Effect of Lower Limb Rotation on Clinical Outcomes After Arthroscopic Management in Patients With Symptomatic Femoroacetabular Impingement Syndrome

Launched by AL-AZHAR UNIVERSITY · May 16, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at how the rotation of the lower limbs affects the outcomes of a specific hip condition called Femoroacetabular Impingement Syndrome (FAI). FAI can cause pain and discomfort in the hip joint, often due to issues with the shape of the hip bones. The researchers want to find out how common certain hip and leg bone abnormalities are in people with FAI and how these abnormalities might influence treatment results after arthroscopic surgery, which is a minimally invasive procedure to fix hip problems.

To participate in this study, you need to be between 16 and 74 years old and have been diagnosed with FAI or related labral tears that haven’t improved with at least three months of nonsurgical treatments like physical therapy or pain medication. You will need to sign a consent form to join. If you qualify, you’ll be part of a group that will have their hip condition treated surgically, and the results will be compared with those of patients who have normal limb rotation. This study is essential to help doctors better understand how to treat FAI effectively in patients with different hip shapes.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • • Accepted to participate in the study (signing informed consent).
• • Skeletal maturity (Risser V score).
• • If their radiographic imaging, history, and physical examination demonstrated evidence of FAI or labral tears; if they experienced moderate to severe pain that was unresponsive to at least 3 months of nonsurgical treatment, including physical therapy, nonsteroidal anti-inflammatory drugs, and activity modification
• Exclusion Criteria:
• • • Incomplete radiographic documentation.
• • Previous surgery of the acetabulum, femur and/or tibia altering their version.
• • Skeletally immature hips (stage IV according to Risser).
• • Posttraumatic conditions.
• • If they were previously diagnosed with an ipsilateral hip condition, such as avascular necrosis, legg-calvé-perthes disease, or slipped capital femoral epiphysis.
• • If their tönnis grade of osteoarthritis is \>1.
• • Hip dysplasia will be defined as a lateral centre-edge angle (LCEA) less than 22°.
• • Patients with rheumatologic diseases.
• • Patients at risk of radiation exposure, such as pregnant women and patients after neoplastic diseases.