Arthroscopic versus open treatment for femoroacetabular impingement: A systematic review and meta-analyses.

Abstract:

BACKGROUND:Femoroacetabular impingement (FAI) is a common cause of hip pain and restricted range of motion in young adults and athletes. This study aims to compare clinical results and complications between patients treated for FAI who underwent either arthroscopic or open treatment. METHODS:The 7 studies were acquired from PubMed, Medline, Embase, and Cochrane Library. The data were extracted analyzed by RevMan5.3. Mean differences (MDs), odds ratios (ORs), and 95% confidence intervals (CIs) were calculated. The Newcastle-Ottawa Scale were used to assess risk of bias. RESULTS:Seven observational studies were assessed. The methodological quality of the trials indicated a low risk of bias. The pooled results of the modified Harris Hip Score (mHHS), the Non-Arthritic Hip Score (NAHS), the Visual Analogue Scale (VAS), and satisfaction rate showed that the differences were not statistically significant between arthroscopic treatment (AT) and open treatment (OT). The difference of postoperative alpha angle was statistically significant, and OT was more effective [MD = 3.08, 95% confidence interval (95% CI) = 1.45-4.70, P = .0002]. The difference of postoperative internal rotation angle was statistically significant, and OT had better internal rotation angle (MD = -3.21, 95% CI = -6.14 to -0.28, P = .03). However, the difference of complications was statistically significant and AT achieved better result than OT (OR = 0.41, 95% CI = 0.22-0.74, P =0.003). CONCLUSION:AT had comparable effect and lower complications than OT, but had less improvement in alpha angle and internal rotation angle.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Qiao HY,Zhang YH,Ren YM,Tian MQ

doi

10.1097/MD.0000000000023364

subject

Has Abstract

pub_date

2020-11-20 00:00:00

pages

e23364

issue

47

eissn

0025-7974

issn

1536-5964

pii

00005792-202011200-00095

journal_volume

99

pub_type

杂志文章,meta分析

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