Femoral Acetabular Impingement
Conditions
Keywords
Hip arthroscopy, capsular suture, Femoral Acetabular Impingement
Brief summary
Since last past decade, arthroscopic hip surgery proved its efficacy in femoroacetabular impingement treatment. However, no consensus exist concerning capsular suture or not. According to capsular incision size, articular instability can persist if no suture is performed. In contrast, tightly suture can cause post-operative joint stiffness. This study aims to evaluate the non inferiority of non capsular suture after hip arthroscopy treatment of cam or mixed-type femoroacetabular impingement, without hip dysplasia, after 2 years follow-up.
Detailed description
Main Objective : Non inferiority evaluation of non capsular suture after hip arthroscopy treatment of cam or mixed-type femoroacetabular impingement, without hip dysplasia, after 2 years follow-up. The primary study endpoint is the patient reported outcomes (HAGOS score; iHOT-12 and MHHS) at 2 years follow-up. Secundary objectives : * Clinical results at 6 month and 1 year follow-up * Specific complications occuring and frequences * Patient quality of life, * The return to sport, * Sport level after surgery compare to sport level before surgery * Pain
Interventions
Suture will be realized with two simple suture knots (non resorbable suture material). These suture knots will be performed at the end of hip arthroscopy. Correct capsular suture will be controlled under arthroscopy video. Patients randomized in control arm will not received capsular suture at the end of the procedure.
Sponsors
Study design
Intervention model description
Prospective, monocentric, randomized, double blind study
Eligibility
Inclusion criteria
* patient \< 18 years old * Patient who can be followed for 2 years * Patient with confirmed diagnostic of femoroacetabular impingement came or mixed-types, without dysplasia and with VCE angle \> 25°, without prearthrosic lesion and Tonnis 0 ou Tonnis 1, radiographic assement * Patient must sign an informed consent form indicating that he or she understands the purpose of procedure required for the study and accepts to participate in the study. * Patient affiliated to a social security system
Exclusion criteria
* Patient with no wittren informed consent * Patient presenting osteoarthritis (Tonnis stage 2) or only pincer impingement * Hyperlaxity * Dysplasia (VCE \<25°) * Patient already underwent hip arthroscopy * Patient already underwent previous hip surgery * Patient needing bilateral hip arthroscopy \< 2 years * Persons deprived of their freedom or under guardianship or incapable of giving consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| patient reported outcomes (questionnaires) | 2 years | HAGOS score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| patient reported outcomes (questionnaires) | 6 months | modified Harris Hip Score |
Countries
France