N/A
N=80
A Physical Therapy Program Versus Surgery for Femoroacetabular Impingement: Randomized Clinical Trial
Femoroacetabular Impingement
Bottom Line
View on ClinicalTrials.gov: NCT01993615 ↗Enrolled (actual)
80
Serious AEs
0.0%
Results posted
Aug 2020
Primary outcome: Primary: Hip Outcome Score - ADL Subscale at 24 Months — 69.3; 73.1 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Arthroscopic Surgery (Procedure); Physical Therapy (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Madigan Army Medical Center
- Primary completion
- Jul 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Hip Outcome Score - ADL Subscale at 24 Months |
69.3; 73.1 | — |
| PRIMARY Hip Outcome Score - Sport Subscale at 24 Months |
55.3; 57.1 | — |
| SECONDARY Group Differences in International Hip Outcome Score (IHOT33) to 24 Months |
51.2; 44.9 | — |
| SECONDARY Global Rating of Change Score of 3+ or Higher (Minimum Clinically Important Change) |
16; 15 | — |
Summary
The purpose of this study is to compare the outcomes for patients that receive two different treatments used for FAI (Femoroacetabular Impingement). The programs are 1) a 6-week supervised physical therapy program and 2) arthroscopic surgery. Enrollment is limited to patients that have already been determined surgical candidates. The study is following patients for a 2-year period.
Eligibility Criteria
Inclusion Criteria
- Tricare beneficiaries between the ages of 18 and 65
- Diagnosis of FAI and/or labral pathology confirmed by a combination of the following:
- Pain at the anterior hip or groin
- Pain with hip flexion
- Positive FADIR test
- Patient report relief of pain after intra-articular injection
- Surgical candidate for hip arthroscopy defined by (must have both):
- No less than 2 mm of joint space based on imaging (CT scan, radiographs and MR arthrogram)
- Positive crossover sign and/or alpha angle >50 deg based on imaging (CT scan, radiographs and MR arthrogram)
- Failed 6 weeks of conservative management
Exclusion Criteria
- Pregnancy
- Has other concurrent systemic disease that may affect the condition (cancer, rheumatoid arthritis, or other systemic arthralgia/arthritis)
- Has had surgery on the same hip that will be analyzed in the study
- Diagnosis of hip osteoarthritis is more likely
- Clearing the lumbar spine reproduces the patient's hip symptoms
- Plans to move/relocate out of the local area within 6 months
- Pending litigation for their hip condition
- Unable to give informed consent to participate in the study
- Unable to speak or read or write in English (due to inability to fill out outcome measures)
Data sourced from ClinicalTrials.gov (NCT01993615). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.