Skip to main content
Log in

Predicting Outcomes in Hip Arthroscopy for Femoroacetabular Impingement Syndrome

  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of Review

Arthroscopic treatment of femoroacetabular impingement syndrome (FAIS) continues to rise in incidence, and thus there is an increased focus on factors that predict patient outcomes. The factors that impact the outcomes of arthroscopic FAIS treatment are complex. The purpose of this review is to outline the current literature concerning predictors of patient outcomes for arthroscopic treatment of FAIS.

Recent Findings

Multiple studies have shown that various patient demographics, joint parameters, and surgical techniques are all correlated with postoperative outcomes after arthroscopic FAIS surgery, as measured by both validated patient-reported outcome (PRO) scores and rates of revision surgery including hip arthroplasty.

Summary

To accurately predict patient outcomes for arthroscopic FAIS surgery, consideration should be directed toward preoperative patient-specific factors and intraoperative technical factors. The future of accurately selecting patient predictors for outcomes will only improve with increased data, improved techniques, and technological advancement.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Ghaffari A, Davis I, Storey T, Moser M. Current concepts of femoroacetabular impingement. Radiologic Clin. 2018;56:965–82. https://doi.org/10.1016/j.rcl.2018.06.009.

    Article  Google Scholar 

  2. Gohal C, Shamshoon S, Memon M, et al. Health-related quality of life after hip arthroscopy for femoroacetabular impingement: a systematic review and meta-analysis. Sports Health. 2019;11(3):209–17. https://doi.org/10.1177/1941738119838799.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hale RF, Melugin HP, Zhou J, et al. Incidence of femoroacetabular impingement and surgical management trends over time. Ame J Sports Med. 2021;49(1):35–41. https://doi.org/10.1177/0363546520970914.

    Article  Google Scholar 

  4. Jamil M, Dandachli W, Noordin S, Witt J. Hip arthroscopy: indications, outcomes and complications. Int J Surg. 2017;54:341–4. https://doi.org/10.1016/j.ijsu.2017.08.557.

    Article  PubMed  Google Scholar 

  5. Maupin JJ, Steinmetz G, Thakral R. Management of femoroacetabular impingement syndrome: current insights. Orthopedic Res Rev. 2019;11:99–108. https://doi.org/10.2147/ORR.S138454.

    Article  Google Scholar 

  6. Menge TJ, Truex NW. Femoroacetabular impingement: a common cause of hip pain. Physician and Sportsmedicine. 2018;46(2):139–44. https://doi.org/10.1080/00913847.2018.1436844.

    Article  PubMed  Google Scholar 

  7. Nepple JJ, Clohisy JC. Evolution of femoroacetabular impingement treatment: the ANCHOR experience. Ame J Orthoped. 2017;46(1):28–34.

    Google Scholar 

  8. Zusmanovich M, Haselman W, Serrano B, Banffy M. the incidence of hip arthroscopy in patients with femoroacetabular impingement syndrome and labral pathology increased by 85% between 2011 and 2018 in the United States. Arthroscopy: The J Arthroscopic Related Surg. 2022;38(1):82–7. https://doi.org/10.1016/j.arthro.2021.04.049.

    Article  Google Scholar 

  9. Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthopaedics Related Res. 2003;417:112–20. https://doi.org/10.1097/01.BLO.0000096804.78689.C2.

    Article  Google Scholar 

  10. •• Minkara AA, Westermann RW, Rosneck J, Sean Lynch T. Systematic review and meta-analysis of outcomes after hip arthroscopy in femoroacetabular impingement. Ame J Sports Med. 2019;47(2):488–500. https://doi.org/10.1177/0363546517749475. Systematic review and meta-analysis looking at 19,111 patients and assessing factors associated with outcomes in FAIS surgery. Factors were grouped into patient characteristics, PROs, joint parameters, and operative treatment and assessed with positive and negative outcomes.

    Article  Google Scholar 

  11. Nasser R, Domb B. Hip arthroscopy for femoroacetabular impingement. EFORT Open Rev. 2018;3(4):121–9. https://doi.org/10.1302/2058-5241.3.170041.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Chambers CC, Zhang AL. Outcomes for surgical treatment of femoroacetabular impingement in adults. Curr Rev Musculoskeletal Med. 2019;12:271–80. https://doi.org/10.1007/s12178-019-09567-1.

    Article  Google Scholar 

  13. Gollwitzer H, Möckel G, Sobau C. Surgical treatment of femoroacetabular impingement syndrome : arthroscopy-mini-open-surgical hip dislocation. Der Orthopade. 2022;51(3):219–29. https://doi.org/10.1007/S00132-022-04213-0.

    Article  PubMed  Google Scholar 

  14. • Griffin DR, Dickenson EJ, Wall PDH, et al. Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial. The Lancet. 2018/6// 2018;391(10136):2225-2235. https://doi.org/10.1016/S0140-6736(18)31202-9. Randomized controlled trial demonstrating superior efficacy of hip arthroscopy compared to non-surgical treatment of FAIS.

  15. Hunter DJ, Eyles J, Murphy NJ, et al. Multi-centre randomised controlled trial comparing arthroscopic hip surgery to physiotherapist-led care for femoroacetabular impingement (FAI) syndrome on hip cartilage metabolism: the Australian FASHIoN trial. BMC Musculoskeletal Disorders. 2021;22:697–713. https://doi.org/10.1186/s12891-021-04576-z.

    Article  PubMed  PubMed Central  Google Scholar 

  16. • Palmer AJR, Gupta V, Fernquest S, et al. Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial. BMJ. 2019;364:1–13. https://doi.org/10.1136/bmj.l185. Randomized controlled trial demonstrating superior efficacy of hip arthroscopy compared to non-surgical treatment of FAIS.

    Article  Google Scholar 

  17. Schwabe MT, Clohisy JC, Cheng AL, et al. Short-term clinical outcomes of hip arthroscopy versus physical therapy in patients with femoroacetabular impingement a systematic review and meta-analysis of randomized controlled Trials. Orthopaedic J Sports Med. 2020;8(11):1–10. https://doi.org/10.1177/2325967120968490.

    Article  Google Scholar 

  18. Bonazza NA, Homcha B, Liu G, Leslie DL, Dhawan A. Surgical trends in arthroscopic hip surgery using a large national database. Arthroscopy: J Arthroscopic Related Surg. 2018;34(6):1825–30. https://doi.org/10.1016/j.arthro.2018.01.022.

    Article  Google Scholar 

  19. •• Domb BG, Chen SL, Go CC, et al. Predictors of clinical outcomes after hip arthroscopy: 5-year follow-up analysis of 1038 patients. American Journal of Sports Medicine. 2021/1// 2021;49(1):112-120. https://doi.org/10.1177/0363546520968896. Retrospective review of factors associated with positive and negative outcomes for patients (860) who had a minimum of 5-year follow up after FAIS surgery.

  20. • Su CA, Trivedi NN, Salata MJ, Voos JE. Advances in hip arthroscopy. Techniques in Orthopaedics. 2021/9// 2021;36(3):210-215. https://doi.org/10.1097/BTO.0000000000000495. Review article discussing advances in FAIS surgical techniques and how they may improve outcomes.

  21. Volpin A, Maden C, Biz C, Hossain F, Zagra L, Konan S. Hip arthroscopy current advances. Acta Orthopædica Belgica2020. p. 158-164.

  22. Von Glinski A, Yilmaz E, Goodmanson R, et al. The impact of the 30 most cited articles on hip arthroscopy: what is the subject matter? J Hip Preserv. 2020;7(1):14–21. https://doi.org/10.1093/jhps/hnz067.

    Article  Google Scholar 

  23. Wininger AE, Dabash S, Ellis TJ, Nho SJ, Harris JD. The key parts of hip arthroscopy for femoroacetabular impingement syndrome implications for the learning curve. Orthopaedic J Sports Med. 2021;9(6):1–9. https://doi.org/10.1177/23259671211018703.

    Article  Google Scholar 

  24. Flores SE, Sheridan JR, Borak KR, Zhang AL. When do patients improve after hip arthroscopy for femoroacetabular impingement? A prospective cohort analysis. Ame J Sports Med. 2018;46(13):3111–8. https://doi.org/10.1177/0363546518795696.

