Outcome after hip arthroscopy for femoroacetabular impingement in 289 patients with minimum 2-year follow-up

Scand J Med Sci Sports. 2017 Feb;27(2):230-235. doi: 10.1111/sms.12641. Epub 2016 Jan 21.

Abstract

Femoroacetabular impingement (FAI) is a common cause of hip pain and dysfunction. The purpose of this study was to report outcome 2 years after the arthroscopic treatment of FAI using validated outcome measurements. Two hundred and eighty-nine patients (males = 190, females = 99) with a mean age of 37 years underwent arthroscopic surgery for FAI. Patients were included consecutively in a hip arthroscopy registry. The cohort was evaluated using online web-based validated health-related patient-reported outcomes measurements, including the iHOT-12, HAGOS, EQ-5D, HSAS for physical activity level, VAS for overall hip function and overall satisfaction. The mean follow-up time was 25.4 months. Pre-operative scores compared with those obtained at follow-up revealed statistically and clinically significant improvements (P < 0.05) for all measured outcomes; iHOT-12 (43 vs 66), VAS for global hip function (50 vs 71), HSAS (2.9 vs 3.6), EQ-5D index (0.58 vs 0.75), EQ-VAS (67 vs 75) and HAGOS different subscales (56 vs 76, 51 vs 69, 60 vs 78, 40 vs 65, 29 vs 57, 33 vs 58). At the 2-year follow-up, 236 patients (82%) reported they were satisfied with the outcome of surgery. We conclude that arthroscopic treatment for FAI resulted in statistically and clinically significant improvements in outcome parameters.

Keywords: FAI; Hip arthroscopy; registry.

MeSH terms

  • Adult
  • Arthroscopy / methods*
  • Cohort Studies
  • Exercise
  • Female
  • Femoracetabular Impingement / physiopathology
  • Femoracetabular Impingement / surgery*
  • Fibrocartilage / physiopathology
  • Fibrocartilage / surgery*
  • Follow-Up Studies
  • Hip Joint / physiopathology
  • Hip Joint / surgery*
  • Humans
  • Male
  • Middle Aged
  • Patient Reported Outcome Measures
  • Patient Satisfaction
  • Prospective Studies
  • Registries*
  • Treatment Outcome
  • Visual Analog Scale
  • Young Adult