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Does Femoral Retroversion Adversely Affect Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome? A Midterm Analysis

Authors

Lall AC, Battaglia MR, Maldonado DR, Perets I, Laseter JR, Go CC, Domb BG
DOI: 10.1016/j.arthro.2019.03.046

Background

Femoral retroversion (a condition where the thigh bone is turned backward) may impact hip arthroscopy outcomes for patients with femoroacetabular impingement (FAI). However, it is unclear whether femoral retroversion leads to worse surgical outcomes.

Methods

This study followed 59 patients with femoral retroversion who underwent hip arthroscopy for FAI. Their outcomes were compared to a matched group of patients with normal femoral version over a 5-year period.

Key Findings

Patients with femoral retroversion had similar improvements in pain and function as those with normal femoral version. Both groups showed significant improvement in patient-reported outcomes.

Conclusions

Femoral retroversion does not appear to negatively affect the outcomes of hip arthroscopy for FAI. It should not be a reason to avoid surgery but should be considered during surgical planning.

What Does This Mean for Patients

If you have femoral retroversion and are considering hip arthroscopy for FAI, you can expect similar outcomes as those with a normal femoral version.