Open surgical dislocation versus arthroscopic treatment of femoroacetabular impingement
Authors
Botser IB, Jackson TJ, Smith TW, Leonard JP, Stake CE, Domb BG
DOI: Not available (PMID: 24839626)
Purpose
To compare clinical outcomes of open surgical dislocation versus arthroscopic treatment for femoroacetabular impingement (FAI).
Methods
Prospective study comparing 5 patients treated with open surgical dislocation and 18 patients treated arthroscopically by the same surgeon. Patient-reported outcomes (mHHS, NAHS, HOS-SSS, HOS-ADL) were collected preoperatively and at 3, 6, and 12 months post-op.
Key Findings
- Both groups improved significantly in outcome scores.
- Arthroscopy patients showed faster recovery and better early improvements at 3 and 6 months, with NAHS significantly better at 3 months.
- At 1 year, improvements were similar between the two groups.
Conclusion
Both open surgical dislocation and arthroscopic treatment are effective for FAI. Arthroscopy may offer quicker early recovery, but larger studies are needed for definitive comparisons.
What This Means for Patients
Patients have multiple effective surgical options for FAI. Arthroscopy might allow a faster return to activity, but both methods provide good results after one year.