    Article  Google Scholar 

  25. •• Kuroda Y, Saito M, Çinar EN, Norrish A, Khanduja V. Patient-related risk factors associated with less favourable outcomes following hip arthroscopy: a scoping review. Bone and Joint Journal. 2020/7// 2020;102(7):822-831. https://doi.org/10.1302/0301-620X.102B7.BJJ-2020-0031.R1. Systematic review and meta-analysis looking at 90,315 hips that have undergone FAIS surgery and assessing what factors contribute to less favorable outcomes.

  26. Wolfson TS, Ryan MK, Begly JP, Youm T. Outcome trends after hip arthroscopy for femoroacetabular impingement: when do patients improve? Arthroscopy: The Journal of Arthroscopic and Related Surgery. 2019/12// 2019;35(12):3261-3270. https://doi.org/10.1016/j.arthro.2019.06.020

  27. • Domb BG, Martin TJ, Gui C, Chandrasekaran S, Suarez-Ahedo C, Lodhia P. Predictors of clinical outcomes after hip arthroscopy a prospective analysis of 1038 patients with 2-year follow-up. The American Journal of Sports Medicine. 2018;46(6):1324–30. https://doi.org/10.1177/0363546518763362. Retrospective review of factors associated with positive and negative outcomes for patients (1038) who had a minimum of 2-year follow-up after FAIS surgery.

    Article  PubMed  Google Scholar 

  28. Ruzbarsky JJ, Soares R, Johannsen A, Philippon MJ. Survivorship following hip arthroscopy: lessons learned from a comprehensive database. Curr Rev Musculoskeletal Med. 2020;13(5):220–32. https://doi.org/10.1007/s12178-020-09622-2.

    Article  Google Scholar 

  29. Kunze KN, Polce EM, Clapp IM, Alter T, Nho SJ. Association between preoperative patient factors and clinically meaningful outcomes after hip arthroscopy for femoroacetabular impingement syndrome: a machine learning analysis. Ame J Sports Med. 2022;50(3):746–56. https://doi.org/10.1177/03635465211067546.

    Article  Google Scholar 

  30. Stone AV, Jacobs CA, Luo TD, et al. High degree of variability in reporting of clinical and patient-reported outcomes after hip arthroscopy. Ame J Sports Med. 2018;46(12):3040–6. https://doi.org/10.1177/0363546517724743.

    Article  Google Scholar 

  31. • Hatakeyama A, Utsunomiya H, Nishikino S, et al. Predictors of poor clinical outcome after arthroscopic labral preservation, capsular plication, and cam osteoplasty in the setting of borderline hip dysplasia. Ame J Sports Med. 2017;46(1):135–43. https://doi.org/10.1177/0363546517730583. Retrospective review of factors associated with negative outcomes for patients with borderline hip dysplasia who had a minimum of 2-year follow up after FAIS surgery.

    Article  Google Scholar 

  32. • Nwachukwu BU, Beck EC, Lee EK, et al. Application of machine learning for predicting clinically meaningful outcome after arthroscopic femoroacetabular impingement surgery. Ame J Sports Med. 2020;48(2):415-423. https://doi.org/10.1177/0363546519892905. Machine learning algorithm evaluated 1103 patients with minimum of 2-year follow-up and assessed which factors contributed to patients reaching MCID.

  33. Shapira J, Bheem R, Kyin C, et al. Can patient-reported outcomes predict the need for secondary surgeries after hip arthroscopy? Ame J Sports Med. 2020;49(1):97–103. https://doi.org/10.1177/0363546520974374.

    Article  Google Scholar 

  34. Flores SE, Chambers CC, Borak KR, Zhang AL. Is there a gender gap in outcomes after hip arthroscopy for femoroacetabular impingement? Assessment of clinically meaningful improvements in a prospective cohort. Orthopaedic J Sports Med. 2020;8(7):2325967119900561–2325967119900561. https://doi.org/10.1177/2325967119900561.

    Article  Google Scholar 

  35. Kyin C, Maldonado DR, Go CC, Shapira J, Lall AC, Domb BG. Mid- to long-term outcomes of hip arthroscopy: a systematic review. Arthroscopy the Journal of Arthroscopic & Related Surgery. 2021;37(3):1011–25. https://doi.org/10.1016/J.ARTHRO.2020.10.001.

