Similar 1 Year Clinical Outcomes & Lower Reoperation Rate with Osteochondroplasty vs Lavage in FAI .
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Osteochondroplasty and Labral Repair for the Treatment of Young Adults With Femoroacetabular Impingement: A Randomized Controlled Trial
Am J Sports Med. 2021 Jan;49(1):25-34.Two hundred and twenty patients with femoroacetabular impingement (FAI) were randomized to receive surgical correction via arthroscopic osteochondroplasty (n=110) or arthroscopic lavage (n=110), with or without labral repair. The primary outcome of interest was pain score on a Visual Analog Scale (VAS) at 12 months. Secondary outcomes of interest included hip function as measured by the Hip Outcomes Score (HOS) and International Hip Outcome Tool (iHOT-12), quality of life as measured by the Short Form 12 (SF-12) physical and mental component scores, and health utility as measured by the Euro-QoL 5-Dimensions (EQ-5D) index and VAS score, which were all measured at 12 months. Additionally, re-operation rate at 24 months and the incidence of adverse events were recorded. Results of the study found no statistical significant differences between the two groups in the change from baseline in VAS pain scores (p=0.976), HOS sport scores (p=0.075), iHOT-12 score (p=0.353), EQ-5D index score (p=0.314), or EQ-5D VAS scores (p=0.808) at 12 months. Moreover, no statistical significant differences in SF-12 physical component scores (p=0.452) and mental component scores (p=0.887) were observed between the two groups. The incidence of operatively-treated hip-related complications was statistically significantly higher in the lavage group compared to the osteochondroplasty group (p=0.026), yet no differences were observed in the total incidence of hip-related complications (p=0.246). The incidence of re-operation was statistically significantly higher in the lavage group compared to the osteochondroplasty group at 24 months (p=0.026). The change from baseline in HOS ADL scores were statistically significantly greater in the lavage group at 12 months (p=0.049).
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