Is Arthroscopic Hip Labral Repair/Reconstruction Surgery Effective for Treating Femoroacetabular Impingement in the Presence of Osteoarthritis?

Clin J Sport Med. 2021 Jul 1;31(4):367-373. doi: 10.1097/JSM.0000000000000768.


Objective: To investigate clinical outcomes after arthroscopic labral preservation surgery for femoroacetabular impingement (FAI) in the presence of osteoarthritis (OA) compared with FAI without significant OA.

Design: Retrospective case-control study.

Setting: Department of Orthopaedic Surgery and Sports Medicine, Hospital of Academic Institute.

Patients: Femoroacetabular impingement patients (n = 97; ≥35 years) undergoing arthroscopic FAI correction with labral preservation surgery from March 2009 to April 2014 were enrolled in this study.

Interventions: Patients were divided into 2 groups: FAI group (79 patients), with Tonnis grade 0 or 1, and FAI + OA group (18 patients), with Tonnis grade 2 or 3.

Main outcome measures: We examined the clinical outcomes using the Modified Harris Hip Score (MHHS), Nonarthritic Hip Score (NAHS), and the conversion rate to total hip arthroplasty (THA).

Results: No significant differences existed between the 2 groups with respect to age, sex, follow-up period, or preoperative MHHS or NAHS. The mean MHHS and NAHS at the final follow-up were significantly lower in the FAI + OA group than in the FAI group. There was a significant difference in the rate of conversion to THA and failure between the 2 groups (THA 5% vs 50%) (failure 15% vs 67%).

Conclusion: Patients with FAI in the presence of OA did not improve after arthroscopic labral preservation surgery and had a high conversion rate to THA.

Level of evidence: Level III.

MeSH terms

  • Arthroscopy
  • Case-Control Studies
  • Femoracetabular Impingement* / surgery
  • Hip Joint / surgery
  • Humans
  • Osteoarthritis* / complications
  • Plastic Surgery Procedures
  • Retrospective Studies
  • Treatment Outcome