    Article  Google Scholar 

  36. Maldonado DR, Chen JW, Walker-Santiago R, et al. Radiographic and demographic factors can predict the need for primary labral reconstruction in hip arthroscopic surgery: a predictive model using 1398 hips. Ame J Sports Med. 2020;48(1):173–80. https://doi.org/10.1177/0363546519887749.

    Article  Google Scholar 

  37. Shanmugaraj A, Kumar MV, Al Naji O, Simunovic N, Philippon MJ, Ayeni OR. Hip arthroscopy improves outcomes with moderate conversion to total hip arthroplasty rates in patients aged 50 years or older: a systematic review. Arthroscopy: J Arthroscopic Related Surg. 2022:1-13. https://doi.org/10.1016/j.arthro.2022.08.019

  38. Griffin DW, Kinnard MJ, Formby PM, McCabe MP, Anderson TD. Outcomes of hip arthroscopy in the older adult: a systematic review of the literature. Ame J Sports Med. 2017;45(8):1928–36. https://doi.org/10.1177/0363546516667915.

    Article  Google Scholar 

  39. Domb BG, Chaharbakhshi EO, Rybalko D, Close MR, Litrenta J, Perets I. Outcomes of hip arthroscopic surgery in patients with Tönnis grade 1 osteoarthritis at a minimum 5-year follow-up: a matched-pair comparison with a Tönnis grade 0 control group. Ame J Sports Med. 2017;45(10):2294–302. https://doi.org/10.1177/0363546517706957.

    Article  Google Scholar 

  40. Yao JJ, Cook SB, Gee AO, Kweon CY, Hagen MS. What is the survivorship after hip arthroscopy for femoroacetabular impingement? A large-database study. Clinical Orthopaedics and Related Research. 2020;478(10):2266–73. https://doi.org/10.1097/CORR.0000000000001370.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Saks BR, Monahan PF, Hawkins GC, et al. Outcomes after primary hip arthroscopy in athletes older than 40 years compared with nonathletes. Ame J Sports Med. 2022;50(8):2181–9. https://doi.org/10.1177/03635465221096843.

    Article  Google Scholar 

  42. Song BM, Lu Y, Wilbur RR, et al. Machine learning model identifies increased operative time and greater bmi as predictors for overnight admission after outpatient hip arthroscopy. Arthroscopy, Sports Med, Rehab. 2021;3:e1981–90. https://doi.org/10.1016/j.asmr.2021.10.001.

    Article  Google Scholar 

  43. van der Valk MR, Wolterbeek N, van Assen T, Veen MR. Satisfaction, functional outcomes and predictors in hip arthroscopy: a cohort study. HIP International. 2022;32(2):246–52. https://doi.org/10.1177/1120700020963363.

    Article  PubMed  Google Scholar 

  44. Horner NS, Simunovic N, Safran MR, Philippon MJ, Ayeni OR. Hip arthroscopy in patients age 40 or older: a systematic review. Arthroscopy: The J Arthroscopic Related Surg. 2017;33(2):464–75. https://doi.org/10.1016/j.arthro.2016.06.044.

    Article  Google Scholar 

  45. Domb BG, Linder D, Finley Z, et al. Outcomes of hip arthroscopy in patients aged 50 years or older compared with a matched-pair control of patients aged 30 years or younger. Arthroscopy: The J Arthroscopic Related Surge. 2015;31(2):231–8. https://doi.org/10.1016/j.arthro.2014.08.030.

    Article  Google Scholar 

  46. Menge TJ, Briggs KK, Philippon MJ. Predictors of length of career after hip arthroscopy for femoroacetabular impingement in professional hockey players. Ame J Sports Med. 2016;44(9):2286–91. https://doi.org/10.1177/0363546516650649.

    Article  Google Scholar 

  47. Oji NM, Jansson H, Bradley KE, Feeley BT, Zhang AL. Comparing patient-reported outcome measurements for femoroacetabular impingement syndrome. Ame J Sports Med. 2021;49(6):1578–88. https://doi.org/10.1177/0363546521999403.

