Arthroscopy yielded long-term improvements, satisfaction for patients with symptomatic FAI
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According to published results, arthroscopic intervention is a safe and viable treatment option with positive outcomes and satisfaction at 10 years in patients with symptomatic femoroacetabular impingement.
Researchers analyzed 119 patients from an institutional hip registry who were treated arthroscopically for symptomatic femoroacetabular impingement (FAI). Outcome measures included survivorship, patient satisfaction, conversion to total hip replacement, repeat hip arthroscopy (RHA), range of motion (ROM), radiological findings, modified Harris Hip Score (mHHS), University of California, Los Angeles (UCLA) activity scale, SF-36 and WOMAC scores at a minimum of 10 years.
Overall, researchers found arthroscopic treatment of FAI yielded statistically significant improvements in mHHS, SF-36 and WOMAC scores and patient satisfaction (90%) at 10 years; however, no changes in UCLA activity scale were seen among the cohort. According to the study, 8.4% of patients required conversion to THR and 5.9% required RHA. The 10-year survivorship rate was 91.6%.
“The results of this study demonstrate the long-term success of arthroscopic correction of FAI for symptomatic patients,” the researchers wrote in the study. “Furthermore, patients can expect sustained improvements in general health status, as well as hip-specific symptoms and function,” they concluded.
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