Key result
Surgical treatment of femoroacetabular impingement syndrome improves short-term function, but its ability to prevent or delay conversion to total hip arthroplasty remains unknown.
This editorial highlights that while surgical treatment for FAI syndrome improves short-term outcomes, its long-term ability to prevent osteoarthritis and total hip arthroplasty remains unknown.
Surgical treatment of femoroacetabular impingement (FAI) syndrome has been proven to be tremendously successful, outperforming the best conservative care and physical therapy in several prospective multicenter randomized controlled trials. The durability of this operation over time is less commonly reported on. We do know that FAI is associated with the development of hip osteoarthritis, and this is well established. We also know that surgical FAI treatment results in good short-term return to function/sport and improvements in patient-reported outcomes. We do not yet know if we are able to alter the natural history of FAI and prevent or delay conversion to total hip arthroplasty in this population.
No takes yet. Share an insight, caveat, or question.
Westermann et al. (2021) conducted an editorial in Femoroacetabular impingement (FAI) syndrome. Surgical treatment vs. Conservative care and physical therapy was evaluated. Surgical treatment of femoroacetabular impingement syndrome improves short-term function, but its ability to prevent or delay conversion to total hip arthroplasty remains unknown.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: