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Surgery for treating hip impingement (femoroacetabular impingement)

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Wall, Peter D. H., Brown, Jamie S., Parsons, Nicholas R., Buchbinder, Rachelle, Costa, Matthew L. and Griffin, Damian R. (2014) Surgery for treating hip impingement (femoroacetabular impingement). Cochrane Database of Systematic Reviews, 9 . CD010796. doi:10.1002/14651858.CD010796.pub2 ISSN 1469-493X.

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Official URL: http://dx.doi.org/10.1002/14651858.CD010796.pub2

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Abstract

BACKGROUND:
Surgery is sometimes recommended for femoroacetabular impingement where non-operative interventions have failed.
OBJECTIVES:
To determine the benefits and safety of surgery for femoroacetabular impingement.
SEARCH METHODS:
We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (2013, Issue 11); MEDLINE (Ovid) (1946 to 19 November 2013); and EMBASE (Ovid) (1980 to 19 November 2013) for studies, unrestricted by language.
SELECTION CRITERIA:
Randomised and quasi-randomised clinical trials assessing surgical intervention compared with placebo treatment, non-operative treatment or no treatment in adults with femoroacetabular impingement.
DATA COLLECTION AND ANALYSIS:
Two authors independently selected trials for inclusion, assessed risk of bias and extracted data.
MAIN RESULTS:
There were no studies that met the inclusion criteria, with 11 studies that were excluded following detailed review. There were four ongoing studies identified that may meet the inclusion criteria when they are completed; the results from these ongoing studies may begin to become available within the next five years. Three of the four ongoing studies are comparing hip arthroscopy versus non-operative care. The fourth study is comparing hip arthroscopy versus a sham arthroscopic hip procedure. All of the ongoing studies are recording at least one of our preferred clinical outcome measures for benefit and safety.
AUTHORS' CONCLUSIONS:
There is no high quality evidence examining the effectiveness of surgery for femoroacetabular impingement. There are four ongoing studies, which may provide evidence for the benefit and safety of this type of surgery in the future.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Cochrane Database of Systematic Reviews
Publisher: John Wiley & Sons Ltd.
ISSN: 1469-493X
Book Title: Cochrane Database of Systematic Reviews
Official Date: 18 September 2014
Dates:
DateEvent
18 September 2014Published
Volume: 9
Article Number: CD010796
DOI: 10.1002/14651858.CD010796.pub2
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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