Evidence map›Paper›PMID 42303876›Full record

ArticleInternational orthopaedics2026

Rate of functional recovery after hip arthroscopy for femoroacetabular impingement syndrome: patient-reported outcomes at three, six, and twelve months.

Roberto Seijas, Miguel Vázquez, David Barastegui, Pedro Álvarez-Díaz, Luis García-Bordes, Iker Ayestarán, Paula Velasco, Xavier Cuscó, Ramón Cugat

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Article in International orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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9 authors.

Roberto SeijasInstituto Cugat, Barcelona, Spain. roberto6jas@gmail.com.ORCID https://orcid.org/0000-0003-1854-309X
Miguel VázquezInstituto Cugat, Barcelona, Spain.
David BarasteguiInstituto Cugat, Barcelona, Spain.
Pedro Álvarez-DíazInstituto Cugat, Barcelona, Spain.
Luis García-BordesInstituto Cugat, Barcelona, Spain.
Iker AyestaránInstituto Cugat, Barcelona, Spain.
Paula VelascoInstituto Cugat, Barcelona, Spain.
Xavier CuscóInstituto Cugat, Barcelona, Spain.
Ramón CugatInstituto Cugat, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterise recovery trajectories across nine patient-reported outcomes (PROs) during the first twelve months after hip arthroscopy for femoroacetabular impingement syndrome (FAIS), and to determine whether six-month assessment serves as a representative endpoint.

methodsRetrospective analysis of a prospective database (2007-2025). Patients undergoing primary hip arthroscopy for FAIS completed nine PROs pre-operatively and at three, six, and twelve months. Linear mixed-effects models adjusted for age, BMI, sex, morphology, cartilage grade, and labral treatment were the primary analysis; Holm correction controlled the family-wise error rate. MCID and PASS achievement with 95% Wilson CIs were secondary outcomes.

resultsIncluded were 1,095 hips (44.2% CAM; 52.9% combined; mean age 38.2 ± 12.7 years; 63.3% male). The largest gains occurred at three months (mHHS: Δ + 14.6, 95% CI + 12.8 to + 16.5; iHOT-33: Δ + 20.9, + 18.2 to + 23.5; both p < 0.001). Further improvement occurred through six months. After Holm correction, no instrument showed statistically significant change from six to twelve months (all p-adj > 0.05; effect sizes d = 0.05-0.12). MCID achievement rose from three to six months (mHHS: 57.9% to 69.4%; HOS Sport: 52.9% to 68.2%), with minimal further gain at twelve months.

conclusionRecovery follows a biphasic pattern: the largest gains occur within three months, with further improvement through six months. After Holm correction, no PRO changed significantly from six to twelve months. Six-month assessment is a pragmatic endpoint for pain, daily-living function, and overall hip scores. HOS Sport and SF-36 PCS warrant twelve-month evaluation in athletes and studies using these as primary endpoints.

Indexed as

ArthroscopyFemoracetabular ImpingementHip JointPatient Reported Outcome MeasuresRecovery of FunctionAdultFemaleHumansMaleMiddle AgedRange of Motion, ArticularRetrospective StudiesTreatment OutcomeYoung AdultFemoroacetabular impingementFunctional recoveryHip arthroscopyMCIDMixed-effects modelPatient-reported outcomes

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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.