Mild to moderate osteoarthritis can be treated with arthrosc
Hip arthroscopy offers a minimally invasive approach for the treatment of femoroacetabular impingement (FAI). The goal of this study was to evaluate current practice patterns among surgeons experienced in FAI management in the treatment of patients between 40 and 60 years of age with symptomatic FAI and concomitant OA of varying severity.

The survey sought to determine surgical treatment of FAI in patients between the ages of 40 and 60 years old with concomitant OA of various degrees.

Results:
--All respondents routinely treat FAI arthroscopically, while only 43.7% have utilized an open surgical approach.

--Nearly all respondents (96.0%) would consider performing hip arthroscopy in patients over 40 years of age.

--The respondents ranked an absence of OA (Tonnis 0 or 1) as the most important factor in deciding to move forward with surgery, while a positive response to diagnostic injection was considered the least important factor of the options given.

--Respondents felt that the role for hip arthroscopy in patients with symptomatic FAI decreased with increasing age and worsening degree of osteoarthritis.

--In patients 40–50 years old with Tonnis 1, willingness to perform surgery was 89.5%; while with Tonnis 2 this was reduced to 39.5% and with Tonnis 3 it was 5.3%.

--In patients 50–60 years old with Tonnis 1, 80.3% of respondents found arthroscopy to be beneficial; while with Tonnis 2 this was reduced to 22.4% and with Tonnis 3 it was 2.6%.

Conclusively, most respondents consider arthroscopy a viable option for patients aged 40–60 years old with mild osteoarthritis (Tonnis 1), while worsening osteoarthritis (Tonnis 3) results in greater rates of non-arthroscopic treatment.

Source: https://link.springer.com/article/10.1007/s00167-021-06639-z
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