Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence.
Giuseppe AnzillottiAlberto IacomellaMatteo GrancagnoloEnrico Maria BertolinoMaurilio MarcacciCristiano SconzaElizaveta KonBerardo Di MatteoPublished in: Journal of clinical medicine (2022)
Femoro-acetabular impingement (FAI) syndrome is one of the most studied conditions in sports medicine. Surgical or conservative approaches can be proposed for treating FAI, although the best standard of care is not established yet. Our aim is to provide a comprehensive review of the best treatment for FAI syndrome evaluating differences in outcomes between surgical and non-operative management. A literature search was carried out on the PubMed, EMBASE, Scopus, and PEDro databases, using the following keywords: "femoroacetabular impingement", "FAI", in association with "surgery", "arthroscopy", "surgical" and "conservative", "physiotherapy", "physical therapy", "rehabilitation", "exercise". Only Level I RCTs were included. Four articles were selected for this systematic review. Our analysis showed different therapeutic protocols, follow-up periods, and outcomes; however, three out of the four studies included favored surgery. Our study demonstrates beneficial effects for both arthroscopic treatment and a proper regimen of physical therapy, nevertheless a surgical approach seemed to offer superior short-term results when compared to conservative care only. Further trials with larger sample sizes and longer follow-ups are needed to assess the definitive approach to the FAI condition.
Keyphrases
- systematic review
- minimally invasive
- healthcare
- palliative care
- coronary artery bypass
- quality improvement
- physical activity
- case report
- type diabetes
- total hip
- squamous cell carcinoma
- meta analyses
- high intensity
- surgical site infection
- machine learning
- radiation therapy
- coronary artery disease
- metabolic syndrome
- big data
- resistance training
- high school