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Review
. 2025 Jan 3;17(1):e76887.
doi: 10.7759/cureus.76887. eCollection 2025 Jan.

Hip Arthroscopy for Femoroacetabular Impingement With Initial Access to the Peripheral Compartment: A Systematic Review of Clinical Outcomes

Osamah Baig  1 , Muzammil Akhtar  2 , Ahmad Abulhasan  3 , Muhammad Khattak  4 , AbdulMuhaiman Khatib  5 , Abdullah Khaja  6 , Haider Syed  7
Affiliations
Review

Hip Arthroscopy for Femoroacetabular Impingement With Initial Access to the Peripheral Compartment: A Systematic Review of Clinical Outcomes

Osamah Baig et al. Cureus. .

Abstract

The purpose of this review is to report clinical outcomes of patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) with initial access to the peripheral compartment (PC) of the hip. A search following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was performed in the PubMed, Embase, and Scopus databases. Studies in which clinical outcomes were reported for patients who underwent hip arthroscopy for FAI with initial access to the PC were included. Data on study characteristics, patient demographics, radiographic outcomes, patient-reported outcomes (PROs), complications, and secondary surgery were extracted. Five studies with 881 patients and 976 hips (55.2% male, age range 32.1 to 48.4 years, follow-up range 3.0 to 74.4 months) were included. In two studies reporting radiographic measurements, the range of preoperative and postoperative alpha angle was 55.5° to 68.7° and 45.5° to 48.3°, respectively. The range of preoperative and postoperative lateral center-edge angles was 33.8° to 39.2° and 30.5° to 32.9°, respectively. Four studies reported one or more PRO measures with all demonstrating significant preoperative to postoperative improvement. The postoperative Non-Arthritic Hip Score (NAHS) and Visual Analog Score (VAS) pain scales ranged from 78.0 to 83.2 and 1.4 to 2.8, respectively. Complication rates ranged from 0.3% to 23.3%, with the rate of paresthesia specifically ranging from 0% to 8.1%. The rate of secondary surgery ranged from 0% to 6.3%. The rate of revision hip arthroscopy and conversion to total hip arthroplasty, specifically, ranged from 0% to 3.1% and 0% to 3.7%, respectively. This systematic review demonstrates that hip arthroscopy for FAI with initial access to the PC shows significant improvements in PROs with low rates of complications and secondary surgery.

Keywords: central compartment; femoroacetabular impingement; hip arthroscopy; patient-reported outcome; peripheral compartment.

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Conflict of interest statement

Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Flow chart depicting article selection process
Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flow diagram for literature review to include desired studies.
See this image and copyright information in PMC

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