Arthroscopic hip surgery is increasingly common in the management of femoroacetabular impingement (FAI) for active patients. FAI results from bony abnormalities in the proximal femur and acetabulum leading to both chondral and labral damage in the hip joint. The deleterious effects of FAI include pain and restricted joint motion, which can be particularly debilitating for the athletic population. Several studies have reported on the beneficial effects of surgery compared with non-operative management for FAI in athletes with recent systematic reviews citing an 87%-92% postoperative return to sport.1,2
At Midwest Orthopedics at Rush, we utilize a clinical database of over 1200 patients to evaluate outcomes and predictors for success in hip arthroscopy. Currently, we are examining the ability for 57 patients who had been recreational or competitive runners preoperatively to return to run following surgery. We found that while 96% of these patients returned to running, they often run for less distance and less time than they had preoperatively. Patients elicit numerous reasons for their decrease in running, including ongoing pain, loss of interest in running, and a fear of re-injury. We also found that patients that had decreased their running for more than 8 months preoperatively had a longer return to run time at 10 months compared with 7 months for those that had a shorter than 8 month preoperative running decrease.
Thus, runners that undergo arthroscopic hip surgery for FAI have a high likelihood of postoperative return to run but they might not be able to regain all of their preoperative function.
1. Casartelli, N. C., Leunig, M., Maffiuletti, N. A. & Bizzini, M. Return to sport after hip surgery for femoroacetabular impingement: a systematic review. Br. J. Sports Med. (2015). doi:10.1136/bjsports-2014-094414
2. Alradwan, H. et al. Return to preinjury activity levels after surgical management of femoroacetabular impingement in athletes. Arthrosc. J. Arthrosc. Relat. Surg. Off. Publ. Arthrosc. Assoc. N. Am. Int. Arthrosc. Assoc. 28, 1567–1576 (2012).
Written by Shane Nho, MD, MS
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