scholarly journals Surgical Treatment of Femoroacetabular Impingement

2021 ◽  
Vol 6 (4) ◽  
Author(s):  
Hamed Vahedi ◽  
Steven Yacovelli ◽  
Claudio Diaz ◽  
Javad Parvizi
Keyword(s):  
Surgical Treatment ◽  
Femoroacetabular Impingement

scholarly journals Predictors of Failure After Surgical Treatment of Femoroacetabular Impingement: Results of a Multicenter Prospective Cohort of 621 Hips

2019 ◽  
Vol 7 (7_suppl5) ◽  
pp. 2325967119S0032
Author(s):  
Jeffrey J. Nepple ◽  
Asheesh Bedi ◽  
Ira Zaltz ◽  
Christopher M. Larson ◽  
Daniel J. Sucato ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Cohort Study ◽  
Surgical Treatment ◽  
Femoroacetabular Impingement ◽  
Revision Surgery ◽  
Patient Reported Outcomes ◽  
Clinical Failure ◽  
Multivariate Logistic Regression ◽  
Multicenter Cohort ◽  
Patient Reported

Objectives: Surgical treatment of femoroacetabular impingement attempts to improve patients’ symptoms through treatment of intra-articular labrochondral pathology and correction of underlying bony deformity. The purpose of the current study was to determine independent predictors of failure after surgical treatment of femoroacetabular impingement in a large prospective multicenter cohort study. Methods: A prospective cohort study of the surgical treatment of FAI was performed. A total of 760 hips undergoing primary surgical treatment of FAI were enrolled across seven surgeons. Patient characteristics, baseline patient reported outcomes (PROs), imaging findings, intraoperative pathology, and surgical treatments were prospectively recorded. A total of 621 hips (81.6%) with minimum one year follow-up were included in the current study (mean 4.3 years). The mHHS was assessed relative to the minimally clinically important difference (MCID, 8 points) and patient acceptable symptom state (PASS, 74 points). Univariate analyses were performed to identify factors significantly associated with failure. Multivariate logistic regression was performed to identify independent predictors of failure. Results: A total of 621 hips undergoing surgical treatment of FAI were assessed at a mean 4.2 years postoperatively. This cohort had a mean age of 29.8 and included 56.8% females. Multivariate logistic regression identified independent predictors of each failure definition. Failure A (THA) was independently associated with increasing age, acetabular microfracture (both p<0.001), and femoral head chondroplasty (p=0.02). Failure B (THA or revision surgery) was independently associated only with lower preoperative mHHS (p<0.001) (p=0.01). A lower failure C (clinical failure) was independently associated with participation in competitive athletics (p=0.01), BMI (p<0.001), and male gender (p<0.001). Conclusion: This large multicenter cohort demonstrates the outcomes of FAI treatment at a mean of 4.3 years postoperative. Rates of THA and revision surgery were 4.0% and 6.9%. An additional 14.8% of patients demonstrates clinical failure based on patient-reported outcomes.

scholarly journals The early outcome of surgical treatment for femoroacetabular impingement: success depends on how you measure it

2012 ◽  
Vol 20 (7) ◽  
pp. 638-645 ◽  
Author(s):  
F.M. Impellizzeri ◽  
A.F. Mannion ◽  
F.D. Naal ◽  
O. Hersche ◽  
M. Leunig
Keyword(s):  
Surgical Treatment ◽  
Femoroacetabular Impingement ◽  
Early Outcome

Surgical Treatment of Femoroacetabular Impingement: What Are the Limits of Hip Arthroscopy?

2014 ◽  
Vol 30 (1) ◽  
pp. 99-110 ◽  
Author(s):  
Ira Zaltz ◽  
Bryan T. Kelly ◽  
Christopher M. Larson ◽  
Michael Leunig ◽  
Asheesh Bedi
Keyword(s):  
Surgical Treatment ◽  
Femoroacetabular Impingement ◽  
Hip Arthroscopy

Predictors of the clinical outcome and survival without degenerative arthritis after surgical treatment of femoroacetabular impingement

2018 ◽  
Vol 23 (1) ◽  
pp. 117-121
Author(s):  
Nizamettin Kockara ◽  
Hakan Sofu ◽  
Ahmet Issin ◽  
Yalkın Çamurcu ◽  
Aysegul Bursali
Keyword(s):  
Surgical Treatment ◽  
Clinical Outcome ◽  
Femoroacetabular Impingement ◽  
Degenerative Arthritis

Surgery is no more effective than conservative treatment for Femoroacetabular impingement syndrome: Systematic review and meta-analysis of randomized controlled trials

2020 ◽  
pp. 026921552096669 ◽  
Author(s):  
Robson Massi Bastos ◽  
Jorge Geraldo de Carvalho Júnior ◽  
Suellen Aline Martinez da Silva ◽  
Shirley Ferreira Campos ◽  
Matheus Vieira Rosa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Femoroacetabular Impingement ◽  
Methodological Quality ◽  
Impingement Syndrome ◽  
Level Of Evidence ◽  
Femoroacetabular Impingement Syndrome ◽  
Quality Evidence

Objective: To summarize the effects of surgical treatment compared to conservative treatment in femoroacetabular impingement syndrome in the short, medium, and long term. Study Design: Systematic review Methods: The following databases were searched on 14/09/2020: MEDLINE, EMBASE, CENTRAL, Web of Science, and PEDro. There were no date or language limits. The methodological quality assessment was performed using the PEDro scale and the quality of the evidence followed the GRADE recommendation. The outcomes pain, disability, and adverse effects were extracted. Results: Of 6264 initial studies, three met the full-text inclusion criteria. All studies were of good methodological quality. Follow up ranged from six months to two years, with 650 participants in total. The meta-analyses found no difference in disability between surgical versus conservative treatment, with a mean difference (MD) between groups of 3.91 points (95% CI –2.19 to 10.01) at six months, MD of 5.53 points (95% CI –3.11 to 14.16) at 12 months and 3.8 points (95% CI –6.0 to 13.6) at 24 months. The quality of the evidence (GRADE) varied from moderate to low across all comparisons. Conclusion: There is moderate-quality evidence that surgical treatment is not superior to conservative treatment for femoroacetabular impingement syndrome in the short term, and there is low-quality evidence that it is not superior in the medium term. Level of evidence: Therapy, level 1a. Registration number: PROSPERO CRD42019134118

The management of symptomatic femoroacetabular impingement: what is the rationale for non-surgical treatment?

2016 ◽  
Vol 50 (9) ◽  
pp. 511-512 ◽  
Author(s):  
Nicola C Casartelli ◽  
Nicola A Maffiuletti ◽  
Mario Bizzini ◽  
Bryan T Kelly ◽  
Florian D Naal ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Femoroacetabular Impingement ◽  
Non Surgical Treatment

Analysis of Surgical Treatment Outcomes in Femoroacetabular Impingement Syndrome

2012 ◽  
Vol 32 (5) ◽  
pp. 1201-1206 ◽  
Author(s):  
Murat BÜLBÜL ◽  
Metin UZUN ◽  
Semih AYANOĞLU ◽  
Yunus İMREN ◽  
Kahraman ÖZTÜRK ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Treatment Outcomes ◽  
Femoroacetabular Impingement ◽  
Impingement Syndrome ◽  
Femoroacetabular Impingement Syndrome
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