AANA Hip Arthroscopy - September 2024-What's the Evidence_ The Latest Evidence in Hip Arthroscopy and Preservation Surgery

What's the Evidence_ The Latest Evidence in Hip Arthroscopy and Preservation Surgery

Video Transcription

Video Summary

Dr. Olufemi Ege from McMaster University presented findings from the first level 1 randomized trial on femoroacetabular impingement (FAI) surgery. The trial compared arthroscopic osteochondroplasty versus lavage in symptomatic FAI patients, showing osteochondroplasty significantly reduced reoperation rates at 24 months (7.6% vs. 18.3%). Secondary analyses revealed a 12.6% revision rate overall, no serious complications, and functional improvements plateauing around six months post-op, guiding patient recovery expectations. Prognostic factors for better outcomes included younger age and lower BMI. Osteochondroplasty also reduced the hazard of reoperation by 2.54 times versus lavage, supporting its efficacy for FAI management.

Keywords

Femoroacetabular impingement

Arthroscopic osteochondroplasty

Randomized controlled trial

Reoperation rates

Patient recovery outcomes