Outcomes after hip arthroscopy in FAI
Hip arthroscopy is widely prevalent for the management of symptomatic femoral acetabular impingement (FAI) following failed conservative rehabilitation.
This meta-analysis and systematic review demonstrated excellent objective and subjective postoperative outcomes after hip arthroscopy for FAI.
The rate of reoperation was 5.5%, and the risk of clinical complications was 1.7%. Return to sports rates was approximately 88%, and all patient-reported outcomes (PRO's) consistently indicated a significant postoperative improvement.
29 studies (mainly case series) were included in this study, making up 1981 hips that underwent hip arthroscopy with a mean age of 29.9. 76% of the clinical studies included PRO's to assess postoperative outcomes with the highest
increase observed in the Hip Outcome Score Sports Scale.
One of the most frequently reported radiographic parameters for FAI, the alpha-angle, also showed a consistent significant decrease postoperatively (23.6 degrees change on average). Additionally, 11 factors associated with the success of hip arthroscopy in FAI were found and 16 factors associated with failure or negative outcomes.
The results of this study reflect the efficacy of hip arthroscopy for FAI and have guided the formal development of best practice in this area using a Delphi process.
More research is required to investigate which patients would benefit from early surgical intervention.
> From: Minkara et al., Am J Sports Med (0000-00-00 00:00:00) (Epub ahead of print). All rights reserved to The Author(s). Click here for the online summary.