    Article  Google Scholar 

  48. Haeberle HS, Ramkumar PN, Karnuta JM, et al. Predicting the risk of subsequent hip surgery before primary hip arthroscopy for femoroacetabular impingement syndrome: a machine learning analysis of preoperative risk factors in hip preservation. Ame J Sports Med. 2021;49(10):2668–76. https://doi.org/10.1177/03635465211024964.

    Article  Google Scholar 

  49. Locks R, Bolia I, Utsunomiya H, Briggs K, Philippon MJ. Current concepts in revision hip arthroscopy. HIP International. 2018;28(4):343–51. https://doi.org/10.1177/1120700018771927.

    Article  PubMed  Google Scholar 

  50. Perez-Carro L, Escajadillo NF, Escajadillo LF, Arriaza CR, García MS, Fernandez AA. Simultaneous acetabular labrum reconstruction and remplissage of the femoral head–neck junction. Arthroscopy Techniq. 2019;8(12):e1443–e1443. https://doi.org/10.1016/J.EATS.2019.07.023.

    Article  Google Scholar 

  51. Atzmon R, Safran MR. Arthroscopic treatment of mild/borderline hip dysplasia with concomitant femoroacetabular impingement-literature review. Curr Rev Musculoskeletal Med. 2022;15(5):300–10. https://doi.org/10.1007/s12178-022-09765-4/Published.

    Article  Google Scholar 

  52. Domb BG, Owens JS, Glein RM, Jimenez AE, Maldonado DR. Borderline dysplasia after primary hip arthroscopy with capsular plication and labral preservation. J Bone Joint Surg. 2023;105(9):687–99. https://doi.org/10.2106/JBJS.22.00340.

    Article  PubMed  Google Scholar 

  53. Nepple JJ, Parilla FW, Pashos GE, Clohisy JC. Outcomes of periacetabular osteotomy for borderline acetabular dysplasia. J Bone Joint Surg. 2023;105(2):137–44. https://doi.org/10.2106/JBJS.22.00491.

    Article  PubMed  Google Scholar 

  54. Kunze KN, Krivicich LM, Clapp IM, et al. Systematic review machine learning algorithms predict achievement of clinically significant outcomes after orthopaedic surgery: a systematic review. Arthroscopy J Arthroscopic Related Surg. 2022;38(6):2090–105. https://doi.org/10.1016/j.arthro.2021.12.030.

    Article  Google Scholar 

  55. DeFroda SF, Alter TD, Bodendorfer BM, et al. Clinically significant outcome improvement after hip arthroscopy in patients with femoroacetabular impingement syndrome and severe femoral torsion. Orthopaedic J Sports Med. 2021;9(10) https://doi.org/10.1177/23259671211034588

  56. Boschung A, Md, Antioco T, et al. Large hip impingement area and subspine hip impingement in patients with absolute femoral retroversion or decreased combined version. Orthopaedic J Sports Med. 2023;11(2). https://doi.org/10.1177/23259671221148502

  57. Bessa FS, Williams BT, Polce EM, et al. Indications and outcomes for arthroscopic hip labral reconstruction with autografts: a systematic review. Front Surg. 2020;7. https://doi.org/10.3389/FSURG.2020.00061.

  58. Bodendorfer BM, Alter TD, Wolff AB, et al. Multicenter outcomes after revision hip arthroscopy comparative analysis of 2-year outcomes after labral repair versus labral reconstruction. Ame J Sports Med. 2021;49(11):2968–76. https://doi.org/10.1177/03635465211030511.

    Article  Google Scholar 

  59. Rahl MD, LaPorte C, Steinl GK, O’Connor M, Lynch TS, Menge TJ. Outcomes after arthroscopic hip labral reconstruction: a systematic review and meta-analysis. Ame J Sports Med. 2020;48(7):1748–55. https://doi.org/10.1177/0363546519878147.

    Article  Google Scholar 

  60. Larson CM, Giveans MR, Stone RM. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement. Ame J Sports Med. 2012;40(5):1015–21. https://doi.org/10.1177/0363546511434578.

    Article  Google Scholar 

  61. Raji Y, Vakharia AM, Trivedi NN, Su CA, Salata MJ. Arthroscopic treatment of femoroacetabular impingement: rim trim to closed capsule. Techniq Orthopaedics. 2021;36(3):216–21. https://doi.org/10.1097/BTO.0000000000000512.

