Patients Maintain Clinically Significant Outcomes at 5-Year Follow-Up After Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Systematic Review

Jan, Kyleen; Chapman, Reagan; Kaplan, Daniel J.; Nho, Shane J.

doi:10.1016/j.arthro.2023.04.021

Cited by 8 publications

(2 citation statements)

References 41 publications

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“…Over the past decade, hip arthroscopy has become the operative treatment of choice for addressing hip pain and dysfunction secondary to femoroacetabular impingement syndrome (FAIS) and associated labral tearing [1]. Hip arthroscopy for the treatment of FAIS has been consistently associated with high rates of return to sport and significant preto-postoperative improvement in patient-reported outcome measures of pain and physical function at long-term follow-up [2,3]. The incidence of hip arthroscopy is known to be higher among females, and a majority of patients undergoing hip arthroscopy are between the ages of 18-42 years old [1].…”

Section: Introductionmentioning

confidence: 99%

Pregnancy-Related Decision-Making and Perceptions of Risk among Reproductive-Age Females Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Single-Surgeon Cross-Sectional Study

Shankar,

Li,

Triana

et al. 2024

Surgeries

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Females of reproductive age constitute one of the largest demographics of the hip arthroscopy population, but it is unclear as to how pregnancy planning affects decision-making regarding surgery or vice versa. The purpose of this study was to assess perceived risks to pregnancy from hip pain and/or hip arthroscopy among reproductive-age females who underwent arthroscopic treatment of femoroacetabular impingement syndrome (FAIS). A cross-sectional study was conducted involving females aged 18–44 years who underwent hip arthroscopy for the treatment of FAIS, with a single surgeon included in the study. Subjects completed a survey that assessed obstetric and gynecologic history, decision-making regarding the planning and timing of hip surgery and pregnancy, and perceived risks to pregnancy from hip pain and/or hip surgery. Subjects were classified as nulligravid (Group 1), pregnant at least once before hip surgery but never again following hip surgery (Group 2), or pregnant at least once following hip surgery (Group 3). A total of 85 patients were enrolled with a mean age of 32.3 ± 6.5 years at the time of surgery. The mean follow-up time was 51.9 ± 34.5 months. There were 39 subjects in Group 1 (45.9%), 20 in Group 2 (23.5%), and 26 in Group 3 (30.6%). About half of all subjects expressed “some” to “a lot of” concern that their hip pain could get worse during pregnancy (49.4%), and about half had “no concern” that hip arthroscopy would affect the health of their fetus/baby (54.1%). Reproductive-age females undergoing hip arthroscopy for FAIS generally consider the procedure to be safe with respect to future pregnancy outcomes.

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Section: Introductionmentioning

confidence: 99%

Pregnancy-Related Decision-Making and Perceptions of Risk among Reproductive-Age Females Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Single-Surgeon Cross-Sectional Study

Shankar,

Li,

Triana

et al. 2024

Surgeries

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“… 4 Arthroscopic surgery has evolved 5 and is increasingly performed since it grants satisfactory patient-reported outcomes while being mini-invasive. 6 , 7 , 8 , 9 , 10 Compared to open procedures, this surgical approach might also have the advantage of requiring a shorter rehabilitation period, thereby offering a fast return to daily activities in satisfying conditions. 11 , 12 …”

mentioning

confidence: 99%

Hip Arthroscopy Followed by 6-Month Rehabilitation Leads to Improved Periarticular Muscle Strength, Except for Abductors and External Rotators

Servant,

Bothorel,

Pernoud

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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Is shockwave therapy effective in the management of greater trochanteric pain syndrome? A systematic review and meta‐analysis

Harding,

Cameron,

Monga

et al. 2024

Musculoskeletal Care

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BackgroundEvidence is lacking for the efficacy of shockwave therapy (SWT) in the treatment of greater trochanteric pain syndrome (GTPS).AimTo investigate the efficacy of SWT on pain and function in the management of GTPS.MethodsA systematic search of electronic databases and grey literature was conducted up to May 2023. Studies utilising SWT on adults for GTPS, providing measures of pain and/or function at baseline and at follow‐up were considered for inclusion. Meta‐analysis was undertaken using converted pain and functional outcomes. Studies were assessed for quality and risk of bias, and assigned a level of evidence as per the Grading of Recommendations, Assessment, Development and Evaluations criteria.ResultsTwelve articles (n = 1121 subjects) were included, including five randomised controlled trials (RCTs) and seven non‐RCTs. No statistical differences were observed for pain over time f(1,5) = 1.349 (p = 0.298) or between SWT and control f(1,5) = 1.782 (p = 0.238). No significant differences in functional outcomes in short‐ (H = 2.591, p = 0.181) and medium‐term follow‐up (H = 0.189, p = 0.664) were identified between SWT and control. Moderate magnitude treatment effects for pain (Hedges‐G [HG] 0.71) favouring SWT groups over control was identified, decreasing to low for function (HG 0.20). Further pain and functional treatment effects were identified at higher magnitudes across follow‐up time‐points in SWT groups compared to control.ConclusionModerate‐quality evidence demonstrated no statistically significant improvements in pain and function post‐SWT compared to control. Low‐quality evidence established clinical improvements throughout all included studies favouring SWT over control. Consequently, owing to relatively low incidence of side effects, SWT should be considered a viable option for the management of GTPS. Issues with both clinical and statistical heterogeneity of studies and during meta‐analysis require consideration, and more robust RCTs are recommended if the efficacy of SWT for the management of GTPS is to be comprehensively determined.

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Patients Maintain Clinically Significant Outcomes at 5-Year Follow-Up After Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Systematic Review

Cited by 8 publications

References 41 publications

Pregnancy-Related Decision-Making and Perceptions of Risk among Reproductive-Age Females Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Single-Surgeon Cross-Sectional Study

Pregnancy-Related Decision-Making and Perceptions of Risk among Reproductive-Age Females Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Single-Surgeon Cross-Sectional Study

Hip Arthroscopy Followed by 6-Month Rehabilitation Leads to Improved Periarticular Muscle Strength, Except for Abductors and External Rotators

Is shockwave therapy effective in the management of greater trochanteric pain syndrome? A systematic review and meta‐analysis

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