Femoroacetabular Impingement Clinical Trial
Official title:
Screening Muscle Strength in Arthroscopic Surgery of the Hip
Hypothesis We hypothesise that hip muscle strength can predict the outcome of hip
arthroscopy. A relationship between strength and outcome can improve the success of the
procedure and avoid unnecessary and potentially harmful surgery.
Objectives The primary objective is to evaluate the relationship between hip muscle strength
and outcomes of hip arthroscopy. The secondary objective is to determine a 'threshold
strength' above which the operation becomes successful. If this relationship is established,
it would launching a randomised control trial with targeted physiotherapy as the
intervention.
Background Hip arthroscopy is key-hole surgery to the hip joint which is performed for
femoroacetabular impingement; a condition which describes a shape mismatch between the
ball-and-socket hip joint. The number of procedures is increasing, however, studies have
shown success in only half of patients undergoing the procedure.
Several factors have been linked with outcomes; however, the influence of muscle strength has
never been investigated. We performed a systematic review of this topic, revealing that
muscles around affected hips are significantly weaker. We also developed a standardised
protocol for the measurement of muscle strength.
Plan Patients awaiting hip arthroscopy will undergo muscle strength testing pre- and
post-operatively. There will be no deviation of treatment from their NHS care. Validated
outcome measure questionnaires will be completed at five months post-operatively. Magnetic
resonance imaging and electromyography tests will be performed on a subset of patients
post-operatively.
n/a
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