgical experience, and number of surgeries performed. Results. Surgeons who perform osteoplasty as a high percentage of their total hip surgeries per year correlate to the total number of hip arthroscopies performed per year (, ) and number of years of experience (, ). Surgeons performing greater than 50 cases per year traced a larger resection area for 3 different patients’ radiographs as compared to those performing less than 50 cases per year (117%, 143%, and 173%, ). Conclusions. This study demonstrates that surgeons with less experience (decreased number of years operating and total number of surgeries) plan for resecting less cam than do experienced surgeons.