Update to femoroacetabular impingement arthroscopic management

Gedouin, J E; Duperron, D.; Langlais, F.; Thomazeau, H.

doi:10.1016/j.otsr.2009.12.002

Cited by 37 publications

(26 citation statements)

References 27 publications

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“…Follow-up times ranged from 4 months to 10 years. Seven studies reported sufficient data for effect size calculation36 40 41 44 49 58 59 (tables 2 and 3). The authors of the remaining studies were contacted and six replied 33–35 38 39 45.…”

Section: Resultsmentioning

confidence: 99%

“…Of 15 studies that examined the outcomes of hip arthroscopy with femoral osteoplasty (table 3), nine were prospective in design4 31 37–41 49 58 and six were retrospective 30 33 34 44 45 59. Only three studies utilised comparative designs30 31 39 with the majority being case series.…”

Section: Resultsmentioning

confidence: 99%

“…33 38 39 41 44 45 49 58 59 Significant large effects were mostly seen on all outcomes (MHHS, NAHS, VAS, WOMAC and PMA) up to 28 months following osteoplasty for cam-type and combined FAI, with additional labral and chondral debridement as appropriate. Six studies demonstrated positive postoperative outcomes, with five reporting an improvement of greater than 20 points on at least one measure 4 30 31 37 40.…”

Section: Resultsmentioning

confidence: 99%

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Hip arthroscopy for intra-articular pathology: a systematic review of outcomes with and without femoral osteoplasty

et al. 2011

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Background Arthroscopy is increasingly used to improve pain and function in athletes with hip joint pathology. Surgical techniques have evolved to utilise arthroscopic femoral osteoplasty to address potential morphological contributors to pathology. Purpose Investigate pain and function outcomes following hip arthroscopy with and without femoral osteoplasty in individuals with intra-articular hip pathology. Study design Systematic review. Methods A comprehensive search strategy identifi ed studies that evaluated the outcome over at least 3 months following arthroscopy for intra-articular hip pathology, using patient-reported outcomes of pain and/or function. Methodological quality was evaluated (Downs and Black scale), and effect sizes calculated when suffi cient data were available. Results Twenty-nine studies of moderate methodological quality were included. Of 16 studies investigating arthroscopy alone, two studies showed large effects (3.12-5.46) at 1-2 years. Pain reduction and functional improvement (median 47%) were consistently reported by the remaining 14 studies up to 10 years postsurgery. Of 15 studies investigating arthroscopy with osteoplasty, nine papers showed mostly large effects (0.78-2.93) over 6-28 months. Adverse events were minimal (7% of participants, 12 studies, predominantly transient neuropraxia (83%)). Conclusion Current evidence indicates that hip arthroscopy can signifi cantly reduce pain and improve function in patients with intra-articular hip pathology. While benefi ts of arthroscopy alone can persist up to 10 years postsurgery, effects of osteoplasty beyond 3 years need to be established. Future studies should investigate rehabilitation in this population, and the impact of surgery on development of osteoarthritis. INTRODUCTIONIntra-articular hip pathology is a common cause of hip and/or groin pain, 1 2 and may be associated with considerable morbidity in young active populations. 3 4 In recent years, arthroscopic surgery has contributed to advancements in assessment and management of hip pathology; however, the complex anatomical nature and multifactorial sources of pain within the hip and groin regions continue to make diagnosis and management of such injuries a challenge to clinicians. 5 Hip labral tears have been identifi ed at arthroscopy in patients with moderate to severe groin pain, 3 and professional National Hockey League (NHL) players with long-standing hip and groin pain. 4 Ligamentum teres pathology has also been observed during arthroscopy in athletes presenting with hip and groin pain. 6 The total number of hip arthroscopies performed internationally is growing rapidly, with more than 30 000 procedures performed in 2008, and an expected annual increase of 15%. 7 Moreover, surgical techniques have advanced signifi cantly in recent years. Initial procedures typically involved debridement (eg, of the labrum and/or cartilage). With improvement in surgical techniques and advancement in understanding of hip pathology, the recent focus has been on addressing abnorm...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Hip arthroscopy for intra-articular pathology: a systematic review of outcomes with and without femoral osteoplasty

et al. 2011

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show abstract

“…The total number of patients included in the various studies was 1713, with 1141 (67%) males and 562 (33%) females, and the numbers varied from five [20] to 200 [21]. Patients were operated upon at an average age ranging from 19.7 [22] to 47.3 years [23], after an average period from one month [24] to ten years [25] from the onset of symptoms. Based on extracted data, "cam type" impingement was found in 901 hips (57.9%), "pincer type" in 74 (4.8%), and "combined cam pincer" in 580 (37.3%).…”

Section: Resultsmentioning

confidence: 99%

“…The "outcome assessment" section scored adequately in 20 articles (64.5%). Seventeen studies [9, 19, 21, 24, 26, 32-34, 36-40, 42] used the modified Harris hip score, four studies the Merle d'Aubignè scale [3,18,25,43], and five studies the WOMAC Index score [25,27,29,30,41]. The non arthritic hip score (NAHS) was used in four studies [9,23,28,33], the hip outcome score was administered in two studies [22,44], while VAS rating [26] and combined VAS and SF-12 criteria [19] were used in one study each.…”

Section: Resultsmentioning

confidence: 99%