Revision Surgery and Progression to Total Hip Arthroplasty A
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A hip ache in young adults and athletes is a primary cause of femoroacetabulary impingement (FAI). In case of failed non-operative treatment with a typical clinical and radiation diagnosis, surgical therapy with FAI is advised.

A Study was conducted to investigate the possible association between
(1) Rate of revision and progression to THA and
(2) Patient characteristics, type of lesion, family history of hip disease, type of intervention, radiographic parameters, physical examination, and pre- and postoperative scores.

All articles concerning surgical correction for selected patients with FAI were accessed. Patient characteristics, type of intervention, radiographic parameters, physical examination, and pre- and postoperative scores were assessed.

The outcomes of interest were the possible association between these variables and the rate of revision and subsequent progression to THA using a multivariate analysis through the Pearson product-moment correlation coefficient.

Results:
--Data from 99 studies were collected. The median follow-up was 30.9 months.

--The overall rate of revision was 5.29%, while the rate of subsequent progression to THA was 3.78%.

--Labral debridement, preoperative acetabular index, and BMI all showed evidence of a statistically positive association with increased rates of THA.

--No other statistically significant associations were found between patient characteristics, type of lesion, family history of hip disease, type of intervention, radiographic parameters, physical examination, or pre- and postoperative scores and the rate of revision and/or progression to THA.

In conclusion, whereas FAI surgical interventions led to successful outcomes, the 9357 surgeries in this research had a revision rate of 5.29%. The progression rate to THA was 3.78% following a median 30-month follow-up. Patients with a greater BMI and/or an acetabulary index of pathological pathogens are more vulnerable to subsequent THA and/or labral debridements after FAI repair.

Source: https://journals.sagepub.com/doi/full/10.1177/03635465211011744
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