ISHA Webinar - Osteotomy for FAI

Date: Saturday December 13th, 2025

Program Synopsis:

Femoroacetabular impingement (FAI) is a leading cause of hip pain and dysfunction, particularly in active individuals. When conservative treatments fail and joint preservation is the goal, osteotomy has emerged as a powerful surgical option to address FAI, particularly in patients with significant deformities of the hip joint.

This “Open Access” webinar will explore the role of osteotomy in the management of FAI, delving into the indications, surgical techniques, and outcomes associated with this procedure. Expert surgeons will provide an in-depth overview of the different types of osteotomies, including periacetabular and femoral osteotomies, and how they can be tailored to individual patient needs based on the severity and type of impingement.

Through a combination of case studies, surgical videos, and expert commentary, participants will gain valuable insights into when and how osteotomy can be used to treat FAI, the key considerations for patient selection, and strategies for optimizing postoperative rehabilitation and outcomes. This session will also address the potential risks and complications of osteotomy, as well as how to manage patients long-term following surgery.

Key Topics:

  • Understanding Femoroacetabular Impingement (FAI):

    • Pathophysiology of FAI and the role of anatomical deformities in causing impingement.
    • How FAI progresses and the impact on hip joint degeneration.
    • Indications for osteotomy in the treatment of FAI and when it is considered over other surgical options.

  • Types of Osteotomy for FAI:

    • Periacetabular Osteotomy (PAO): Technique, indications, and outcomes in addressing acetabular abnormalities.
    • Femoral Osteotomy: Understanding femoral head-neck junction deformities and how osteotomy can correct these issues.
    • Combining osteotomies with hip arthroscopy: When is combined surgery appropriate, and how does it enhance outcomes?

  • Patient Selection and Preoperative Planning:

    • Criteria for determining which patients are suitable candidates for osteotomy.
    • Preoperative imaging techniques (e.g., CT, MRI) and their role in surgical planning.
    • Factors influencing decision-making: age, activity level, degree of deformity, and associated hip pathologies.

  • Surgical Technique and Execution:

    • Step-by-step overview of the osteotomy procedure, including surgical approaches, tools, and techniques.
    • Challenges during surgery and how to overcome them.
    • Case-based discussion with surgical videos showing real-world examples of osteotomy for FAI.

  • Postoperative Care and Rehabilitation:

    • Guidelines for postoperative management, including weight-bearing restrictions, pain management, and rehabilitation protocols.
    • Long-term rehabilitation goals: Restoring function, muscle strengthening, and preventing recurrence.
    • Complications to watch for, such as non-union, infection, and avascular necrosis.

  • Outcomes and Future Directions:

    • Evidence on the effectiveness of osteotomy for FAI in terms of pain relief, function, and long-term hip preservation.
    • How osteotomy impacts return to sport and activity levels.
    • New advances in osteotomy techniques and potential improvements in patient outcomes.

Target Audience: This webinar is intended for orthopedic surgeons, sports medicine specialists, physical therapists, and other healthcare professionals involved in the diagnosis and treatment of FAI, particularly those interested in joint-preserving surgical interventions.

Learning Objectives:

  • Gain an in-depth understanding of osteotomy as a treatment for FAI, including the different types and techniques used.
  • Learn how to select appropriate candidates for osteotomy based on clinical presentation and imaging findings.
  • Understand the steps involved in performing osteotomy procedures and the key challenges that may arise.
  • Explore postoperative management strategies and the role of rehabilitation in achieving optimal outcomes.
  • Review the evidence supporting osteotomy for FAI and its role in long-term hip preservation.

Join us for this detailed and practical session to learn the surgical approach and best practices for osteotomy in the treatment of femoroacetabular impingement.

Start Time: 14:00 GMT / 09:00 AM EST / 15:00 CET

Duration: 90 minutes

Faculty:

Co-Chair – Mr Jonathan Hutt (UK)

Co-Chair – Dr George Grammatopolous (CAN)

Remaining Faculty TBC

AI Translation available

 

Registration Opening Soon