Multicenter outcomes of arthroscopic surgery for femoroacetabular impingement in the community hospital setting.

Dean K Matsuda,Charito Calipusan,Francois Antounian,Raoul Burchette,Stefano Bini,Faith F Anthony,Monti Khatod,Jessica Harris

doi:10.1093/jhps/hnw024

Abstract

The purpose of this study is to determine multi-center outcomes from arthroscopic surgery for femoroacetabular impingement in the community hospital setting. A prospective design with 2-year minimum follow-up using the nonarthritic hip score (NAHS), a 100-point scale of perceived post-operative change for pain, activities of daily living, sports activities, and patient satisfaction was implemented at three community hospitals. Of 150 enrolled patients (159 hips) with mean age of 40 years (range, 12–73), there was 81% participation. Mean NAHS at preoperative was 54.9, 3 months: 66.6, 12 months: 74.9 and 24 months: 75.4. This represents a 20.5-point improvement in NAHS (P < 0.001). On the 100-point scale, pain was rated +73.5, ADL’s: +76.2 and sports: +68.6. 64% of patients were satisfied with their surgical outcome. Conversion arthroplasty rate was 8.8% and complication rate was 2.5%. In conclusion, arthroscopic surgery for symptomatic femoroacetabular impingement in the community setting provides safe and successful outcomes.

Highlights

Femoroacetabular impingement (FAI) is a leading cause of hip pain and dysfunction and a risk factor for osteoarthrosis
A prospective design with 2-year minimum follow-up using the nonarthritic hip score (NAHS), a 100-point scale of perceived post-operative change for pain, activities of daily living, sports activities, and patient satisfaction was implemented at three community hospitals
As the utilization of hip arthroscopy expands, a larger prevalence of arthroscopic surgery for FAI is being performed in the community hospital or ambulatory surgery center setting

Summary

Introduction

Femoroacetabular impingement (FAI) is a leading cause of hip pain and dysfunction and a risk factor for osteoarthrosis. Surgical treatment using open or arthroscopic methods appear to yield symptomatic improvement and functional restoration in the majority of those patients [1]. Hip arthroscopy in general and arthroscopic surgery for FAI in particular may have a very long learning curve [2]. As the utilization of hip arthroscopy expands, a larger prevalence of arthroscopic surgery for FAI is being performed in the community hospital or ambulatory surgery center setting. The purpose of this study is to determine multi-center outcomes from arthroscopic surgery for femoroacetabular impingement in this setting. Our hypothesis is that arthroscopic FAI surgery in the community setting provides safe and efficacious outcomes

Objectives

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Results

Conclusion