Summary of results for hip arthroscopy with 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) | Femoral osteoplasty | Cam FAI | 24 | Isolated CAM | 10F; 14M | 33 | NR | 12 | MHHS | ID | MHHS pre 59; post 83; improved 24 points |
| Other4 5 | Other1 | ||||||||||
| Brunner38 39 (17) | Femoral osteoplasty | Cam FAI | 53 | FAI | 12F; 41M | 42 | NR | 28 | NAHS | NAHS no sport 2.24 (1.17 to 3.30) | |
| NAHS sport 1.72 (1.30 to 2.14) | |||||||||||
| Sport=45 | VAS | VAS no sport 2.93 (1.87 to 3.99) | |||||||||
| No sport=8 | VAS sport 2.09 (1.67 to 2.51) | ||||||||||
| Brunner38 39 (21) | Femoral osteoplasty | Cam FAI | Group 1–25 (CTN) | Cam FAI | 11F; 39M | 42 | NR | 26 | NAHS | VAS CTN 2.33 (1.76 to 2.90) | |
| VAS no CTN 2.05 (1.48 to 2.62) | |||||||||||
| NAHS CTN 2.06 (1.51 to 2.61) | |||||||||||
| Other4 5 | Group 2–25 (no CTN) | VAS | NAHS no CTN 1.58 (1.01 to 2.15) | ||||||||
| Gédouin59 (17) | Femoral osteoplasty | FAI unspecified | 38 | FAI, positive impingement test | 5F; 33M | 36 | 6 Months–10 years | 15 | WOMAC | WOMAC 1.18 (0.69 to 1.66) | |
| Other4–6 | Other1 | PMA | PMA 1.16 (0.71 to 1.62) | ||||||||
| Haviv33 (17) | Femoral osteoplasty | Cam FAI | 170 | Cam FAI, acetabular chondral lesions | 34F; 132M | 37 | 3713–64 77–84 | 22 | MHHS | MHHS 0.93 (0.71 to 1.14) | |
| Other4 | Other2 | NAHS | NAHS 0.92 (0.70 to 1.13) | ||||||||
| Horisberger28 37 (17) | Femoral osteoplasty | Cam FAI | 88 (105 hips) | Cam or mixed FAI | 28F; 60M | 40 | 40.916–57 77–79 | 28 | NAHS | ID | NAHS pre 56.7; post 84.6; improved 27.9 |
| Combined FAI | VAS | VAS pre 5.5; post 1.5; improved 4 points | |||||||||
| Other4–6 | Other1 2 | ||||||||||
| Ilizaliturri58 (18) | Femoral osteoplasty | Cam FAI | 19 | Cam FAI | 8F; 11M | 34 | 3425–40 | 24 | WOMAC | 0.78 (0.12 to 1.44) | |
| Other4 5 | Other1 2 | ||||||||||
| Larson45 (16) | Femoral osteoplasty | Cam FAI | 96 | FAI | 42F; 54M | 34 | 34.715–57 77 | 9 | MHHS | MHHS 1.44 (1.15 to 1.73) | VAS pre 6.74; post 1.88; improved 4.86 points |
| Combined FAI | VAS | SF12 pre 60.2; post 77.7 improved 17.5 points | |||||||||
| Other4 5 8 | Other1 2 | SF12 | |||||||||
| Nassif44 (17) | Femoral osteoplasty | FAI unspecified | 135 | FAI | 65F; 70M | 32 | 32.73 14–50 | 22 | HHS | 1.64 (1.40 to 1.88) | |
| Other4 5 | Other1 2 | ||||||||||
| Nepple30 (16) | Femoral osteoplasty | Cam FAI | 25 | Cam lesion; labral tear | 8F; 17M | 33 | NR | 20 | MHHS | ID | MHHS pre 64.5; post 90.5; improved 26 points |
| Other4 5 | Other1 2 | ||||||||||
| Philippon40 71 (17) | Femoral osteoplasty | Cam FAI | 112 | FAI, chondrolabral dysfunction | 62F; 50M | 40 | 34 (25.2-42.8) | 28 | MHHS | ID | MHHS pre 58; post 84; improved 26 points |
| Pincer FAI | HOS | HOS ADL pre 70; post 87; improved 17 points | |||||||||
| Combined FAI | NAHS | ||||||||||
| Other4 5 7–9 | Other1 2 | NAHS pre 66; post 81; improved 15 points | |||||||||
| Philippon4 47 (16) | Femoral osteoplasty | Cam FAI | 28 | Professional ice hockey player, unilateral hip pain | 0F; 28M | 27 | 19 (1.5 – 99) | 24 | MHHS | ID | MHHS pre 70; post 95; improved 25 points |
| Pincer FAI | |||||||||||
| Combined FAI | |||||||||||
| Other5 8 | Other1 2 | ||||||||||
| Singh34 (16) | Femoral osteoplasty | Cam FAI | 24 (27 hips) | ARF players, hip/groin pain not responding to conservative treatment | 0F; 24M | 22 | NR | 22 | MHHS | ID | MHHS pre 86; post 96; improved 10 points |
| Pincer FAI | |||||||||||
| Combined FAI | VAS | NAHS pre 81; post 96; improved 15 points | |||||||||
| Other4 5 8 | Other1–3 | ||||||||||
| Stähelin41 (17) | Femoral osteoplasty | Cam FAI | 22 | Symptomatic Cam FAI | 7F; 15M | 42 | NR | 6 | NAHS | NAHS Tonnis 0; 2.2 (1.42 to 2.98) | |
| NAHS Tonnis I-II; 0.92 (–0.15 to 1.98) | |||||||||||
| VAS Tonnis 0; 2.26 (1.49 to 3.04) | |||||||||||
| Other4 5 8 | Other1 2 | VAS | VAS Tonnis I-II; 2.0 (0.94 to 3.07) | ||||||||
| Tzaveas49 (17) | Femoral osteoplasty | Cam FAI | 19 | Acetabular chondral defects | 14F; 5M | 36 | NR | 12 | MHHS | 0.07 (0.42 to 1.73) | |
| Other4 5 8 10 | Other1 2 | ||||||||||
↵† Mean (SD).
↵‡ Range.
1Labral pathology; 2chondropathy; 3synovitis; 4Labral debridement; 5Chondral debridement; 4Microfracture; 6Removal loose bodies; 7 Synovectomy; 8Labral repair; 9Acetabular osteoplasty; 10Chondral repair (fibrin adhesive)
Cam FAI, lesion at femoral head neck junction; CTN, CT-based navigation system; FAI, femoro-acetabular impingement; F, female; ID, insufficient data; HHS, Harris hip score score range 0–100 points, 100 points=best possible outcome; M, male; MHHS, modified Harris hip score score range 0–100 points, 100 points=best possible outcome; NAHS, non-arthritic hip score (score range 0–100 points, 100 points=best possible outcome); NR, not reported; PMA, Postel Merle d’Aubigne score (score range 0–18 points, 18 points=best possible outcome); THA, total hip arthroplasty; Tonnis, preoperative grading of osteoarthritis using Tonnis scale; VAS, visual analogue scale (score range 0–10 points, 0 points=best possible outcome); WOMAC, Western Ontario and McMaster universities osteoarthritis index (score range 0–100 points, 100 points=best possible outcome).