Arthroscopy: The Journal of Arthroscopic & Related Surgery
Systematic ReviewConsistency of Reported Outcomes After Arthroscopic Management of Femoroacetabular Impingement
Section snippets
Identification of Studies
Two reviewers (M.K. and B.M.H.) searched Medline and EMBASE (1946 to June 2012) for clinical studies reporting on outcomes after arthroscopic FAI surgery. The search strategy combined the following terms: arthroscopy or hip arthroscopy, hip, impingement, and femoroacetabular impingement. All articles published during this period were reviewed for inclusion in this study.
The reviewers also completed a search of the references of recent reviews, as well as a review of the references of each
Study Identification
Our initial literature search yielded 727 studies, of which 29 met the inclusion and exclusion criteria for this review17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45 (Fig 1). There was 100% agreement between the reviewers during the study identification process.
Study Characteristics
All included studies were conducted between 2007 and 2012. The articles included in this review involved a total of 2,816 patients. Of the studies, 14 were conducted in
Key Findings
This systematic review explores the consistency of outcome reporting after arthroscopic FAI surgery and identifies significant variation in reported clinical and radiographic outcomes after arthroscopic treatment of FAI. The 3 most commonly reported clinical outcomes were the MHHS (45%), the NAHS (28%), and the WOMAC survey (18%). The most commonly reported radiographic outcomes included the alpha angle and progression of degenerative changes.
Importance of Findings
There is tremendous interest in the evaluation and
Conclusions
There is significant variation in reported clinical and radiographic outcomes after arthroscopic treatment of FAI. This study highlights the need for consistent outcome reporting after arthroscopic FAI surgery.
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Cited by (44)
Return to Duty After Mini-Open Arthroscopic-Assisted Treatment of Femoroacetabular Impingement in an Active Military Population
2019, Arthroscopy, Sports Medicine, and RehabilitationCitation Excerpt :Despite the large body of evidence that suggests successful outcomes in active populations, the question remains as to why coverage was not provided sooner than 2016. It is likely because of the variability of reporting clinical findings, radiographic findings, and outcomes in the literature.1-4 TRICARE is not the only health care insurance entity that has been hesitant to provide coverage for FAI surgery.
Return to Sport Following Femoroacetabular Impingement Syndrome
2019, Operative Techniques in Sports MedicineCitation Excerpt :The literature portrays improved clinical short-term and midterm outcomes after surgery for FAI.40 However, there is high variability in the use of PROMs among the FAI literature.40,65 Although the most commonly used scoring systems used for FAI are the modified Harris Hip Score (mHHS) and the HOS, their clinical relevance can be difficult to interpret.66,67
Assessing the Outcome of Hip Arthroscopy for Labral Tears in Femoroacetabular Impingement Using the Minimum Dataset of the British Non-arthroplasty Hip Register: A Single-Surgeon Experience
2018, Arthroscopy - Journal of Arthroscopic and Related SurgeryCitation Excerpt :Other studies similarly reported improved hip function,4,6 although many used the HHS,4,6 which was excluded from the MDS.12 Recent systematic reviews have suggested use of the iHOT in preference to the HHS for young to middle-aged adults with groin pain31 and encouraged standardization of outcome reporting,8 whereas a recent consensus statement encouraged routine collection of hip-specific scores (including iHOT-12) and HRQoL instruments (e.g., EQ-5D),10 both of which have been adopted in the NAHR12 and the Swedish hip arthroscopy registry.17 Surgeons who perform hip arthroscopy have also acknowledged the need for functional outcome reporting.9
Prevalence and Consistency in Surgical Outcome Reporting for Femoroacetabular Impingement Syndrome: A Scoping Review
2018, Arthroscopy - Journal of Arthroscopic and Related SurgeryFemoroacetabular Impingement: Have We Hit a Global Tipping Point in Diagnosis and Treatment? Results from the InterNational Femoroacetabular Impingement Optimal Care Update Survey (IN FOCUS)
2016, Arthroscopy - Journal of Arthroscopic and Related SurgeryCitation Excerpt :Patient-centered outcomes, primarily pain relief, were shown to be principal to identifying success after FAI surgery. Future research determining which combination of outcome scores and radiographic and advanced imaging findings is most beneficial and, potentially, future advances in cartilage biomarkers have been identified in the literature as the next steps forward in assessing successful surgical interventions.4,26 In general, most respondents agreed that weak to moderate evidence exists regarding the diagnosis and treatment of FAI.
Funded in part by a Canada Research Chair (M.B.). The authors report that they have no conflicts of interest in the authorship and publication of this article.