EVALUATION OF THE ROLE OF HIP ARTHROSCOPY IN THE MANAGEMENT OF FEMOROACETABULAR IMPINGEMENT SYNDROME
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Keywords
Evaluation, Hip Arthroscopy, Management, Femoroacetabular Impingement Syndrome
Abstract
Introduction: Femoroacetabular impingement syndrome (FAI) is a condition characterized by abnormal contact between the femoral head and the acetabulum, leading to hip pain and limited range of motion.
Objectives: The main objective of the study is to find the role of hip arthroscopy in the management of femoroacetabular impingement syndrome.
Methodology: This retrospective cohort study was conducted at the department of Orthopedics Hayatabad Medical Complex, Peshawar from August 2021 to August 2022. Data were collected from 85 patients. Patient data were collected from electronic medical records and postoperative follow-up visits to ensure comprehensive analysis. This meant that we pulled variables such as age, gender and BMI as a way of assessing the epidemiologic distribution of the patients.
Results: Data were collected from 85 patients. The Hip Outcome Score (HOS) increased from a preoperative mean of 55.2 (SD 10.3) to a postoperative mean of 80.5 (SD 12.1). Similarly, the International Hip Outcome Tool (iHOT-33) showed a notable rise from 42.7 (SD 9.8) preoperatively to 75.4 (SD 11.7) postoperatively. Additionally, there was a marked reduction in pain levels, with the Visual Analog Scale (VAS) score decreasing from 6.8 (SD 1.4) before surgery to 2.3 (SD 1.1) after surgery.
Conclusion: Hip arthroscopy should be considered a valuable option for patients with FAI who do not respond to conservative treatments, offering substantial improvements in quality of life and hip functionality.
References
2. Buzin S, Shankar D, Vasavada K, Youm T. Hip Arthroscopy for Femoroacetabular Impingement-Associated Labral Tears: Current Status and Future Prospects. Orthop Res Rev. 2022 Apr 21;14:121-132. doi: 10.2147/ORR.S253762. PMID: 35480069; PMCID: PMC9037737.
3. Carter, C.W., Campbell, A., Whitney, D., et al. (2021) 'Characterizing cam-type hip impingement in professional women’s ice hockey players', Phys Sportsmed, 49(2), pp. 203–206. doi: 10.1080/00913847.2020.1808434.
4. Aminoff, A.S., Agnvall, C., Todd, C., et al. (2020) 'Young elite Alpine and Mogul skiers have a higher prevalence of cam morphology than non-athletes', Knee Surg Sports TraumatolArthrosc, 28(4), pp. 1262–1269. doi: 10.1007/s00167-018-5236-4.
5. Egger, A.C., Frangiamore, S., and Rosneck, J. (2016) 'Femoroacetabular Impingement: a review', Sports Med Arthrosc Rev, 24(4), pp. e53–e58. doi: 10.1097/JSA.0000000000000126.
6. Leunig, M., Juni, P., Werlen, S., et al. (2013) 'Prevalence of cam and pincer-type deformities on hip MRI in an asymptomatic young Swiss female population: a cross-sectional study', Osteoarthritis Cartilage, 21(4), pp. 544–550. doi: 10.1016/j.joca.2013.01.003.
7. Anbar, A., Ragab, Y., Zeinhom, F., et al. (2017) 'Cam versus pincer femoroacetabular impingement. Which type is associated with more hip structural damage? An exploratory cross-sectional study', CurrOrthopPract, 28(2), pp. 188–194. doi: 10.1097/BCO.0000000000000481.
8. Shibata, K.R., Matsuda, S. and Safran, M.R. (2017) 'Arthroscopic hip surgery in the elite athlete: comparison of female and male competitive athletes', Am J Sports Med, 45(8), pp. 1730–1739. doi: 10.1177/0363546517697296.
9. Tibor, L.M. and Sekiya, J.K. (2008) 'Differential diagnosis of pain around the hip joint', Arthroscopy, 24(12), pp. 1407–1421. doi: 10.1016/j.arthro.2008.06.019.
10. Hunt, D., Prather, H., Harris-Hayes, M. and Clohisy, J.C. (2012) 'Clinical outcomes analysis of conservative and surgical treatment of patients with clinical indications of prearthritic, intra-articular hip disorders', PM R, 4(7), pp. 479–487. doi: 10.1016/j.pmrj.2012.03.012.
11. Reiman, M.P., Goode, A.P., Cook, C.E., Holmich, P. and Thorborg, K. (2015) 'Diagnostic accuracy of clinical tests for the diagnosis of hip femoroacetabular impingement/labral tear: a systematic review with meta-analysis', Br J Sports Med, 49(12), p. 811. doi: 10.1136/bjsports-2014-094302.
12. Vahedi, H., Aalirezaie, A., Azboy, I., Daryoush, T., Shahi, A. and Parvizi, J. (2019) 'Acetabular labral tears are common in asymptomatic contralateral hips with femoroacetabular impingement', Clin OrthopRelat Res, 477(5), pp. 974–979. doi: 10.1097/CORR.0000000000000567.
13. Domb, B.G. (2019) 'Insights(R): CORR acetabular labral tears are common in asymptomatic contralateral hips with femoroacetabular impingement', Clin OrthopRelat Res, 477(5), pp. 980–982. doi: 10.1097/CORR.0000000000000606.
14. Philippon, M.J., Patterson, D.C. and Briggs, K.K. (2013) 'Hip arthroscopy and femoroacetabular impingement in the pediatric patient', J PediatrOrthop, 33(Suppl 1), pp. S126–130. doi: 10.1097/BPO.0b013e318274f834.
15. Todd, J.N., Maak, T.G., Anderson, A.E., Ateshian, G.A. and Weiss, J.A. (2021) 'How does chondrolabral damage and labral repair influence the mechanics of the hip in the setting of cam morphology? A finite-element modeling study', Clin OrthopRelat Res, 480, pp. 10–97.
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Khalid Iqbal
Registrar, Mercy Teaching Hospital
Muhammad Ishfaq
Consultant Orthopedic Surgeon
Yousaf Gul
AP GMC, DHQ MTI, DI Khan
Sohail Rehman
Consultant Paediatric Orthopedic Surgeon
Baqir Hussain
AP MTI Lady Reading Hospital
Ikramullah Khan
Consultant Orthopedic Surgeon
Farman Ullah
Registrar Orthopedic Hayatabad Medical Complex