In a prospective series of 269 patients, the largest reported to date, we have demonstrated the positive impact of arthroscopic surgery for FAI with no significant difference in the outcome between athletes and non-athletes at six month and one year after surgery; but better scores were seen in the athletes during the early period of rehabilitation.
The benefit of hip arthroscopy for the treatment of femoroacetabular impingement (FAI) in athletes as compared with non-athletes needs further investigation. We prospectively collected data on 269 patients, the largest series reported, who underwent hip arthroscopy for FAI. Of these 200 patients actively participated in sporting activities (athletes), whilst 69 did not (non-athletes). A significant improvement in the modified Harris hip score (MHHS), non-arthritic hip score (NAHS) and quality of life score (QoL) was observed at six weeks, six months and one year follow-up (p<0.001). The six week MHHS (p=0.01) and NAHS (p=0.04) for the athletes were significantly better as compared with non-athletes; while the six month and one year MHHS, NAHS and QoL scores were statistically similar for both groups. In a large prospective series of patients this study has demonstrated the positive impact of arthroscopic surgery for FAI. The trend suggests that athletes have a quicker recovery as compared with non-athletes but there is no difference in outcome at six month and one year follow-up.
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