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Cochrane Db Syst Rev · Sep 2014
ReviewSurgery for treating hip impingement (femoroacetabular impingement).
- WallPeter D HPDWarwick Orthopaedics, Warwick Medical School, University of Warwick, Coventry, Warwickshire, UK, CV4 7AL., Jamie S Brown, Nick Parsons, Rachelle Buchbinder, Matthew L Costa, and Damian Griffin.
- Warwick Orthopaedics, Warwick Medical School, University of Warwick, Coventry, Warwickshire, UK, CV4 7AL.
- Cochrane Db Syst Rev. 2014 Sep 8; 2014 (9): CD010796CD010796.
BackgroundSurgery is sometimes recommended for femoroacetabular impingement where non-operative interventions have failed.ObjectivesTo determine the benefits and safety of surgery for femoroacetabular impingement.Search MethodsWe searched the Cochrane Central Register of Controlled Trials (CENTRAL) (2013, Issue 11); MEDLINE (Ovid) (1946 to 19 November 2013); and EMBASE (Ovid) (1980 to 19 November 2013) for studies, unrestricted by language.Selection CriteriaRandomised and quasi-randomised clinical trials assessing surgical intervention compared with placebo treatment, non-operative treatment or no treatment in adults with femoroacetabular impingement.Data Collection And AnalysisTwo authors independently selected trials for inclusion, assessed risk of bias and extracted data.Main ResultsThere were no studies that met the inclusion criteria, with 11 studies that were excluded following detailed review. There were four ongoing studies identified that may meet the inclusion criteria when they are completed; the results from these ongoing studies may begin to become available within the next five years. Three of the four ongoing studies are comparing hip arthroscopy versus non-operative care. The fourth study is comparing hip arthroscopy versus a sham arthroscopic hip procedure. All of the ongoing studies are recording at least one of our preferred clinical outcome measures for benefit and safety. There is no high quality evidence examining the effectiveness of surgery for femoroacetabular impingement. There are four ongoing studies, which may provide evidence for the benefit and safety of this type of surgery in the future.
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