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Trial for Femoroacetabular Impingement Treatment

Not Applicable
Conditions
Femoroacetabular Impingement
Interventions
Other: Physiotherapy and activity modification
Procedure: Arthroscopic treatment of femoroacetabular impingement
Registration Number
NCT01893034
Lead Sponsor
University of Oxford
Brief Summary

Femoroacetabular Impingement (FAI) describes a condition of the hip where additional bone results in the abutment of the femoral neck against the rim of the acetabulum. This gives rise to localised cartilage damage and pain, but also increases the risk of developing osteoarthritis. The purpose of this study is to compare the effectiveness of arthroscopic surgery versus physiotherapy and activity modification for the treatment of this condition.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
120
Inclusion Criteria
  • Symptomatic patients
  • Age 18-60 years
  • Clinical and radiological evidence of FAI
  • Competent to consent
Exclusion Criteria
  • Prior hip surgery
  • Established osteoarthritis (Kellgren-Lawrence >/= 2)
  • Hip dysplasia (Centre-Edge angle < 20 degrees on radiograph)
  • Completion of physiotherapy programme targeting FAI within past year
  • Co-morbidities that mean surgical intervention is not possible/safe
  • Contraindication to MRI
  • Pregnancy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Conservative treatmentPhysiotherapy and activity modificationPhysiotherapy and activity modification
Surgical treatmentArthroscopic treatment of femoroacetabular impingementArthroscopic treatment of femoroacetabular impingement
Primary Outcome Measures
NameTimeMethod
Hip Outcome Score8 months post randomisation (approximately 6 months post intervention)

Hip Outcome Score is a patient reported outcome measure

Secondary Outcome Measures
NameTimeMethod
Hip RadiographsRegular intervals up to 38 months post randomisation (approximately 3 years post intervention)

* Morphological Parameters

* Measures of Osteoarthritis

Patient Reported Outcome MeasuresRegular intervals up to 38 months post randomisation (approximately 3 years post intervention)
Morphological and Physiological MRIRegular intervals up to 38 months post randomisation (approximately 3 years post intervention)

* Morphological Parameters

* Measures of Osteoarthritis

Clinical ExaminationRegular intervals up to 38 months post randomisation (approximately 3 years post intervention)

* Range of Movement

* Impingement Tests

Serum and Urinary Biomarkers of OsteoarthritisRegular intervals up to 38 months post randomisation (approximately 3 years post intervention)

Trial Locations

Locations (2)

Royal Berkshire Hospital

🇬🇧

Reading, United Kingdom

Nuffield Orthopaedic Centre, Oxford University Hospitals Trust

🇬🇧

Oxford, United Kingdom

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