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

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...

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Autores principales: Qiao, Hu-Yun, Zhang, Yong-Hong, Ren, Yi-Ming, Tian, Meng-Qiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676599/
https://www.ncbi.nlm.nih.gov/pubmed/33217880
http://dx.doi.org/10.1097/MD.0000000000023364
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author Qiao, Hu-Yun
Zhang, Yong-Hong
Ren, Yi-Ming
Tian, Meng-Qiang
author_facet Qiao, Hu-Yun
Zhang, Yong-Hong
Ren, Yi-Ming
Tian, Meng-Qiang
author_sort Qiao, Hu-Yun
collection PubMed
description 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.
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spelling pubmed-76765992020-11-24 Arthroscopic versus open treatment for femoroacetabular impingement: A systematic review and meta-analyses Qiao, Hu-Yun Zhang, Yong-Hong Ren, Yi-Ming Tian, Meng-Qiang Medicine (Baltimore) 7000 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. Lippincott Williams & Wilkins 2020-11-20 /pmc/articles/PMC7676599/ /pubmed/33217880 http://dx.doi.org/10.1097/MD.0000000000023364 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 7000
Qiao, Hu-Yun
Zhang, Yong-Hong
Ren, Yi-Ming
Tian, Meng-Qiang
Arthroscopic versus open treatment for femoroacetabular impingement: A systematic review and meta-analyses
title Arthroscopic versus open treatment for femoroacetabular impingement: A systematic review and meta-analyses
title_full Arthroscopic versus open treatment for femoroacetabular impingement: A systematic review and meta-analyses
title_fullStr Arthroscopic versus open treatment for femoroacetabular impingement: A systematic review and meta-analyses
title_full_unstemmed Arthroscopic versus open treatment for femoroacetabular impingement: A systematic review and meta-analyses
title_short Arthroscopic versus open treatment for femoroacetabular impingement: A systematic review and meta-analyses
title_sort arthroscopic versus open treatment for femoroacetabular impingement: a systematic review and meta-analyses
topic 7000
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676599/
https://www.ncbi.nlm.nih.gov/pubmed/33217880
http://dx.doi.org/10.1097/MD.0000000000023364
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AT renyiming arthroscopicversusopentreatmentforfemoroacetabularimpingementasystematicreviewandmetaanalyses
AT tianmengqiang arthroscopicversusopentreatmentforfemoroacetabularimpingementasystematicreviewandmetaanalyses