Arthroscopic Hip Surgery versus Conservative Therapy on Femoroacetabular Impingement Syndrome: A Meta‐Analysis of RCTs
To determine the outcome and differences between arthroscopic hip surgery and conservative therapy in patients suffering from femoroacetabular impingement syndrome, we searched articles from PubMed, Embase, Cochrane, Web of Science and Clinicaltrials.gov using a Boolean search algorithm. Only random...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-08-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13099 |
| _version_ | 1818355871089950720 |
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| author | Tsz‐Ngai Mok Qi‐yu He Qiang Teng Tat‐Hang Sin Hua‐jun Wang Zhen‐gang Zha Xiao‐fei Zheng Jing‐hua Pan Hui‐ge Hou Jie‐ruo Li |
| author_facet | Tsz‐Ngai Mok Qi‐yu He Qiang Teng Tat‐Hang Sin Hua‐jun Wang Zhen‐gang Zha Xiao‐fei Zheng Jing‐hua Pan Hui‐ge Hou Jie‐ruo Li |
| author_sort | Tsz‐Ngai Mok |
| collection | DOAJ |
| description | To determine the outcome and differences between arthroscopic hip surgery and conservative therapy in patients suffering from femoroacetabular impingement syndrome, we searched articles from PubMed, Embase, Cochrane, Web of Science and Clinicaltrials.gov using a Boolean search algorithm. Only randomized controlled trials comparing arthroscopic hip surgery and conservative therapy were included in this meta‐analysis of femoroacetabular impingement syndrome management. Two authors determined eligibility, extracted the needed data and assessed the risk of bias of eligible studies independently. Then we meta‐analyzed three articles to assess pooled estimate size (ES) and 95% confidence interval for Hip Outcome Score of activities of daily living (HOS ADL subscale), Hip Outcome Score sport (HOS sports subscale) and International Hip Outcome Tool (iHOT‐33) analyses were performed by using STATA version 14.0 MP (STATA, College Station, TX, USA) with the principal summary measures are mean between group difference, sample size, and standard deviation. We collected 52 articles in total after removing duplicates and screened by titles and abstracts. A total of three RCTs were included finally. There was definite evidence of additional benefit of arthroscopic hip surgery against conservative therapy in the field of improving quality of life (three trials, 575 participants, ES = 2.109, 95% CI: 1.373 to 2.845, I2 = 42.8%, P = 0.000) and activity of daily living (two trials, 262 participants, ES = 9.220, 95% CI: 5.931 to 12.508, I2 = 16.5%, P = 0.000). However, no significant difference could be seen in sports function improvement (two trials, ES = 7.562, 95% CI: −2.957 to 18.082, I2 = 60.1%, P = 0.159). In conclusion, this meta‐analysis suggests that arthroscopic hip surgery provided essential benefit compared with conservative therapy in improving activity of daily living and quality of life. |
| first_indexed | 2024-12-13T19:48:12Z |
| format | Article |
| id | doaj.art-29350be8161f499c99b904a971c67065 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-12-13T19:48:12Z |
| publishDate | 2021-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-29350be8161f499c99b904a971c670652022-12-21T23:33:30ZengWileyOrthopaedic Surgery1757-78531757-78612021-08-011361755176410.1111/os.13099Arthroscopic Hip Surgery versus Conservative Therapy on Femoroacetabular Impingement Syndrome: A Meta‐Analysis of RCTsTsz‐Ngai Mok0Qi‐yu He1Qiang Teng2Tat‐Hang Sin3Hua‐jun Wang4Zhen‐gang ZhaXiao‐fei Zheng5Jing‐hua Pan6Hui‐ge Hou7Jie‐ruo Li8First Affiliated Hospital of Jinan University Guangzhou ChinaPediatric Cardiac Surgery Center, National Center for Cardiovascular Disease and Fuwai Hospital, Chinese Academy of Medical Sciences Peking Union Medical Beijing ChinaFirst Affiliated Hospital of Jinan University