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. 2014 Sep 8;2014(9):CD010796. doi: 10.1002/14651858.CD010796.pub2

Ayeni and Bhandari 2012.

Trial name or title Femoroacetabular Impingement Randomized Controlled Trial (FIRST)
Methods Randomised double blind parallel efficacy trial
Participants Inclusion criteria:
  • Hip pain for greater than 6 months with no relief from non‐operative means

  • CAM or mixed‐type FAI as diagnosed on x‐rays and MRI/MRA

  • Temporary relief from an intra‐articular hip injection

  • Informed consent from participant

  • English speaker


Exclusion criteria:
  • Inability to complete forms or follow up due to cognitive or language barriers

  • Previous randomisation in a study involving FAI

  • Evidence of hip dysplasia (centre edge angle less than 20)

  • Presence of advanced hip osteoarthritis (Tonnis Grade 3 or 4)

  • Previous trauma to the affected hip previous surgery on the affected hip

  • Isolated pincer lesion

  • Immunosuppressive medication use

  • Chronic pain syndromes

  • Significant medical co‐morbidities (requiring daily assistance for activities of daily living (ADLs))

  • History of paediatric hip disease (Legg‐Calve‐Perthes, slipped capital femoral epiphysis)

  • Ongoing litigation or compensation claims secondary to hip

Interventions
  • Arthroscopic osteochondroplasty of the hip joint

  • Sham surgery ‐ arthroscopic lavage of the hip joint with 3 litres of normal saline

Outcomes Primary outcome measures:
Feasibility of definitive trial (time frame: 2 years)
 Secondary outcome measures:
Change in pain scores at 6 months using visual rating scale (time frame: 6 months)
Change in heath status and function using SF‐12, NAHS and HOS questionnaires (time frame: 1 year)
Starting date September 2012
Contact information Nicole Simunovic tel: 905‐527‐4322 ext 44695 email: simunon@mcmaster.ca
Notes