Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Adolescents Improves Outcomes and Clinical Benefit Achievement Rates at Short-Term Follow-Up: A Multicenter Analysis
Authors
Maldonado DR, Kufta AY, Krych AJ, Levy BA, Okoroha KR, Gonzalez-Carta K, Domb BG
Journal
Arthroscopy, May 2023
Background
Femoroacetabular impingement syndrome (FAIS) in adolescents can significantly impact hip function. This study reports on the outcomes of primary hip arthroscopy in adolescents with FAIS.
Methods
- Data from two high-volume hip arthroscopy centers were analyzed for adolescents (≤19 years old) who underwent primary hip arthroscopy for FAIS.
- A minimum 2-year follow-up was used to assess patient-reported outcomes (PROs), including the mHHS, NAHS, and iHOT-12.
Key Findings
- Significant improvement in PROs and high patient satisfaction (8.8/10) were observed.
- The minimal clinically important difference (MCID) was achieved by a majority of patients.
- 68.3% of patients achieved the patient-acceptable symptomatic state (PASS), and 77% showed maximal outcome improvement (MOI).
Conclusions
Adolescents who underwent hip arthroscopy for FAIS showed significant improvement in pain and function, with high achievement rates for clinically important outcomes.
What Does This Mean For Patients
If you're an adolescent with FAIS, hip arthroscopy could offer substantial improvements in pain and hip function, with a high chance of achieving clinically meaningful recovery.