Affiliation:
1. Department of Orthopaedic Surgery, Northwestern University, 259 East Erie, 13th Floor, Chicago, IL 60611, USA
Abstract
Abstract
One in four patients presenting with femoroacetabular impingement (FAI) has bilateral symptoms, and despite excellent outcomes reported after arthroscopic treatment of FAI, there remains a paucity of data on the outcomes following bilateral hip arthroscopy. This systematic review aims to examine the outcomes following bilateral (either ‘simultaneous’ or ‘staged’) versus unilateral hip arthroscopy for FAI. A systematic review of multiple electronic databases was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and checklist. All studies comparing simultaneous, staged and/or unilateral hip arthroscopy for FAI were eligible for inclusion. Case series, case reports and reviews were excluded. All study, patient and hip-specific data were extracted and analyzed. The Newcastle–Ottawa Scale was used to assess study quality. A meta-analysis was not performed due to heterogeneity among outcome measures. A total of six studies, including 722 patients (42.8% male) and 933 hips were eligible for inclusion. The mean age across patients was 35.5. The average time between staged procedures was 7.7 months. Four of the six studies were retrospective cohort studies, while the remaining two were prospective in nature. The overall quality of the eligible studies was found to be good. No significant difference was noted among patient-reported outcomes (modified Harris hip score, hip outcome score and non-arthritic hip score), visual analog scale, return to sport, traction time and complications between those undergoing bilateral (simultaneous or staged) versus unilateral hip arthroscopy. Based on the current available evidence, bilateral hip arthroscopy (whether simultaneous or staged) exhibits similar efficacy and safety when compared with unilateral hip arthroscopy. However, further prospective study is required to confirm this finding.
Publisher
Oxford University Press (OUP)
Subject
General Earth and Planetary Sciences,General Environmental Science
Reference27 articles.
1. Femoroacetabular impingement: a cause for osteoarthritis of the hip;Ganz;Clin Orthop Relat Res,2003
2. Femoroacetabular impingement: defining the condition and its role in the pathophysiology of osteoarthritis;Sankar;J Am Acad Orthop Surg,2013
3. Prevalence of cam-type femoroacetabular impingement morphology in asymptomatic volunteers;Hack;J Bone Joint Surg Am,2010
4. The prevalence of cam-type femoroacetabular deformity in asymptomatic adults;Jung;J Bone Joint Surg Br,2011
5. Computed tomography assessment of hip joints in asymptomatic individuals in relation to femoroacetabular impingement;Kang;Am J Sports Med,2010
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