SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2020
Arthroscopic surgery versus physiotherapy for femoroacetabular impingement: a meta-analysis study.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 9 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Minimal Clinically Important Differences in Conservative Treatment Versus Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Frequentist Meta-Analysis of RCTs.Orthopaedic surgery · 2025Pooled it
- Long-term outcomes of arthroscopic management of femoroacetabular impingement syndrome: a systematic review.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Efficacy and safety of arthroscopy in femoroacetabular impingement syndrome: a systematic review and meta-analysis of randomized clinical trials.Scientific reports · 2025Pooled it
- The ligamentum teres and its role in hip arthroscopy for femoroacetabular impingement: a systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Pooled it
- Efficacy and safety of arthroscopy in femoroacetabular impingement syndrome: a systematic review and meta-analysis of randomized clinical trials.Scientific reports · 2023Pooled it
- Synthetic graft for medial patellofemoral ligament reconstruction: a systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Pooled it
- Synthetic graft for medial patellofemoral ligament reconstruction: a systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Pooled it
- Arthroscopy versus nonoperative treatment of symptomatic femoroacetabular impingement syndrome: A systematic review and meta-analysis.Medicine · 2020Pooled it
- Pooled it
- Platelet Rich Plasma Combined with Arthroscopic Surgery Versus Arthroscopic Surgery Alone for the Treatment of Femoroacetabular Impingement Syndrome.Journal of clinical medicine · 2026Article
- The Management of Acetabular Labral Tears: A Contemporary Review.Current reviews in musculoskeletal medicine · 2026Review
- Excellent 12-month outcomes after hip arthroscopy for femoroacetabular impingement: role of spinopelvic alignment and hip morphology-a multicenter study.Journal of orthopaedic surgery and research · 2026Article
- Outcomes and return to sport following arthroscopic surgery for femoroacetabular impingement syndrome in rugby union players.BMC musculoskeletal disorders · 2026Article
- Reliable enough to guide care? An umbrella review of hip arthroscopy meta-analyses 2020-2025.Journal of experimental orthopaedics · 2026Review
- Marked Decline in Revision Rate Over Time After Hip Arthroscopy for Femoroacetabular Impingement Syndrome.Orthopaedic journal of sports medicine · 2025Article
- Conservative treatment versus hip arthroscopy in patients with femoroacetabular impingement : a multilevel meta-analysis of randomized controlled trials.Bone & joint open · 2025Article
- In Vitro Ovine Cam Impingement Model and Its Effect on Acetabular Cartilage.Orthopaedic journal of sports medicine · 2025Article
- Arthroscopic Management of Femoroacetabular Impingement: Current Concepts.Journal of clinical medicine · 2025Review
- Arthroscopy for Femoroacetabular Impingement in Athletes Versus Non-Athletes: Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Six-month rehabilitation following surgical hip dislocation for femoroacetabular impingement restores the preoperative strength of most hip muscles, except for external rotators.Journal of hip preservation surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFemoroacetabular impingement (FAI) is thought to play an important role in the development of hip osteoarthritis. However, there is no consensus about the optimal treatment options, since non-operative therapy such as physiotherapy and surgical treatment such as arthroscopic hip surgery can both improve symptoms. Therefore, the aim of the present meta-analysis was to compare the outcomes between two different treatment regimes; physiotherapy versus arthroscopic treatment for FAI.
methodsThe present meta-analysis was carried out according to the PRISMA guidelines. In November 2019, the main online databases were accessed. All the randomized clinical trials (RCTs) comparing surgical arthroscopic treatment versus physiotherapy for FAI were considered for inclusion. Only articles reporting quantitative data under the outcomes of interest were included. For the all analysis, we used Review Manager Software. Data from 644 patients were analysed.
resultsData from 644 patients were evaluated with a mean follow-up of 14.67 ± 8.3 months. The unpaired t test detected an optimal baseline comparability in terms of side, gender, years, duration of symptoms and BMI (p = 0.08-0.9). The VAS subscale of the score EQ-5D and the mean iHOT33 reported favourable values in the arthroscopic group (p = 0.03 and p < 0.0001, respectively). Similar findings were evidenced in the iHOT33 subgroup 6-months (p = 0.70) and 12-months (p = 0.0002). The HOS score, the ADL (p < 0.0001) and the sport (p = 0.0003) subscales reported both greater values in the arthroscopic group. No statistical significance was found concerning the risk to incur in further total hip arthroplasty (p = 0.72).
conclusionBased on only three high-quality RCTs, arthroscopic hip surgery is an effective therapeutic treatment for FAI revealing superior results than a non-surgical approach with physiotherapy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.