Arthroscopic Treatment of Femoroacetabular Impingement: Minimum Five-Year Follow-up

Polesello, Giancarlo Cavalli; Filho, Epitácio Leite Rolim; Guimarães, Rodrigo Pereira; Junior, Walter Ricioli; Queiroz, Marcelo Cavalheiro de

doi:10.5301/hipint.5000135

Cited by 26 publications

(20 citation statements)

References 43 publications

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“…The mean postsurgery follow-up was 28.1±15.5 months in 89% of studies that reported this variable. Follow-up ranged from 12 months25 28 to 73.2 months 49…”

Section: Resultsmentioning

confidence: 99%

Femoroacetabular impingement surgery allows 74% of athletes to return to the same competitive level of sports participation but their level of performance remains unreported: a systematic review with meta-analysis

Reiman

Peters²,

Sylvain

et al. 2018

Br J Sports Med

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“…The mean postsurgery follow-up was 28.1±15.5 months in 89% of studies that reported this variable. Follow-up ranged from 12 months25 28 to 73.2 months 49…”

Section: Resultsmentioning

confidence: 99%

Femoroacetabular impingement surgery allows 74% of athletes to return to the same competitive level of sports participation but their level of performance remains unreported: a systematic review with meta-analysis

Reiman

Peters²,

Sylvain

et al. 2018

Br J Sports Med

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“…[ 43 ] USA Case series IV 153 47% 57 (50–77) 35.7 (12–64) months Arthroscopy 9 Polesello et al. [ 44 ] Brazil Case series IV 24(26) 87.5% 34 (13–51) 6.1 (5–8) years Arthroscopy 7 Singh et al. [ 45 ] Australia Case series IV 24(27) 100% 22 (16–29) 22 (6–60) months Arthroscopic 10 Sink et al.…”

Section: Resultsmentioning

confidence: 99%

Reporting of non-hip score outcomes following femoroacetabular impingement surgery: a systematic review

Sim

Horner

et al. 2015

J Hip Preserv Surg

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This systematic review was designed to evaluate the reporting of non-hip score outcomes following surgical management of femoroacetabular impingement (FAI). MEDLINE, EMBASE and PubMed were searched and screened in duplicate for studies involving non-hip score outcomes following the surgical management of FAI. A full-text review of eligible studies was conducted and references were searched using pre-determined inclusion and exclusion criteria. Thirty-three studies involving 3198 patients were included in this review. The most common non-hip score outcomes reported included: patient satisfaction (72.7%), symptom improvement (24.7%), pain improvement (12.4%), hip range of motion (12.3%) and return to sport (6.8%). The most frequently reported standardized hip outcome scores used were the modified Harris Hip Score (mHHS) (41.2%), Non-Arthritic Hip Score (NAHS) (29.4%), Hip Outcome Score—Activities of Daily Living (HOS-ADL) (26.5%), the Western Ontario McMaster Universities Index of Osteoarthritis (WOMAC) (17.6%), the HOS Sport-Specific Subscale (SSS) (17.6%). The most commonly reported non-hip score outcomes are patient satisfaction, symptom improvement and pain improvement. Patients report high levels of satisfaction when surveyed post-operatively. A discrepancy exists between what outcomes the literature suggests should be reported and what outcomes are actually reported. Return to sport is often held as a major patient-important outcome yet it is seldom reported in studies assessing the efficacy of FAI surgery. Second, despite emerging evidence that outcome measures such as the HOS or IHOT evaluate the FAI patient population precisely, other standardized hip score outcomes (mHHS and NAHS) are still more commonly reported.

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“…Hip arthroscopy has been used for a long time to effectively treat femoral and acetabular deformities (cam and pincer, respectively), and repair injuries of the acetabular labrum and adjacent cartilage (10)(11)(12). In many studies, hip arthroscopy has been reported to have poor clinical outcomes when performed in patients with advance OA (13).…”

Section: Discussionmentioning

confidence: 99%

Preliminary Outcomes of Hip Arthroscopy in the Treatment of Femoroacetabular Impingement with Early Stage Osteoarthritis

Gürpınar¹,

Öztürkmen²

2019

Istanbul Med J

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Amaç: Femoro-asetabular sıkışma (FAS) sendromu ağrı ve hareket kısıtlılığı ile beraber dejeneratif eklem hastalığının bir nedenidir. Artroskopik yöntemler erken dönemde FAS tedavisinde etkili olarak kullanılmaktadır. Ancak eklemde dejeneratif bulguların ortaya çıkmış olması artroskopik tedavinin başarısını olumsuz olarak etkilemektedir. Literatürde, artroz gelişmiş kalçalarda artoskopik yöntemlerin başarısını araştıran çalışma sayısı kısıtlı olmakla beraber artroskopik tedavinin başarısı konusunda bir fikir birliğine varılamamıştır. Biz bu çalışmamızda kliniğimizde FAS sendromu ile beraber Tönnis evre 1-2 artrozu (OA) olan hastalarda artroskopik tedavinin kısa dönem klinik sonuçlarını araştırmayı amaçladık. Yöntemler: Kliniğimizde FAS sendromu ile beraber Tönnis evre 1-2 OA'sı olan ve artroskopik olarak tedavi edilmiş 17 hasta retrospektif olarak incelendi. Artroskopik tedavide artroskopik bulgulara göre femoral osteoplasti, asetabular tıraşlama, labral tamir, labral debridman, mikro kırık ve lig teres debridmanı yapıldı. Radyolojik değerlendirmede Tönnis evrelemesi ve OA'nın değrelendirilmesinde kullanıldı. Hastaların fonksiyonel durumları operasyon öncesi ve sonrası Harris Kalça skoru (HKS), Hip Outcome skoru (HOS) ve Short Form 12 ile değerlendirildi. Results: At the last follow up, the mean HHS and HOS increased from 53.2 and 65.3 to 82.4 and 88.1, respectively. In total, 16 of 17 (94%) patients reported that they were satisfied with the outcome of the surgery. One patient reported that the symptoms relieved for 6 months, but returned. He was offered arthroplasty but he refused. Conclusion: In the current study, it was observed that arthroscopic treatment could help to relieve patient symptoms in early stage OA with FAI.

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Arthroscopic Treatment of Femoroacetabular Impingement: Minimum Five-Year Follow-up

Abstract: Arthroscopic treatment of femoroacetabular impingement, at five years follow-up, revealed good results in terms of improved function, pain relief and satisfaction.

Cited by 26 publications

References 43 publications

Femoroacetabular impingement surgery allows 74% of athletes to return to the same competitive level of sports participation but their level of performance remains unreported: a systematic review with meta-analysis

Femoroacetabular impingement surgery allows 74% of athletes to return to the same competitive level of sports participation but their level of performance remains unreported: a systematic review with meta-analysis

Reporting of non-hip score outcomes following femoroacetabular impingement surgery: a systematic review

Preliminary Outcomes of Hip Arthroscopy in the Treatment of Femoroacetabular Impingement with Early Stage Osteoarthritis

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