Hi folks! I'm a 33yr old male and avid road cyclist. I've completed a number of high level endurance events and amateur competitive road racing.
About a year ago I had a high speed bicycle collision and sustained a displaced femoral neck fracture. I was immediately taken to Swedish hospital in Seattle and ~6hrs later had emergency surgery to repair the fracture with pinning. After 10wks of no weight bearing, the fracture completely healed and I spent several months in rehab learning to walk again. It was incredibly difficult but I had an awesome PT and worked religiously at getting my ROM/strength back.
Unfortunately, I've had two complications since the fracture:
1) Severe hip flexion ROM deficit and pain from pinning. I found out after the fracture that I had pre-existing asymptomatic FAI. It became symptomatic after the fracture and now causes severe pain with any hip flexion past 90 degrees. My surgical pins also backed out as the fracture healed and I have pretty bad IT band pain.
After exhausting all other options with my PT, I decided to explore hip arthroscopy with a specialist at Swedish and I'm scheduled to have it done next month to address these issues. The surgeon will attempt to reshape the femoral neck to allow for additional ROM and remove some or all of the surgical pins.
2) AVN. In anticipation of arthroscopy, I had an MRI completed a month ago. Unfortunately, it shows early stage AVN in my hip. Despite this, my surgeon says it's fine to go ahead with arthroscopy as it's unclear if the AVN will continue to progress or if the bone with re-vasculaize and remain stable without collapse of the femoral head.
My questions for y'all are two-fold:
1) If the AVN progresses, can one have hip resurfacing done to preserve the hip joint and avoid total hip replacement?
2) If hip resurfacing is an option, would it be jepordized by arthroscopy? E.g. if I have bone reshaped, would it impact potential/eligibility of future resurfacing?
I'm going to ask my arthroscopy surgeon these two questions as well, but thought I'd ask the question here as well.