Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence.

Review written by Dr Michael Reiman info

Key Points

  1. Short-term results (with subsequent post-surgical rehabilitation) favor surgical intervention over non-surgical interventions.
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BACKGROUND & OBJECTIVE

Femoro-acetabular impingement (FAI) syndrome is increasingly popular in surgical studies. This is also true but to a much lesser extent regarding non-surgical treatment. This is because the number of surgical treatment studies far outnumbers the number of non-surgical treatment studies.

Determination of ideal treatment strategies is essential for both clinicians and patients. Comparison of treatment strategies requires a surgical vs. non-surgical, randomized controlled trial study. The greater the number of these trials, the better the consumer can help determine what may work best for them. In addition, systematic reviews help combine and interpret these studies, assuming they are correctly performed.

The number of surgical treatment studies far outnumbers the number of non-surgical treatment studies.
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The optimal non-surgical treatment still lacks consensus.

METHODS

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were utilized. The PubMed, Embase, Scopus, and PEDro databases were searched independently by two authors from their inception to June 30ᵗʰ, 2022. Title, abstracts, and full text were screened

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