Table 2.
Clinical outcomes reported from studies evaluating femoroacetabular impingement
| Study | Hips/patients | Surgical approach | Clinical outcome scores | Number clinically good or excellent outcome (%) | Mean change in hip score (average change) | Failure definition | Failure (%) | Recommended or conversion to THA (%), avg. months post-index procedure | Radiographic osteoarthritis progression |
|---|---|---|---|---|---|---|---|---|---|
| Siebenrock et al. [35] (2003) | 29/22 | Open | Merle d’Aubigné Score | 28 hips (96%) | 2.9 points | fair results/residual pain | 1 (3%), | 0 (0%) | NA |
| Beck et al. [6] (2004) | 19/19 | Open | Merle d’Aubigné Score | 13 hips (68%) | 2.4 points | conversion to THA | 5 (26%), | 5 (26%); 37.2 months | 2 (10.5%) |
| Murphy et al. [29] (2004) | 23/23 | Open | Merle d’Aubigné Score | NA | 3.7 points | conversion to THA | 7 (23%) | 7 (23%) | NA |
| Espinosa et al. [14] (2006) | 60/52 | Open | Merle d’Aubigné Score | 52 hips (87%) LRS Group: 19 hips (76%) LRF Group: 33 hips (94%) |
LRS Group: 3 points, LRF Group: 5 points | Poor Results Group I; Moderate Results Group II | 1 (4%); 2 (6%) | NA | NA |
| Peters et al. [30] (2006) | 30/29 | Open | Harris Hip Score | NA | 17 points | pain and/or progressive arthrosis | 4 (13%) | 3 (10%); 10 months | 10 (33%) |
| Beaule et al. [4] (2007) | 37/34 | Open | WOMAC, UCLA, SF-12 | N/A | WOMAC, 20.2 points UCLA, 2.7 points SF-12 physical, 8.3 points SF-12 mental, 4.8 points |
unsatisfactory outcome, no clinical improvement and/or worsening WOMAC score | 6 (16%) | 0 (0%) | NA |
| Ilizaliturri et al. [21] (2007) | 14/13 | Arthroscopic | WOMAC | NA | 9.6 points | NA | 0 (0%) | 0 (0%) | 0 (0%) |
| Ilizaliturri et al. [22] (2008) | 19/19 | Arthroscopic | WOMAC | NA | 7 points | advanced OA, recommended THA | 1 (5%), | 1 (5%) | 1 (5%) |
| Laude et al. [24] (2009) | 100/97 | Combined (Limited open/ arthroscopic) | NAHS | NA | 29.1 points | conversion to THA | 11 (11%) | 11 (11%); 40 months | 11 (11%) |
| Philippon et al. [31] (2009) | 112/112 | Arthroscopic | MHHS, HOS ADL, HOS Sport, NAHS | NA | MHHS, 24 points HOS ADL, 17 points HOS Sport, 24 points NAHS, 14 points |
conversion to THA | 10 (9%), | 10 (9%); 16 months | NA |
| Brunner et al. [8] (2009) | 53/53 | Arthroscopic | SFS, NAHS, VAS | NA | SFS, 1.06 points NAHS, 31.3 points VAS, 4.1 points |
NA | NA | NA | NA |
ADL = activities of daily living; HHS = Harris Hip Score; HOOS = Hip Outcome Score; LRF = labral refixation; LRS = labral resection; MHHS = Modified Harris Hip Score; NA = data not available; NAHS = non-arthritic hip score; VAS = visual analog pain scale.