    Article  Google Scholar 

  62. Johannsen AM, Ruzbarsky JJ, Pierpoint LA, Soares RW, Briggs KK, Philippon MJ. No correlation between depth of acetabuloplasty or postoperative lateral center-edge angle on midterm outcomes of hip arthroscopy with acetabuloplasty and labral repair. Ame J Sports Med. 2021;49(1):49–54. https://doi.org/10.1177/0363546520972998.

    Article  Google Scholar 

  63. Soriano KKJ, Flores SE, Aung MS, Nguyen TQ, Zhang AL. Treatment of labral calcification in the setting of femoroacetabular impingement syndrome with arthroscopic calcification excision, labral repair, and osteoplasty improves outcomes. Arthroscopy J Arthroscopic Related Surg. 2021;37(2):554–63. https://doi.org/10.1016/j.arthro.2020.10.033.

    Article  Google Scholar 

  64. • Nepple JJ, Parilla FW, Ince DC, Freiman S, Clohisy JC. Does Femoral osteoplasty improve long-term clinical outcomes and survivorship of hip arthroscopy? A 15-year minimum follow-up study. American Journal of Sports Medicine. 2022;50(13):3586-3592. https://doi.org/10.1177/03635465221123048. Retrospective review looking at the impact of femoroplasty in patients with minimum of 15-year follow-up after FAIS surgery.

  65. •• Ayeni OR, Karlsson J, Heels-Ansdell D, et al. Osteochondroplasty and labral repair for the treatment of young adults with femoroacetabular impingement: a randomized controlled trial. Ame J Sports Med. 2021;49(1):25-34. https://doi.org/10.1177/0363546520952804Randomized controlled trial evaluating the benefit of labral repair with femoroplasty versus labral repair alone in FAIS surgery.

  66. Faber BG, Ebsim R, Saunders FR, et al. Cam morphology but neither acetabular dysplasia nor pincer morphology is associated with osteophytosis throughout the hip: findings from a cross-sectional study in UK Biobank. Osteoarthritis Cartilage. 2021;29(11):1521–9. https://doi.org/10.1016/J.JOCA.2021.08.002.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  67. Ha YC, Lim JY, Won YS, Lee YK, Koo KH, Kim JW. Outcomes of arthroscopic femoroplasty in patients with cam lesions minimum 2-year follow-up. Journal of orthopaedic surgery (Hong Kong) 2020;28(2). https://doi.org/10.1177/2309499020942049

  68. Hanzlik S, Riff AJ, Wuerz TH, et al. The prevalence of cam morphology: a cross-sectional evaluation of 3,558 cadaveric femora. Frontiers in surgery. 2021;7. https://doi.org/10.3389/FSURG.2020.588535

  69. Chandrasekaran S, Darwish N, Chaharbakhshi EO, Suarez-Ahedo C, Lodhia P, Domb BG. Minimum 2-year outcomes of hip arthroscopic surgery in patients with acetabular overcoverage and profunda acetabulae compared with matched controls with normal acetabular coverage. Ame J Sports Med. 2017;45(11):2483–92. https://doi.org/10.1177/0363546517708769.

    Article  Google Scholar 

  70. Nguyen KH, Shaw C, Link TM, et al. Changes in hip capsule morphology after arthroscopic treatment for femoroacetabular impingement syndrome with periportal capsulotomy are correlated with improvements in patient-reported outcomes. Arthroscopy J Arthroscopic Related Surg. 2022;38(2):394–403. https://doi.org/10.1016/j.arthro.2021.05.012.

    Article  Google Scholar 

  71. Westermann RW, Bessette MC, Lynch TS, Rosneck J. Does closure of the capsule impact outcomes in hip arthroscopy? A systematic review of comparative studies. Iowa Orthopaedic J. 2018;38:93–93.

