
To compare long-term clinical outcomes and survivorship of treatment for symptomatic FAI via arthroscopic correction of labral or chondral pathology with and without femoral osteoplasty. A retrospective cohort study was performed across two consecutive cohorts of patients with isolated cam-type FAI who underwent hip arthroscopic treatment of labral or chondral pathology without femoral osteoplasty (HS group) or with femoral osteoplasty (HS-OST group). No significant patient or morphological differences were found between groups. However, the HS-OST group had significantly higher final mHHS and mHHS improvement than the HS group. The HS-OST group also had significantly greater 15-year THA-free survivorship versus the HS group and reoperation-free survivorship. Compared with hip arthroscopy alone, this study demonstrated superior long-term clinical outcomes and survivorship with combined arthroscopy and femoral osteoplasty.
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