There is no definite consensus on the adequate radiographic correction in arthroscopic osteochondroplasty for femoroacetabular impingement: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Dan Cohen ◽  
Abdullah Khan ◽  
Jeffrey Kay ◽  
David Slawaska-Eng ◽  
Mahmoud Almasri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Femoroacetabular Impingement ◽  
Meta Analysis

SHORT-TERM OUTCOMES OF CONSERVATIVE TREATMENT FOR FEMOROACETABULAR IMPINGEMENT: A SYSTEMATIC REVIEW AND META-ANALYSIS

2019 ◽  
Vol 14 (4) ◽  
pp. 514-524 ◽  
Author(s):  
Emma Mallets ◽  
Ann Turner ◽  
Jeremy Durbin ◽  
Alexander Bader ◽  
Leigh Murray
Keyword(s):  
Systematic Review ◽  
Conservative Treatment ◽  
Femoroacetabular Impingement ◽  
Meta Analysis ◽  
Short Term

Can We Identify Why Athletes Fail to Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement Syndrome? A Systematic Review and Meta-analysis

2020 ◽  
pp. 036354652095629
Author(s):  
Alexander E. Weber ◽  
Ioanna K. Bolia ◽  
Cory K. Mayfield ◽  
Hansel Ihn ◽  
Hyunwoo P. Kang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Meta Analysis ◽  
Return To Sport ◽  
Improve Patient Care ◽  
Hip Pain ◽  
Impingement Syndrome ◽  
Femoroacetabular Impingement Syndrome ◽  
High Level

Background: No previous systematic review has focused on the athletes who fail to return to sport after hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Purpose: To review the literature on the athletes who fail to return to sport after hip arthroscopy for FAIS to determine the rate of nonreturning athletes and explore the reasons for their inability to return to sport after arthroscopic FAI surgery. Study Design: Systematic review and meta-analysis. Methods: Three electronic databases were searched for eligible articles. Two reviewers independently screened the titles, abstracts, and full-text articles using prespecified criteria. Eligible articles were those that clearly stated the rate of athletes who did not return to sport after hip arthroscopy for FAIS. Data collected were the rate of patients who did not return to sport, the level of competition (high level, recreational, or mixed), the type of sport, comments on patients who did not return to sport, the rate of subsequent hip surgeries (total hip replacement or revision hip arthroscopy) in nonreturning athletes, and the reported reason for not returning to sport. A random-effects model was used for meta-analysis. Results: Twenty studies were eligible for inclusion, and 1093 athletes were analyzed. The weighted rate of athletes who did not return to sport after hip arthroscopy for FAIS was 12.1% (95% CI, 7.7-17.4). Only 2 studies (2/20;10%) reported the age of the athletes who did not return, while sex was reported in 3 studies (3/20;15%). The estimated proportion of athletes who did not return to sport because of hip-related issues was significantly greater than the percentage of athletes who did not return for reasons unrelated to their hip (74.3% vs 22.3%; P < .0001). Persistent hip pain was the most commonly reported factor (52/110 patients; 47.2%) associated with failure to return to sport. Whether the nonreturning athletes underwent any subsequent hip procedure after hip arthroscopy for FAIS was reported in only 4 out of 20 studies (20%). There was evidence of publication bias and study heterogeneity. Conclusion: The estimated rate of athletes who did not return to sport after hip arthroscopy for FAIS was 12%, with the majority of athletes being unable to return because of persistent hip pain. There is a severe lack of evidence on the athlete characteristics and clinical course of the nonreturning athletes, and the rate of subsequent hip procedures is unknown. The outcomes and reasons for athletes not returning to sport should be reported in detail to improve patient care.

scholarly journals Outcomes following surgical management of femoroacetabular impingement: a systematic review and meta-analysis of different surgical techniques

2021 ◽  
Vol 10 (9) ◽  
pp. 574-590
Author(s):  
Daniel Addai ◽  
Jacqueline Zarkos ◽  
Matthew Pettit ◽  
Karadi Hari Sunil Kumar ◽  
Vikas Khanduja
Keyword(s):  
Systematic Review ◽  
Surgical Management ◽  
Femoroacetabular Impingement ◽  
Meta Analysis ◽  
Surgical Techniques ◽  
Hip Dislocation ◽  
Open Approach ◽  
Patient Reported ◽  
Significant Correction ◽  
Α Angle

Outcomes following different types of surgical intervention for femoroacetabular impingement (FAI) are well reported individually but comparative data are deficient. The purpose of this study was to conduct a systematic review (SR) and meta-analysis to analyze the outcomes following surgical management of FAI by hip arthroscopy (HA), anterior mini open approach (AMO), and surgical hip dislocation (SHD). This SR was registered with PROSPERO. An electronic database search of PubMed, Medline, and EMBASE for English and German language articles over the last 20 years was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We specifically analyzed and compared changes in patient-reported outcome measures (PROMs), α-angle, rate of complications, rate of revision, and conversion to total hip arthroplasty (THA). A total of 48 articles were included for final analysis with a total of 4,384 hips in 4,094 patients. All subgroups showed a significant correction in mean α angle postoperatively with a mean change of 28.8° (95% confidence interval (CI) 21 to 36.5; p < 0.01) after AMO, 21.1° (95% CI 15.1 to 27; p < 0.01) after SHD, and 20.5° (95% CI 16.1 to 24.8; p < 0.01) after HA. The AMO group showed a significantly higher increase in PROMs (3.7; 95% CI 3.2 to 4.2; p < 0.01) versus arthroscopy (2.5; 95% CI 2.3 to 2.8; p < 0.01) and SHD (2.4; 95% CI 1.5 to 3.3; p < 0.01). However, the rate of complications following AMO was significantly higher than HA and SHD. All three surgical approaches offered significant improvements in PROMs and radiological correction of cam deformities. All three groups showed similar rates of revision procedures but SHD had the highest rate of conversion to a THA. Revision rates were similar for all three revision procedures.

scholarly journals Time course of patient reported outcomes after hip arthroscopic surgery for femoroacetabular impingement–a systematic review with meta-analysis

2016 ◽  
Vol 24 ◽  
pp. S513-S514
Author(s):  
S. Kierkegaard ◽  
M. Langeskov-Christensen ◽  
B. Lund ◽  
I. Mechlenburg ◽  
U. Dalgas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Femoroacetabular Impingement ◽  
Patient Reported Outcomes ◽  
Time Course ◽  
Meta Analysis ◽  
Arthroscopic Surgery ◽  
Patient Reported
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