BACKGROUND: Surgery is sometimes recommended for femoroacetabular impingement where non-operative interventions have failed. OBJECTIVES: To determine the benefits and safety of surgery for femoroacetabular impingement. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (2013, Issue 11); MEDLINE (Ovid) (1946 to 19 November 2013); and EMBASE (Ovid) (1980 to 19 November 2013) for studies, unrestricted by language. SELECTION CRITERIA: Randomised and quasi-randomised clinical trials assessing surgical intervention compared with placebo treatment, non-operative treatment or no treatment in adults with femoroacetabular impingement. DATA COLLECTION AND ANALYSIS: Two authors independently selected trials for inclusion, assessed risk of bias and extracted data. MAIN RESULTS: There were no studies that met the inclusion criteria, with 11 studies that were excluded following detailed review. There were four ongoing studies identified that may meet the inclusion criteria when they are completed; the results from these ongoing studies may begin to become available within the next five years. Three of the four ongoing studies are comparing hip arthroscopy versus non-operative care. The fourth study is comparing hip arthroscopy versus a sham arthroscopic hip procedure. All of the ongoing studies are recording at least one of our preferred clinical outcome measures for benefit and safety. AUTHORS' CONCLUSIONS: There is no high quality evidence examining the effectiveness of surgery for femoroacetabular impingement. There are four ongoing studies, which may provide evidence for the benefit and safety of this type of surgery in the future.
BACKGROUND: Surgery is sometimes recommended for femoroacetabular impingement where non-operative interventions have failed. OBJECTIVES: To determine the benefits and safety of surgery for femoroacetabular impingement. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (2013, Issue 11); MEDLINE (Ovid) (1946 to 19 November 2013); and EMBASE (Ovid) (1980 to 19 November 2013) for studies, unrestricted by language. SELECTION CRITERIA: Randomised and quasi-randomised clinical trials assessing surgical intervention compared with placebo treatment, non-operative treatment or no treatment in adults with femoroacetabular impingement. DATA COLLECTION AND ANALYSIS: Two authors independently selected trials for inclusion, assessed risk of bias and extracted data. MAIN RESULTS: There were no studies that met the inclusion criteria, with 11 studies that were excluded following detailed review. There were four ongoing studies identified that may meet the inclusion criteria when they are completed; the results from these ongoing studies may begin to become available within the next five years. Three of the four ongoing studies are comparing hip arthroscopy versus non-operative care. The fourth study is comparing hip arthroscopy versus a sham arthroscopic hip procedure. All of the ongoing studies are recording at least one of our preferred clinical outcome measures for benefit and safety. AUTHORS' CONCLUSIONS: There is no high quality evidence examining the effectiveness of surgery for femoroacetabular impingement. There are four ongoing studies, which may provide evidence for the benefit and safety of this type of surgery in the future.
Authors: Damian R Griffin; Edward J Dickenson; Felix Achana; James Griffin; Joanna Smith; Peter Dh Wall; Alba Realpe; Nick Parsons; Rachel Hobson; Jeremy Fry; Marcus Jepson; Stavros Petrou; Charles Hutchinson; Nadine Foster; Jenny Donovan Journal: Health Technol Assess Date: 2022-02 Impact factor: 4.014
Authors: Adam Weir; Peter Brukner; Eamonn Delahunt; Jan Ekstrand; Damian Griffin; Karim M Khan; Greg Lovell; William C Meyers; Ulrike Muschaweck; John Orchard; Hannu Paajanen; Marc Philippon; Gilles Reboul; Philip Robinson; Anthony G Schache; Ernest Schilders; Andreas Serner; Holly Silvers; Kristian Thorborg; Timothy Tyler; Geoffrey Verrall; Robert-Jan de Vos; Zarko Vuckovic; Per Hölmich Journal: Br J Sports Med Date: 2015-06 Impact factor: 13.800
Authors: D R Griffin; E J Dickenson; P D H Wall; J L Donovan; N E Foster; C E Hutchinson; N Parsons; S Petrou; A Realpe; J Achten; F Achana; A Adams; M L Costa; J Griffin; R Hobson; J Smith Journal: BMJ Open Date: 2016-08-31 Impact factor: 2.692
Authors: Peter Dh Wall; Edward J Dickenson; David Robinson; Ivor Hughes; Alba Realpe; Rachel Hobson; Damian R Griffin; Nadine E Foster Journal: Br J Sports Med Date: 2016-10 Impact factor: 13.800