Guangzhou ChinaFirst Affiliated Hospital of Jinan University Guangzhou ChinaFirst Affiliated Hospital of Jinan University Guangzhou ChinaFirst Affiliated Hospital of Jinan University Guangzhou ChinaFirst Affiliated Hospital of Jinan University Guangzhou ChinaFirst Affiliated Hospital of Jinan University Guangzhou ChinaFirst Affiliated Hospital of Jinan University Guangzhou ChinaTo determine the outcome and differences between arthroscopic hip surgery and conservative therapy in patients suffering from femoroacetabular impingement syndrome, we searched articles from PubMed, Embase, Cochrane, Web of Science and Clinicaltrials.gov using a Boolean search algorithm. Only randomized controlled trials comparing arthroscopic hip surgery and conservative therapy were included in this meta‐analysis of femoroacetabular impingement syndrome management. Two authors determined eligibility, extracted the needed data and assessed the risk of bias of eligible studies independently. Then we meta‐analyzed three articles to assess pooled estimate size (ES) and 95% confidence interval for Hip Outcome Score of activities of daily living (HOS ADL subscale), Hip Outcome Score sport (HOS sports subscale) and International Hip Outcome Tool (iHOT‐33) analyses were performed by using STATA version 14.0 MP (STATA, College Station, TX, USA) with the principal summary measures are mean between group difference, sample size, and standard deviation. We collected 52 articles in total after removing duplicates and screened by titles and abstracts. A total of three RCTs were included finally. There was definite evidence of additional benefit of arthroscopic hip surgery against conservative therapy in the field of improving quality of life (three trials, 575 participants, ES = 2.109, 95% CI: 1.373 to 2.845, I2 = 42.8%, P = 0.000) and activity of daily living (two trials, 262 participants, ES = 9.220, 95% CI: 5.931 to 12.508, I2 = 16.5%, P = 0.000). However, no significant difference could be seen in sports function improvement (two trials, ES = 7.562, 95% CI: −2.957 to 18.082, I2 = 60.1%, P = 0.159). In conclusion, this meta‐analysis suggests that arthroscopic hip surgery provided essential benefit compared with conservative therapy in improving activity of daily living and quality of life.https://doi.org/10.1111/os.13099ArthroscopyConservative therapyFemoroacetabular impingement syndromeMeta‐analysis |
| spellingShingle | Tsz‐Ngai Mok Qi‐yu He Qiang Teng Tat‐Hang Sin Hua‐jun Wang Zhen‐gang Zha Xiao‐fei Zheng Jing‐hua Pan Hui‐ge Hou Jie‐ruo Li Arthroscopic Hip Surgery versus Conservative Therapy on Femoroacetabular Impingement Syndrome: A Meta‐Analysis of RCTs Orthopaedic Surgery Arthroscopy Conservative therapy Femoroacetabular impingement syndrome Meta‐analysis |
| title | Arthroscopic Hip Surgery versus Conservative Therapy on Femoroacetabular Impingement Syndrome: A Meta‐Analysis of RCTs |
| title_full | Arthroscopic Hip Surgery versus Conservative Therapy on Femoroacetabular Impingement Syndrome: A Meta‐Analysis of RCTs |
| title_fullStr | Arthroscopic Hip Surgery versus Conservative Therapy on Femoroacetabular Impingement Syndrome: A Meta‐Analysis of RCTs |
| title_full_unstemmed | Arthroscopic Hip Surgery versus Conservative Therapy on Femoroacetabular Impingement Syndrome: A Meta‐Analysis of RCTs |
| title_short | Arthroscopic Hip Surgery versus Conservative Therapy on Femoroacetabular Impingement Syndrome: A Meta‐Analysis of RCTs |
| title_sort | arthroscopic hip surgery versus conservative therapy on femoroacetabular impingement syndrome a meta analysis of rcts |
| topic | Arthroscopy Conservative therapy Femoroacetabular impingement syndrome Meta‐analysis |
| url | https://doi.org/10.1111/os.13099 |
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