FAITBMJ (Clinical research ed.) 2019
Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial.
Arthroscopy produced significantly better HOS-ADL scores at 8 months than physiotherapy and activity modification, with a difference around the prespecified minimum clinically important difference.
Randomised trialManagementHip (young adult & sports)
UK FASHIoNLancet (London, England) 2018
Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial.
Both groups improved, but hip arthroscopy gave significantly better iHOT-33 scores at 12 months than Personalised Hip Therapy, a difference judged to be clinically meaningful.
Randomised trialManagementHip (young adult & sports)
Mansell military FAI trialThe American journal of sports medicine 2018
Arthroscopic Surgery or Physical Therapy for Patients With Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial With 2-Year Follow-up.
Both groups improved, but there was no significant difference between surgery and physical therapy at 2 years; many patients allocated to physical therapy crossed over to surgery, limiting interpretation.
Randomised trialManagementHip (young adult & sports)
Mont osteonecrosis updateThe Journal of bone and joint surgery. American volume 2015
Nontraumatic Osteonecrosis of the Femoral Head: Where Do We Stand Today? A Ten-Year Update.
Joint-preserving procedures are indicated before femoral head collapse, with good mid- to long-term results in several series; once collapse has occurred, total hip arthroplasty gives excellent long-term outcomes, whereas resurfacing and hemiresurfacing have performed poorly.
OtherManagementHip (young adult & sports)
Bernese PAOClinical orthopaedics and related research 1988
A new periacetabular osteotomy for the treatment of hip dysplasias. Technique and preliminary results.
Showed that large acetabular corrections were achievable through a single approach with the posterior column left intact, allowing early mobilisation without external fixation.
Cohort studyManagementHip (young adult & sports)