Clinical Orthopaedics and Related Research®

, Volume 471, Issue 8, pp 2477–2483

Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?

  • Ajay Malviya
  • Christos P. Paliobeis
  • Richard N. Villar
Symposium: Advanced Hip Arthroscopy

DOI: 10.1007/s11999-013-2787-z

Cite this article as:
Malviya, A., Paliobeis, C.P. & Villar, R.N. Clin Orthop Relat Res (2013) 471: 2477. doi:10.1007/s11999-013-2787-z



Although a large number of athletes’ returns to sports after hip arthroscopic surgery for femoroacetabular impingement (FAI), it is not clear if they do so to the preinjury level and whether professional athletes (PA) are more likely to return to the preinjury level compared with recreational athletes (RA).


We therefore compared (1) the time taken to return to the preinjury level of sport between professional and recreational athletes; (2) the degree of improvement in time spent in training and competitive activities after arthroscopic surgery for FAI; and (3) the difference in trend of improvement in hip scores.


We prospectively followed 80 athletes (PA = 40, RA = 40; mean age, 35.7 years; males = 50, females = 30; mean followup, 1.4 years; range, 1–1.8 years) who underwent hip arthroscopy for FAI. We measured the time to return to sports; training time and time in competition; and the modified Harris hip score and the nonarthritic hip score.


There was a 2.6-fold improvement in the training time (from 7.8 to 20 hours per week) and a 3.2-fold increase in time in competition (from 2.5 to 7.9 hours per week) 1 year after surgery. The mean time to return to sporting activities was 5.4 months, which was lower for PA (4.2) as compared with RA (6.8). Eighty-two percent (66) (PA = 88% [35] versus RA = 73% [29]) returned to their preinjury level of sport within 1 year of surgery.


The data suggest PA may show quicker return to sports than RA but the hip scores and rate of return to sports are similar.

Level of Evidence

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Copyright information

© The Association of Bone and Joint Surgeons® 2013

Authors and Affiliations

  • Ajay Malviya
    • 1
  • Christos P. Paliobeis
    • 2
  • Richard N. Villar
    • 3
  1. 1.Wansbeck General HospitalNorthumbria Healthcare NHS Foundation TrustAshingtonUK
  2. 2.Hereford HospitalWye Valley NHS TrustHerefordUK
  3. 3.The Richard Villar PracticeSpire Cambridge Lea HospitalCambridgeUK