Arthroscopic surgery for hip impingement versus best conventional care

Not Applicable

Completed

• Conditions: Femoroacetabular impingement (FAI); Musculoskeletal Diseases

• Registration Number: ISRCTN64081839
• Lead Sponsor: niversity Hospitals Coventry and Warwickshire (UK)

Brief Summary

2016 Protocol article in http://www.ncbi.nlm.nih.gov/pubmed/27580837 protocol 2018 Results article in http://www.ncbi.nlm.nih.gov/pubmed/29893223 results 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/35229713/ results in Health Technology Assessment (added 02/03/2022)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-02-28
• Study Completion: 2019-07-30
• Last Update Posted: 14 March 2022

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 348

Inclusion Criteria

Inclusion criteria as of 15/03/2016:
1. Age =16 (no upper age limit)
2. Symptoms of hip pain - patients may also have symptoms of clicking, catching or giving way
3. Radiographic evidence of pincer- and/or cam-type FAI morphology on plain radiographs and cross-sectional imaging, defined as:
3.1. Cam morphology - an alpha angle >55º;
3.2. Pincer morphology - a lateral centre edge angle of >40 degrees or a crossover sign on the anteroposterior radiograph of the pelvis
4. The treating surgeon believes the patient would benefit from arthroscopic FAI surgery
5. The patient is able to give written informed consent and to participate fully in the interventions and follow-up procedures

Original inclusion criteria:
1. Age =16 (no upper age limit)
2. Symptoms of hip pain - patients may also have symptoms of clicking, catching or giving way
3. Radiographic evidence of pincer- or cam-type FAI on plain radiographs confirmed with cross-sectional imaging, defined as alpha angle >55° or lateral centre edge angle >40°
4. The treating surgeon believes the patient would benefit from arthroscopic FAI surgery
5. The patient is able to give written informed consent and to participate fully in the interventions and follow-up procedures

Exclusion Criteria

1. Evidence of pre-existing osteoarthritis, defined as Tonnis grade >1, or more than 2 mm loss of superior joint space width on AP pelvic radiograph
2. Previous significant hip pathology such as Perthes' disease, slipped upper femoral epiphysis, or avascular necrosis
3. Previous hip injury such as acetabular fracture, hip dislocation or femoral neck fracture
4. Previous shape changing surgery (open or arthroscopic) in the hip being considered for treatment

Study & Design

• Study Type: Interventional
• Study Design: Not specified