Cam and Pincer Decompression

Surgical Technique

Femoroacetabular impingement (FAI) is a condition resulting from bone overgrowth on the femoral head known as cam spurs and/or on the acetabulum known as pincer spurs. These bone spurs create abnormal contact in the hip joint and can result in damage to the articular cartilage and tearing of the labrum. Surgical treatment options for FAI consist of open, mini-open, and arthroscopic. An arthroscopic approach has proven favorable outcomes and safety compared to open and mini-open methods.1,2  

When performing an arthroscopic repair for FAI, osteoplasty and rim trimming are done by shaving back the cam and/or pincer bone spurs to re-create normal bone shapes of the femoral head and acetabulum. CONMED’s Signature Series™ Pre-Bent Burs allow surgeons to access hard to reach areas within the joint space to successfully shave down the bone spurs. Accessing these areas with the pre-bent burs may also eliminate the need for a posterolateral portal.  



Signature Series™ Blades and Burs

  • Designed exclusively for the hip
  • Increased precision for resection
  • Improved access into the joint

Ergo™ Shaver Handpiece 

  • Features: Bi-Directional Blade Insertion
  • Torque: 35 in-ounces
  • Max Speed: 12,000 RPM
  • Weight: 19.3 oz. evenly distributed

Edge™ Bipolar Arthroscopic RF System 

  • 50 Degree and 90 Degree extended length probes for the hip joint
  • Durable probes with one-piece electrode
  • Better visibility with increased suction

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    Matsuda D.K., Carlisle J.C., Arthurs S.C., Wierks C.H., Philippon M.J. Comparative systematic review of the open dislocation, mini-open, and arthroscopic surgeries for femoroacetabular impingement. Arthroscopy. 2011;27:252–269. [PubMed]

    Botser I.B., Smith T.W., Jr., Nasser R., Domb B.G. Open surgical dislocation versus arthroscopy for femoroacetabular impingement: A comparison of clinical outcomes. Arthroscopy. 2011;27:270–278. [PubMed]

     This material provides information regarding how to use CONMED medical devices and instruments in surgical procedures.  Although reviewed by physicians it is not medical advice and each surgeon should use their own professional judgment before using to treat a particular patient.  Surgeons should be trained in the use of such devices before surgery and should always refer to the product labeling including the Instructions for Use before using any medical device.

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