    Google Scholar 

  72. Gao G, Jiao C, Liu J, et al. Healing of joint capsule after hip arthroscopy using interportal capsulotomy and capsular closure influences clinical outcomes. J Orthopaedic Surg Res. 2022;17(1). https://doi.org/10.1186/S13018-022-03208-Z

  73. Liu L, Zhang Y, Gui Q, et al. Effect of capsular closure on outcomes of hip arthroscopy for femoracetabular impingement: a systematic review and meta-analysis. Orthopaedic Surg. 2020;12:1153–63. https://doi.org/10.1111/os.12717.

    Article  Google Scholar 

  74. • Looney AM, McCann JA, Connolly PT, Comfort SM, Curley AJ, Postma WF. Routine capsular closure with hip arthroscopic surgery results in superior outcomes: a systematic review and meta-analysis. Ame J Sports Med. 2022;50(7):2007-2022. https://doi.org/10.1177/03635465211023508. Systematic review and meta-analysis demonstrating patients that undergo capsular closure in FAIS surgery have significantly higher PRO scores and superior improvement.

  75. Parvaresh K, Rasio JP, Martin RL, et al. Achievement of meaningful clinical outcomes is unaffected by capsulotomy type during arthroscopic treatment of femoroacetabular impingement syndrome results from the multicenter arthroscopic study of the hip (MASH) study group. Ame J Sports Med. 2021;49(3):713–20. https://doi.org/10.1177/0363546520987226.

    Article  Google Scholar 

  76. Kunze KN, Vadhera A, Devinney A, et al. Effect of capsular closure after hip arthroscopy for femoroacetabular impingement syndrome on achieving clinically meaningful outcomes: a meta-analysis of prospective and comparative studies. Orthopaedic J Sports Med. 2021;9(6). https://doi.org/10.1177/23259671211017467

  77. Luo DT, Edward C, Beck MPH, et al. Hip arthroscopic microfracture augmented with platelet-rich plasma-infused micronized cartilage allograft significantly improves functional outcomes. Arthroscopy: The J Arthroscopic Related Surg. 2022. https://doi.org/10.1016/j.arthro.2022.02.021

  78. O’Connor M, Minkara AA, Westermann RW, Rosneck J, Lynch TS. Outcomes of joint preservation procedures for cartilage injuries in the hip: a systematic review and meta-analysis. Orthopaedic journal of sports medicine. 2018;6(6). https://doi.org/10.1177/2325967118776944

  79. Domb BG, Rybalko D, Mu B, Litrenta J, Chen AW, Perets I. Acetabular microfracture in hip arthroscopy: clinical outcomes with minimum 5-year follow-up. Hip International: J Clin Exp Res Hip Pathology Therapy. 2018;28(6):649–56. https://doi.org/10.1177/1120700018760263.

    Article  Google Scholar 

  80. • Kraeutler MJ, Fasulo SM, Dávila Castrodad IM, Mei-Dan O, Scillia AJ. A prospective comparison of groin-related complications after hip arthroscopy with and without a perineal post. American Journal of Sports Medicine. 2023;51(1):155-159. https://doi.org/10.1177/03635465221130768. Prospective study comparing FAIS surgery with and without the use of a perineal post. Demonstrates no risk of groin-related complications in post-less FAIS surgery.

  81. Larson CM. Editorial commentary: minimizing traction force and time as well as application of specific technical pearls might trump the importance of choosing between post or postless hip arthroscopy with regards to complications. Arthroscopy J Arthroscopic Related Surg. 2023;39(3):748–50. https://doi.org/10.1016/j.arthro.2022.11.017.

    Article  Google Scholar 

  82. Mei-Dan O, Kraeutler MJ, Garabekyan T, Goodrich JA, Young DA. Hip distraction without a perineal post: a prospective study of 1000 hip arthroscopy cases. Ame J Sports Med. 2018;46(3):632–41. https://doi.org/10.1177/0363546517741704.

    Article  Google Scholar 

  83. O’Neill DC, Featherall J, Dowdle SB, et al. Postless hip distraction systems decrease the amount of traction force needed to obtain adequate hip distraction versus a conventional post hip distractor. Arthroscopy J Arthroscopic Related Surg. 2023;39(3):740–7. https://doi.org/10.1016/j.arthro.2022.10.009.

    Article  Google Scholar 

  84. Schaver AL, Mattingly N, Glass NA, Willey MC, Westermann RW. Hip arthroscopy with and without a perineal post: a comparison of early postoperative pain. Arthroscopy J Arthroscopic Related Surg. 2021;37(9):2840–5. https://doi.org/10.1016/j.arthro.2021.03.045.

