Summary of results for hip arthroscopy without osteoplasty
| Study characteristics | Sample characteristics | Effect size at follow up | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Paper (total score using Downs and Black appraisal) | Intervention | Pathology | Sample size | Inclusion criteria | Gender | Age (years)† | Duration of symptoms (months)‡ | Follow up (months)† | Outcome | Effect size (95% CI) | Study conclusions (where effect size=ID) |
| Bardakos31 (19) | Labral and chondral debridement | Labral | 47 | Isolated CAM | 10F; 14M | 35 | NR | 12 | MHHS | ID | MHHS pre 55; post 77; improved 22 points |
| Burnett3(17) | Labral debridement Other9 | Labral | 66 | Labral tear | 47F; 19M | 38 | 21(2–156) | 16.4 | MHHS | ID | MHHS: pre 62; post 83; improved 21 points |
| Byrd51 (19) | Arthroscopy | Labral; other1–7 | 35 (38 hips) | NR | 17F; 18M | 38 | 21 (1–156) | 24 | MHHS | ID | MHHS pre 57; post 85; improved 28 points |
| Byrd52 (15) | Labral and chondral debridement Other9–11 | Labral; other6 7 | 48 | Dysplasia | 28F, 20M | 34 | 29(2–180) | 27 | MHHS | ID | MHHS improved 27 points |
| Byrd53 (18) | Other10 | Other6 | 23 | Ligamentum teres lesion | 14F; 9M | 28 | 29 | 28.5(.5–144) | MHHS | ID | MHHS pre 47; post 90; improved 43 points |
| Byrd54 (16) | Labral and chondral debridement | Labral; other4 7 | 26 | Labral tear | 13F; 13M | 46 | NR | 24 | MHHS | ID | MMHS pre 52; post 81; improved 29 points |
| Byrd55 (15) | Labral and chondral debridement | Labral; other1 4–6 | 15 | Injury onset during sport | 4F; 11M | 31 | NR | 120 | MHHS | ID | MHHS pre 51, post 96; improved 45 points |
| Byrd56 (16) | Arthroscopy | Labral; other1 2 4–6 | 50 (52 hips) | Various disorders | 23F; 27M | 38 | NR | 120 | MHHS | ID | MHHS pre 56; post 81; improved 25 points |
| Freedman46 (15) | Arthroscopy | Labral | 24 | Labral tear | 13F; 11M | 37 | NR | 24 | MHHS SF-36 | ID | MHHS pre NR; post 70 |
| Kamath50 (18) | Labral and chondral debridement Other9 12 | Labral | 42 | Labral tear | 32F; 20M | 42 | NR | 58 | MHHS | ID | MHHS pre 56.8; post 80.4; improved 23.6 points |
| Kocher36 (15) | Labral debridement | Labral | 30 | Dancer with labral tear | 29F; 1M | 20 | 20 (14.1–38) | 19.6 | MHHS | 5.46 (4.95 to 5.98) | |
| Nepple30 (16) | Labral and chondral debridement | Labral; other7 8 | 23 | Cam lesion; labral tear | 11F; 12M | 37 | NR | 28 | MHHS | ID | MHHS pre 59.8; post 83.1; improved 23.3 points |
| Philippon4 47 (20) | Other13 | Labral | 47 | Labral degeneration | 15F; 32M | 47 | 3717–50 | 18 | MHHS | ID | MHHS pre 62; post 85; improved 23 points |
| Prather35 (15) | Arthroscopy | Labral; other7 8 | 130 | Early intra-articular disorders | 93F; 37M | 31 | NR | 15.9 | MHHS | 3.12 (2.87 to 3.36) | |
| Streich48 (18) | Labral and chondral debridement | Labral | 50 | Labral tear without FAI, dysplasia | 29F; 21M | 33 | NR | 34 | MHHS VAS | ID | MHHS pre 59.8; post 72.2 improved 12.4 points VAS pre 6; post 4; improved 2 points |
| Yamamoto32 (14) | Labral debridement | Labral; other2 | 10 | Labral tear and dysplasia | 10F | 33 | NR | 8 | HHS | ID | HHS pre 64.5; post 92.5; improved 28 points |
↵† Mean (SD).
↵‡ Range.
1Osteoarthritis;2dysplasia;3Perthes disease;4avascular necrosis;5synovitis;4synovial chondromatosis;6ligamentum teres;7chondropathy;8FAI;9microfracture;10LT debridement;11removal loose bodies;12labral repair;13labral reconstruction.
F, female; FAI, femoro-acetabular impingement; HHS, Harris hip score (score range 0–100 points, 100 points=best possible outcome); ID, insufficient data; M, male; MHHS, modified Harris hip score (score range 0–100 points, 100 points=best possible outcome); NR, not reported; VAS, visual analogue scale (score range 0–10 points, 0 points=best possible outcome).