Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
October 1, 2021JBJS Open AccessOpen Access

Surgical Treatment of Femoroacetabular Impingement

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Most reported results of surgical treatment for femoroacetabular impingement have been limited to short- and intermediate-term follow-up, leaving long-term success rates and risk factors for failure largely unknown.

Does femoroacetabular osteoplasty improve long-term clinical outcomes and prevent conversion to total hip arthroplasty in patients with symptomatic femoroacetabular impingement?

Population

164 patients (178 hips) undergoing femoroacetabular osteoplasty

Comparison

Success group vs failure group

Design

Cohort study using a prospective hip preservation database

Follow-up

Mean 12.5 years (minimum 10 years)

Authors

HVHamed VahediSYSteven YacovelliCDClaudio Díaz

Discussion

Loading...

Member takes

Overview

FAI surgery yields durable gains in most at >10 years; leaves open optimal selection amid identified failure risks.

Structured PICO

Does femoroacetabular osteoplasty improve long-term clinical outcomes and prevent conversion to total hip arthroplasty in patients with symptomatic femoroacetabular impingement?

P
Population
164 patients (178 hips) with symptomatic femoroacetabular impingement (FAI) who underwent femoroacetabular osteoplasty (FAO) between January 2005 and April 2009. Mean age 34.3 ± 8.4 years, 40% female. Excluded: definitive diagnosis of hip dysplasia, history of slipped capital femoral epiphysis, osteonecrosis of the femoral head, or previous femoral head/neck/acetabular fracture.
I
Intervention
Femoroacetabular osteoplasty (FAO) and labral repair using a mini-open technique.
O
Outcome
Clinical functional outcomes (modified Harris hip score [mHHS] and Short Form-36 [SF-36]) and failure rates (conversion to total hip arthroplasty [THA]) at a minimum 10-year follow-up.hard clinical

Femoroacetabular osteoplasty provides durable pain relief and functional improvement over a decade in the majority of patients, with older age and joint space narrowing predicting conversion to total hip arthroplasty.

Limitations

  • Retrospective review of data despite a prospective database
  • Did not investigate variables such as socioeconomic status, smoking, race, activity level, and Workers' Compensation
  • Lack of a gold standard for the definition of a poor functional outcome
  • Low number of hips in the failure group may decrease external validity of reported risk factors

Cite This Study

Vahedi et al. (2021) studied this question.

synapsesocial.com/papers/6a70ab57f44fa9f079de596dhttps://doi.org/10.2106/jbjs.oa.20.00176
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Survivorship of Femoroacetabular Impingement Surgery at Mean 10-Year Follow-up2026
  2. 2LONG-TERM EVALUATION OF ARTHROSCOPIC TREATMENT FOR FEMOROACETABULAR IMPINGEMENT SYNDROME: MINIMUM 15-YEAR FOLLOW-UP2026
  3. 3Long-Term Outcomes of Arthroscopic Labral Treatment of Femoroacetabular Impingement in Adolescents2024 · 13 citations
  4. 4AGE, BMI, AND LATERAL JOINT SPACE WIDTH NEGATIVELY INFLUENCE OUTCOMES AT 12-YEAR FOLLOW-UP OF HIP ARTHROSCOPY FOR FEMOROACETABULAR IMPINGEMENT2025
  5. 5Patient Factors Influencing Outcomes at 12-Year Follow-up of Hip Arthroscopy for Femoroacetabular Impingement2024 · 14 citations