APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-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 summarizes key findings from the first Level 1 trial on femoroacetabular impingement (FAI) treatment. The trial compared arthroscopic osteochondroplasty to lavage and found no pain difference at one year, but significantly fewer reoperations at two years in the osteochondroplasty group. Secondary studies showed a 12.6% revision rate, no major complications, and that functional improvements plateau around six months post-surgery, guiding return-to-activity timelines. Prognostic factors for better outcomes included younger age and lower BMI. Overall, osteochondroplasty reduced reoperation risk by 2.54 times versus lavage, providing robust evidence for surgical correction efficacy in FAI management.

Asset Caption

Olufemi R. Ayeni, M.D.

Keywords

Femoroacetabular impingement

Arthroscopic osteochondroplasty

Lavage

Reoperation rates

Functional recovery