Long-Term Outcomes of Arthroscopic Labral Treatment of Femoroacetabular Impingement in Adolescents: A Nested Propensity-Matched Analysis
Authors: Domb BG, Prabhavalkar ON, Maldonado DR, Perez-Padilla PA
Journal: Journal of Bone and Joint Surgery - American Volume, June 2024
Objective
To assess long-term outcomes following hip arthroscopy for femoroacetabular impingement (FAI) in adolescent patients, focusing on pain relief, functional improvement, and hip joint preservation.
Key Findings
- Adolescents experienced significant long-term improvements in pain and function.
- 100% of adolescent patients retained their native hip joint beyond 10 years.
- Adolescents showed superior functional outcomes and satisfaction compared to adults undergoing similar procedures.
Conclusion
Early hip arthroscopy for FAI in adolescents results in excellent long-term outcomes and durable joint preservation.
What Does This Mean for Providers?
- Advocate for timely surgical intervention in adolescent FAI patients to maximize long-term functional benefits and joint preservation.
- Use these data to counsel younger patients and families on expected outcomes and prognosis.
- Consider the distinct advantages of early treatment in this population compared to adult patients.