Nonoperative Management of Femoroacetabular Impingement: Clinical Outcomes at 5-years – A Prospective Study

Purpose: Our purpose is to present 5-year outcomes data utilizing a nonoperative protocol on consecutive series of patients with FAI syndrome.
 Methods: Between 2013 and 2016, were prospectively recruited in study. The consisted an initial trial rest, physical therapy, activity modification. Patients who remained symptomatic offered intraarticular steroid injection. recurrent symptoms arthroscopic treatment. Patient-reported outcomes, including the modified Harris Hip Score (mHHS) Nonarthritic (NAHS), collected 1-, 2-, 5-years after enrollment. We data. Statistical analysis was performed determine based type treatment.
 Results: One hundred thirty-three hips 100 enrolled. Sixty-seven 50 available for follow-up. At enrollment, mean mHHS NAHS 69.6±13.1 76.3±14.7, respectively. In total, 73% cohort managed nonoperatively. Of 11 requiring surgery, six (55%) converted surgery within 1 year four (36%) between 2 years, one patient 5 years. final follow-up, 89.6±10.7 88.0±12.1, 1-year only modification group made significant increase (p<0.03). By 2-year all three treatment groups had statistically improvements (p<0.05). scope maintained their improvement There no difference or at follow-up (p>0.4) (Table 1) proportion meeting MCID course (p=0.961). types any time point (p>0.06) 2) that met among (p=0.511). Seventy-two percent returned same similar sport/activity level, there sports/activities (p=0.095) (p=0.273).
 Conclusions: Nonoperative management syndrome effective majority adolescent robust patient-reported persisting follow-up.
 Significance: can be successful large portion durable