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Arthroscopic cam resection reduces femoroacetabular contact pressure: a cadaver study
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Aims Arthroscopic cam resection in femoroacetabular impingement syndrome leads to clinical improvement, but biomechanical studies on the efect of surgical intervention are scarce. In this study, we compared the femoroacetabular contact pressure (CP) in an intact cam morphology and after arthroscopic cam resection. The hypothesis was that arthroscopic cam resection decreases the femoroacetabular CP. Methods A cadaveric study was performed on nine hips with a cam morphology (? angle > 60°). CP was assessed using a new hip-specifc device and an intracranial pressure (ICP) sensor. These evaluations were performed during hip arthroscopy, in the intact joint and after cam resection, with the joint in diferent positions. These measurements were normalized and reported as a percentage of the native intact joint. Results A statistically signifcant diference in the mean CP measured with the hip-specifc device was observed before and after cam osteoplasty at 0° (41.2% (SD 29.7%); p = 0.014), 30° (54.5% (SD 16.6%); p = 0.011), 60° (39.8% (SD 23.0%); p < 0.001), 80° of fexion (36.3% (SD 22.1%); p < 0.001), and 80° of fexion with 20° of internal rotation (26.0% (SD 22.4%); p < 0.001). The ICP sensor is very fragile and difcult to handle in hip arthroscopy. Consequently, we limited the evaluations using this sensor to fve hips. A statistically signifcant diference in the CP was found before and after cam osteoplasty at 80° of fexion (57.6% (SD 29.1%); p = 0.004). Conclusion This biomechanical study evaluated a new hip-specifc device to intraoperatively measure the CP in arthroscopic surgery. It showed a signifcant decrease in the CP after arthroscopic cam resection with the joint in diferent positions. At 80° of fexion with 20° of internal rotation, a typical position to detect hip impingement, the CP was reduced to 26% after arthroscopic cam resection. The intraoperative measurement of CP provides surgeons with feedback to evaluate the efectiveness of the osteoplasty.
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Dantas, P., Gonçalves, S. B., Gonçalves, S. R., & Mascarenhas, V. et al. (2025). Arthroscopic cam resection reduces femoroacetabular contact pressure: a cadaver study. Bone and Joint Research, 14(11), 1053-1063. https://doi.org/10.1302/2046-3758.1411.BJR-2024-0588.R1