ICL 305-1 Arthroscopic Management of Hip Labral Pathology and Impingement: 2014-Systematic Review in FAI Surgery

Video Transcription

Video Summary

This presentation highlights the importance of systematic reviews and evidence-based decision-making to improve femoroacetabular impingement (FAI) practice. Systematic reviews synthesize broad data, minimize bias, and often include meta-analyses to combine quantitative results. FAI surgery is increasing rapidly, but the literature shows mostly lower-quality evidence with limited high-level studies. Diagnosis remains challenging due to variability among clinicians and poor-quality online patient information. Despite these challenges, evidence supports early surgery benefits, labral repair over debridement, and safety in pediatric patients. Learning hip arthroscopy requires a long, gradual skill development beyond initial cases. Outcome measures vary widely, complicating comparisons, but reducing alpha angle and improving patient function are promising indicators. Complication rates are low (around 4%), with mostly minor, transient issues. The future lies in standardized, composite outcome measures integrating clinical data, imaging, biomarkers, and biomechanics to provide comprehensive patient assessments and improve FAI management.

Keywords

femoroacetabular impingement

systematic reviews

evidence-based decision-making

hip arthroscopy

outcome measures