Femoroacetabular Impingement
Conditions
Keywords
Femoroacetabular Impingement, Arthroscopy, Physiotherapy, Randomised Controlled Trial
Brief summary
Femoroacetabular Impingement (FAI) describes a condition of the hip where additional bone results in the abutment of the femoral neck against the rim of the acetabulum. This gives rise to localised cartilage damage and pain, but also increases the risk of developing osteoarthritis. The purpose of this study is to compare the effectiveness of arthroscopic surgery versus physiotherapy and activity modification for the treatment of this condition.
Interventions
PROCEDUREArthroscopic treatment of femoroacetabular impingement
OTHERPhysiotherapy and activity modification
Sponsors
University of Oxford
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Symptomatic patients * Age 18-60 years * Clinical and radiological evidence of FAI * Competent to consent
Exclusion criteria
* Prior hip surgery * Established osteoarthritis (Kellgren-Lawrence \>/= 2) * Hip dysplasia (Centre-Edge angle \< 20 degrees on radiograph) * Completion of physiotherapy programme targeting FAI within past year * Co-morbidities that mean surgical intervention is not possible/safe * Contraindication to MRI * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hip Outcome Score | 8 months post randomisation (approximately 6 months post intervention) | Hip Outcome Score is a patient reported outcome measure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Reported Outcome Measures | Regular intervals up to 38 months post randomisation (approximately 3 years post intervention) | — |
| Morphological and Physiological MRI | Regular intervals up to 38 months post randomisation (approximately 3 years post intervention) | * Morphological Parameters * Measures of Osteoarthritis |
| Hip Radiographs | Regular intervals up to 38 months post randomisation (approximately 3 years post intervention) | * Morphological Parameters * Measures of Osteoarthritis |
| Serum and Urinary Biomarkers of Osteoarthritis | Regular intervals up to 38 months post randomisation (approximately 3 years post intervention) | — |
| Clinical Examination | Regular intervals up to 38 months post randomisation (approximately 3 years post intervention) | * Range of Movement * Impingement Tests |
Countries
United Kingdom
Contacts
Primary ContactAntony Palmer, MA BMBCh
Outcome results
None listed