Medium/Long-Term Outcome for the Surgical Treatment of Femoroacetabular Impingement – Comparison of Outcome between Surgical Dislocation with Arthroscopy

Description

In this presentation, Reza Ojaghi, a first-year resident at the University of Ottawa, discusses a study on the long-term outcomes of surgical dislocation versus arthroscopy for treating femoroacetabular impingement (FAI). FAI is an abnormal contact between the femur and acetabulum, causing cartilage damage. The study, conducted between 2005 and 2011, involved 399 hips, with 100 treated through surgical dislocation and 299 through arthroscopy. The primary aim is to evaluate the survivorship of both techniques after at least five years, while the secondary aim focuses on comparing the differences between these surgical interventions. The findings reveal a higher survivorship rate for arthroscopy (95.9%) compared to surgical dislocation (87.6%). Though both groups showed significant improvements in functional outcomes, the statistical analysis did not indicate a clear predictor for the varying outcomes, suggesting that increased cartilage damage may lead to a higher likelihood of reoperation in both groups. Ojaghi concludes that despite the differences in surgical outcomes, both approaches provide substantial survivorship with acceptable functional improvements.

DOI: 10.1302/3114-210277

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