Is Only Peripheral Hip Arthroscopy Enough for Selected Patients with Femoroacetabular Impingement Syndrome?

Background: Peripheral compartment hip arthroscopy has gained popularity over central compartment hip arthroscopyas peripheral compartment arthroscopy does not cause perineal post compression, prolonged lower extremity tractionand thus complications such as acetabular labrum and articular cartilage injuries. The study, in essence, aims toemphasize that peripheral hip arthroscopy (OPHA) alone is sufficient without an additional surgical method in thetreatment of femoroacetabular impingement syndrome (FAI).Methods: A total of 35 patients, being 21 female and 14 male, among a group of patients who were suffering fromFAI syndrome and applied to private hip conservatory centers and has undergone hip arthroscopy at a later stageby a senior surgeon (I.T.) were selected from the medical-based software of the hospital. Patients with intra-articularpathology as a result of magnetic resonance imaging (MRI) were excluded from the study. The group had a meanage of 40.6, youngest being 17 and oldest 69, while the mean observation period was 26.6 months, varying betweenshortest 6 months and longest 63. In order to assess the patient satisfaction as well as clinical outcomes, Postel Merled’Aubigné (PMA) score was used.Results: When patient satisfaction was evaluated, overall decrease in pain was found and when gait characteristicswere evaluated together with movement, an increase in overall satisfaction was found (P 0.05). Secondary arthroscopicprocedures was not required in any of the patients included in this study. A group of three patients only needed someadditional surgical interventions like stem cell therapy, hip arthroplasty and pelvic osteotomy.Conclusion: OPHA can provide adequate treatment in selected FAI patients as it allows us to avoid critical complicationssuch as damage to the cartilage, avascular necrosis, complications caused by traction and prolonged operation timesseen in central compartment arthroscopy.Level of evidence: III