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Return to Sport Rates in Physically Active Individuals Six Months After Arthroscopy for Femoroacetabular Impingement Syndrome.

CONTEXT: Six-months is the expected timeframe to return to sport (RTS) after hip arthroscopy for femoroacetabular impingement syndrome (FAIS).

OBJECTIVE: The primary aims of this study were to (1) report the RTS rate of physically active individuals six-months after arthroscopic surgery for FAIS, and (2) compare the self-reported hip function between those who were able to RTS versus those who had not.

DESIGN: cohort study.

SETTING: XXX.

PATIENTS: 42 physically active individuals scheduled for hip arthroscopy for FAIS.

MAIN OUTCOME MEASURES: Self-reported function including pre-injury and current activity level and ability to participate in sport were collected on 42 individuals with FAIS prior to surgery and at six-month follow-up. Participants were allocated into two groups based on self-reported RTS status at six-month follow-up. Separate two-way analysis of variance were used to test the interaction of group (those who did/did not RTS). Main effects were reported in the absence of statistically significant interactions (p≤0.05).

RESULTS: Twenty-eight of 42 participants (66%) returned for six-month follow-up; five of the 14 participants (35.7%) lost to follow-up underwent contralateral hip surgery within the study timeframe. At the six-month follow-up, 16 of the remaining 28 participants (57.1%) reported that they had returned to sport, five of whom returned at their prior level of participation. There was no statistically significant interaction of group and time for either HOS subscale (p≥0.20). Self-reported hip function improved over time, regardless of group (p≤0.001). Participants in the yRTS group demonstrated higher HOS-Sport scores than the nRTS group, regardless of time (p.04).

CONCLUSIONS: Though just over half of participants returned to sport 6 months after hip arthroscopy for FAIS, only 18% returned to their previous level of sports participation. Participants who returned to sport reported better function than those who did not, but self-reported hip function improved over time regardless of group. The most commonly reported reasons for not returning to sport were weakness (69.6%), fear (65.2%), and pain (56.5%).

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