2024 AANA/ISAKOS Specialty Day All-Access Pass-FAI With Early Osteoarthritis in a 30-Year-Old Male (Tonnis II) Discussion & Voting

FAI With Early Osteoarthritis in a 30-Year-Old Male (Tonnis II) Discussion & Voting

Video Transcription

Video Summary

Experts discuss the challenges in predicting long-term success of hip arthroscopy versus arthroplasty, emphasizing that evidence is often single-center and not universally applicable. Shared decision-making with patients is crucial, given uncertainties. Economic considerations vary by country, with Canadian data suggesting patients accept arthroscopy if benefit lasts ~4.6 years, while US data favors a 16-year threshold. Gender alone isn't decisive; prognostic factors include age, joint space, cartilage damage, and MRI findings like subchondral cysts. Disparities in outcomes arise from surgeon expertise. Overall, balancing patient preferences, imaging, and economic factors is key to treatment choice.

Keywords

hip arthroscopy

arthroplasty

shared decision-making

prognostic factors

economic considerations