What happened at Arthroscopy
? Here’s the story: Your editors received a Letter to the Editor
- Ishøi L.
- Nielsen M.F.
- Hölmich P.
- Thorborg K.
Can’t see the right forest plot for the wrong trees!.
concerning the meta-analysis, “Operative Versus Nonoperative Treatment of Femoroacetabular Impingement Syndrome” by Dwyer, Whelan, Shah, Ajrawat, Hoit, and Chahal.
- Dwyer T.
- Whelan D.
- Shah P.S.
- Ajrawat P.
- Hoit G.
- Chahal J.
Operative versus nonoperative treatment of femoroacetabular impingement syndrome: A meta-analysis of short-term outcomes.
This study, which notably won the Arthroscopy
Journal 2020 Systematic Review/Meta-analysis Research Excellence Award, showed that “patients with FAI syndrome treated with hip arthroscopy have statistically superior hip-related outcomes in the short term compared with those treated with physical therapy alone.” To be fair, in an Editorial Commentary, Kemp wrote, “Hip arthroscopy should not be a first-line treatment but can be necessary in cases in which high-quality, exercise-based nonsurgical treatment options have been exhausted.”
Editorial commentary: A commentary on a meta-analysis of short-term outcomes.
We conclude that patients with femoroacetabular impingement should undergo a trial of nonoperative management, and if physical therapy fails, surgical treatment is likely to result in a positive patient outcome and a better outcome than after rehabilitation.