Weightbearing Restrictions on Postoperative Outcomes Following Arthroscopic Surgery for FAI

Conditions de participation

• Sexe:

  ALL

• Âges admissibles:

  16 to 50

Critères de participation

Inclusion Criteria:

* 16 - 50 years of age at time of surgery
* Diagnosis of FAI (cam, pincer, mixed) based on the 2016 Warwick Agreement. All 3 criteria below must be met:

1. Symptoms of motion- or position-related pain in the hip or groin
2. Clinical signs consistent with FAI such as: decreased hip flexion and internal rotation, or positive impingement sign
3. Radiographic evidence (on BOTH x-ray AND non-contrast MRI) of intra-articular pathology consistent with FAI as determined by the treating surgeon.
* Failed conservative interventions of at least 3 months (i.e. physiotherapy)
* Have symptom relief with intra-articular injection of local anaesthetic
* Unilateral or bilateral surgical intervention (note: unilateral required to ensure the weight bearing guidelines are followed)
* Are willing to be followed for 12 months post-operative.

Eligibility for 'return to sport' cohort:

Additional assessment measures related to return to sport will be collected on the patient who meet the following criteria:

* are or were previously actively involved in sport as indicated by a pre-operative Hip Sports Activity Scale score of four of greater
* indicate a post-operative goal to return to sport following their procedure

Exclusion Criteria:

Clinical:

* Previous surgery on the affected hip, or other major lower extremity orthopaedic surgery
* Active joint or systemic infection, significant muscle paralysis, significant lower extremity or medical comorbidity that could alter the effectiveness of the surgical intervention (e.g. polymyalgia rheumatica)
* Unable to speak or read English/French
* Unable or unwilling to be followed for 1 year or complete functional testing
* Presence of chronic pain syndromes
* History of pediatric hip disease (i.e. Slipped Capital Femoral Epiphysis, Legg-Calve-Perthes Disease)
* Ongoing litigation or compensation claims related to the hip (including Workers' Compensation)

Radiographic:

* Osteoarthritis greater than Tönnis Grade 1 on affected hip
* Lateral central edge angle \<19°
* Dysplasia in patients with broken Shenton line (i.e. Severe acetabular deformity present)