What is Femoroacetabular Impingement (FAI)?
What is Femoroacetabular Impingement (FAI)?
Femoroacetabular Impingement (FAI) is a condition that occurs when there is abnormal contact between the ball (femoral head) and the socket (acetabulum) of the hip joint. This can lead to damage of the cartilage (lining of the joint) and labrum (fluid seal and stabilizer cartilage), resulting in pain, stiffness, and reduced movement of the hip joint. FAI typically develops over time and can be caused by either structural abnormalities or trauma to the hip joint.
There are three main types of FAI:
1. Cam Impingement :
Occurs when the femoral head is abnormally shaped, causing it to rub against the acetabulum.
2. Pincer Impingement :
This happens when the acetabulum is too deep or has an overhanging rim, leading to pinching of the labrum.
3. Mixed Impingement : A combination of both cam and pincer impingements.
Symptoms of FAI can include:
• Hip pain (especially with activity)
• Stiffness and decreased range of motion
• Clicking or popping sensations
• Pain in the groin area or outer hip
How is FAI Diagnosed?
FAI is typically diagnosed through:
• Clinical Examination: A thorough assessment of hip function, including physical tests to provoke the pain and check for limited motion.
• Imaging: X-rays (sometimes CT scans) and MRI scans are commonly used to assess the structure of the hip joint and detect any damage to the cartilage or labrum.
Treatment Options for FAI:
Treatment for FAI depends on the severity of the condition and the patient’s symptoms. In
many cases, non-surgical treatments such as physiotherapy, anti-inflammatory medications,
and activity modification can provide relief. However, if conservative treatment fails and
symptoms persist, surgical intervention may be required.
Hip Arthroscopy for FAI Treatment
Hip arthroscopy is a minimally invasive surgical procedure that is often used to treat FAI. It
involves small incisions and the use of a camera (arthroscope) to guide the surgeon in
performing repairs inside the joint.
This technique has the advantage of:
- Faster recovery times compared to traditional open surgery.
- Reduced risk of complications, such as infection or blood clots
- Minimal scarring
- Less postoperative pain
During hip arthroscopy for FAI, the surgeon may:
- Reshape the femoral head (cam impingement) or the acetabular rim (pincer
impingement) to restore normal joint movement. - Repair or remove damaged cartilage or labrum that has been injured as a result of
the impingement.
The procedure is generally performed under general , and patients can typically go home on
the same day or after a short hospital stay.
Why Choose Mr. Tahir Khan?
Mr. Tahir Khan is a consultant orthopedic surgeon at the Royal National Orthopaedic Hospital, a specialist who focuses on hip and knee surgery, particularly in the treatment of complex hip conditions like FAI. With years of experience in minimally invasive hipsurgeries, Mr. Khan is known for his expertise in hip arthroscopy for FAI, and he has helped numerous patients regain their mobility and quality of life.
Mr. Khan’s approach is patient-centered, combining advanced surgical techniques with a focus on personalised care. His use of cutting-edge technology and innovative techniques ensures optimal outcomes for each patient. He has a wealth of experience in treating FAI and related conditions, and his practice is supported by the comprehensive facilities of the Royal National Orthopaedic Hospital, one of the UK’s leading centres for musculoskeletal care.
Recovery After Hip Arthroscopy
Initial Recovery : Most patients can bear weight on the hip within a few days, often with the help of crutches.
Rehabilitation : Physiotherapy will be an essential part of the recovery process, helping to restore strength, flexibility, and range of motion to the hip joint.
Return to Activity : The timeline for returning to sports and heavy physical activities will depend on the severity of the condition and the surgery performed, but many patients can return to full activity within 3 to 6 months after surgery.
What to Expect During Treatment with Mr. Khan
Consultation : Mr. Khan will conduct a thorough evaluation, review your medical history, and discuss your symptoms. He will explain all treatment options and help you make an informed decision about the best course of action.
Pre-Operative Assessment : Before surgery, you may undergo additional tests to assess your overall health and suitability for anaesthesia.
Surgery : If hip arthroscopy is recommended, it will be performed at the Royal National Orthopaedic / Princess Grace / Portland or Spire Bushey Hospital, with the highest standards of care and the latest technology.
Post-Operative Care : After surgery, you will receive detailed instructions on managing pain, preventing complications, and starting rehabilitation. Mr. Khan and his team will closely monitor your progress throughout the recovery phase.
Contact Information
For more information or to schedule a consultation with Mr. Tahir Khan, please contact:
- Royal National Orthopaedic
- Portland
- Princess Grace
- Spire Bushey Hospital