Arthroscopic surgery for hip impingement versus best conventional care

Conditions

Femoroacetabular impingement (FAI) Musculoskeletal Diseases

Damian Griffin, Edward Dickenson, Felix Achana, James M. Griffin, Joanna S. Smith et al. (15 authors)

Health Technology Assessment2022-02-0120 citations

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.

Hunter DJ, Eyles J, Murphy NJ, Spiers L, Burns A, Davidson E, Dickenson E, Fary C, Foster NE, Fripp J, Griffin DR, Hall M, Kim YJ, Linklater JM, Molnar R, Neubert A, O'Connell RL, O'Donnell J, O'Sullivan M, Randhawa S, Reichenbach S, Schmaranzer F, Singh P, Tran P, Wilson D, Zhang H, Bennell KL.

2021-08-1650 citations

10.1186/s12891-021-04576-z

Patient experiences of receiving arthroscopic surgery or personalised hip therapy for femoroacetabular impingement in the context of the UK fashion study: a qualitative study

Alba Realpe, Nadine E. Foster, Edward Dickenson, Marcus Jepson, Damian Griffin et al. (7 authors)

Trials2021-03-168 citations

10.1186/s13063-021-05151-6

Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial.

Griffin DR, Dickenson EJ, Wall PDH, Achana F, Donovan JL, Griffin J, Hobson R, Hutchinson CE, Jepson M, Parsons NR, Petrou S, Realpe A, Smith J, Foster NE, FASHIoN Study Group.

2018-06-01372 citations

10.1016/s0140-6736(18)31202-9

Protocol for a multi-centre randomised controlled trial comparing arthroscopic hip surgery to physiotherapy-led care for femoroacetabular impingement (FAI): the Australian FASHIoN trial.

Murphy NJ, Eyles J, Bennell KL, Bohensky M, Burns A, Callaghan FM, Dickenson E, Fary C, Grieve SM, Griffin DR, Hall M, Hobson R, Kim YJ, Linklater JM, Lloyd DG, Molnar R, O'Connell RL, O'Donnell J, O'Sullivan M, Randhawa S, Reichenbach S, Saxby DJ, Singh P, Spiers L, Tran P, Wrigley TV, Hunter DJ.

2017-09-2621 citations

10.1186/s12891-017-1767-y

Personalised Hip Therapy: development of a non-operative protocol to treat femoroacetabular impingement syndrome in the FASHIoN randomised controlled trial.

Wall PD, Dickenson EJ, Robinson D, Hughes I, Realpe A, Hobson R, Griffin DR, Foster NE.

2016-10-0140 citations

10.1136/bjsports-2016-096368

Protocol for a multicentre, parallel-arm, 12-month, randomised, controlled trial of arthroscopic surgery versus conservative care for femoroacetabular impingement syndrome (FASHIoN)

Damian Griffin, Edward Dickenson, Peter Wall, Jenny Donovan, Nadine E. Foster et al. (16 authors)

BMJ Open2016-08-0127 citations

10.1136/bmjopen-2016-012453

Interventions

Participants will be recruited from 25 sites across the NHS in England, Scotland and Wales. Participation will be over a 3-year period. Participants will be allocated to either: 1. H

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Inclusion criteria as of 15/03/2016: 1. Age =16 (no upper age limit) 2. Symptoms of hip pain - patients may also have symptoms of clicking, catching or giving way 3. Radiographic evidence of pincer- and/or cam-type FAI morphology on plain radiographs and cross-sectional imaging, defined as: 3.1. Cam morphology - an alpha angle >55º; 3.2. Pincer morphology - a lateral centre edge angle of >40 degrees or a crossover sign on the anteroposterior radiograph of the pelvis 4. The treating surgeon believes the patient would benefit from arthroscopic FAI surgery 5. The patient is able to give written informed consent and to participate fully in the interventions and follow-up procedures Original inclusion criteria: 1. Age =16 (no upper age limit) 2. Symptoms of hip pain - patients may also have symptoms of clicking, catching or giving way 3. Radiographic evidence of pincer- or cam-type FAI on plain radiographs confirmed with cross-sectional imaging, defined as alpha angle >55° or lateral centre edge angle >40° 4. The treating surgeon believes the patient would benefit from arthroscopic FAI surgery 5. The patient is able to give written informed consent and to participate fully in the interventions and follow-up procedures

Exclusion criteria

Exclusion criteria: 1. Evidence of pre-existing osteoarthritis, defined as Tonnis grade >1, or more than 2 mm loss of superior joint space width on AP pelvic radiograph 2. Previous significant hip pathology such as Perthes' disease, slipped upper femoral epiphysis, or avascular necrosis 3. Previous hip injury such as acetabular fracture, hip dislocation or femoral neck fracture 4. Previous shape changing surgery (open or arthroscopic) in the hip being considered for treatment

Design outcomes

Primary

Measure	Time frame
Clinical effectiveness of hip arthroscopy, assessed by patient-reported hip-specific quality of life after one year	—

Secondary

Measure	Time frame
1. General health status and health-related quality of life after 12 months 2. Pattern of clinical change over 12 months 3. Patient satisfaction with treatment and outcome after one year 4. Number and severity of adverse events after treatment 5. Need for further procedures up to three years 6. Cost-effectiveness within the trial and for a patient's lifetime 7. Develop and report processes to optimise recruitment in an RCT or surgery versus non-operative care 8. Fidelity of delivery of interventions	—

Measure

Time frame

1. General health status and health-related quality of life after 12 months 2. Pattern of clinical change over 12 months 3. Patient satisfaction with treatment and outcome after one year 4. Number and severity of adverse events after treatment 5. Need for further procedures up to three years 6. Cost-effectiveness within the trial and for a patient's lifetime 7. Develop and report processes to optimise recruitment in an RCT or surgery versus non-operative care 8. Fidelity of delivery of interventions

—

Countries

England, United Kingdom

Outcome results

None listed