Findings on Sports Medicine Discussed by Investigators at New York University Hospital for Joint Diseases - Langone Medical Center (Is Prophylactic Surgery for Femoroacetabular Impingement Indicated? A Systematic Review)
By a News Reporter-Staff News Editor at Clinical Trials Week Investigators discuss new findings in Health and Medicine. According to news reporting from New York City, New York, by NewsRx journalists, research stated, "This is a systematic review to determine if prophylactic surgical intervention for asymptomatic patients with radiographic evidence of femoroacetabular impingement (FAI) is warranted to prevent early degenerative joint disease of the hip. A systematic search was performed from 1965 to 2013 in PubMed and EMBASE."
The news correspondents obtained a quote from the research from New York University Hospital for Joint Diseases - Langone Medical Center, "Inclusion criteria were prospective or retrospective studies comparing skeletally mature asymptomatic patients with radiographic evidence of FAI treated with prophylactic hip arthroscopic surgery versus nonoperative management. A total of 840 references were identified from the searches. After detailed eligibility screening, none of the references met the eligibility criteria. No trials were identified that met the criteria for inclusion in the review. There is a lack of available evidence to support surgical intervention for the treatment of FAI in asymptomatic patients. This article attempts to address this dilemma by reviewing the available literature to answer several questions that would indirectly address the topic. First, what is the prevalence of FAI in the asymptomatic population? Second, what is the natural history of FAI if left untreated? Upon reviewing these issues, the authors' conclusion parallels that of the systematic review: Current evidence does not support prophylactic surgery for asymptomatic FAI in the vast majority of cases. However, limited evidence suggests that asymptomatic patients who have previously undergone total hip arthroplasty for FAI-induced osteoarthritis of the contralateral hip are at a significantly increased risk for early degenerative joint disease."
According to the news reporters, the research concluded: "Further research is needed to better clarify surgical indications."
For more information on this research see: Is Prophylactic Surgery for Femoroacetabular Impingement Indicated? A Systematic Review. American Journal of Sports Medicine, 2014;42(12):3009-3015. American Journal of Sports Medicine can be contacted at: Sage Publications Inc, 2455 Teller Rd, Thousand Oaks, CA 91320, USA. (Sage Publications - www.sagepub.com/; American Journal of Sports Medicine - ajs.sagepub.com)
Our news journalists report that additional information may be obtained by contacting J.A. Collins, New York Univ Hosp Joint Dis, New York, NY 10003, United States. Additional authors for this research include J.P. Ward and T. Youm (see also Health and Medicine).
Keywords for this news article include: Surgery, New York City, United States, Health and Medicine, North and Central America
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