    Article  Google Scholar 

  85. Wininger AE, Mei-Dan O, Ellis TJ, et al. Post-related complications in hip arthroscopy are reported significantly greater in prospective versus retrospective literature: a systematic review. Arthroscopy J Arthroscopic Related Surg. 2022;38(5):1658–63. https://doi.org/10.1016/j.arthro.2021.11.045.

    Article  Google Scholar 

  86. Habib A, Haldane CE, Ekhtiari S, et al. Pudendal nerve injury is a relatively common but transient complication of hip arthroscopy. Knee Surgery, Sports Traumatology, Arthroscopy. 2018;26(3):969–75. https://doi.org/10.1007/S00167-017-4783-4/TABLES/1.

    Article  Google Scholar 

  87. Domb BG, Ouyang VW, Go CC, et al. Personalized medicine using predictive analytics: a machine learning-based prognostic model for patients undergoing hip arthroscopy. Ame J Sports Med. 2022;50(7):1900–8. https://doi.org/10.1177/03635465221091847.

    Article  Google Scholar 

  88. Kunze KN, Burnett RA, Lee EK, Rasio JP, Nho SJ. Development of machine learning algorithms to predict being lost to follow-up after hip arthroscopy for femoroacetabular impingement syndrome. Arthroscopy, Sports Med, Rehab. 2020;2(5):e591–8. https://doi.org/10.1016/j.asmr.2020.07.007.

    Article  Google Scholar 

  89. Schwarz GM, Simon S, Mitterer JA, et al. Can an artificial intelligence powered software reliably assess pelvic radiographs? Int Orthopaedics. 2023;1:3–3. https://doi.org/10.1007/s00264-023-05722-z.

    Article  Google Scholar 

  90. Shapira J, Norman D. Editorial commentary: machine learning can indicate hip arthroscopy procedures, predict postoperative improvement, and estimate costs. Arthroscopy J Arthroscopic Related Surg. 2022;38(7):2217–8. https://doi.org/10.1016/j.arthro.2022.01.041.

    Article  Google Scholar 

  91. Harris JD. Editorial commentary: personalized hip arthroscopy outcome prediction using machine learning—the future is here. Arthroscopy J Arthroscopic Related Surg. 2021;37(5):1498–502. https://doi.org/10.1016/j.arthro.2021.02.032.

    Article  Google Scholar 

  92. Kunze KN, Kaidi A, Madjarova S, et al. External validation of a machine learning algorithm for predicting clinically meaningful functional improvement after arthroscopic hip preservation surgery. Ame J Sports Med. 2022;50(13):3593–9. https://doi.org/10.1177/03635465221124275.

    Article  Google Scholar 

  93. Kunze KN, Polce EM, Nwachukwu BU, Chahla J, Nho SJ. Development and internal validation of supervised machine learning algorithms for predicting clinically significant functional improvement in a mixed population of primary hip arthroscopy. Arthroscopy J Arthroscopic Related Surg. 2021;37(5):1488–97. https://doi.org/10.1016/j.arthro.2021.01.005.

    Article  Google Scholar 

  94. Kunze KN, Polce EM, Rasio J, Nho SJ. Machine learning algorithms predict clinically significant improvements in satisfaction after hip arthroscopy. Arthroscopy J Arthroscopic Related Surg. 2021;37(4):1143–51. https://doi.org/10.1016/j.arthro.2020.11.027.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

AS - wrote the main manuscript MH - provided guidelines for the manuscript, resource recommendations, and extensive revisions

Corresponding author

Correspondence to Mia S. Hagen.

Ethics declarations

Competing interests

The authors declare no competing interests.

Conflict of Interest

The authors declare no competing interests.

Human and Animal Rights and Informed Consent

The article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Spencer, A.D., Hagen, M.S. Predicting Outcomes in Hip Arthroscopy for Femoroacetabular Impingement Syndrome. Curr Rev Musculoskelet Med 17, 59–67 (2024). https://doi.org/10.1007/s12178-023-09880-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12178-023-09880-w

Keywords

Navigation