Sports and Activity Levels After Open Surgical Treatment of Femoroacetabular Impingement.
BACKGROUND
Several studies indicate that professional athletes can successfully return to competition after surgical treatment of femoroacetabular impingement (FAI). However, little is known about sports and activity levels after FAI surgery in the general patient population.


OBJECTIVE
The purpose was to determine the sports behavior, satisfaction with sports ability, and activity levels in a consecutive cohort of patients with FAI who were treated by surgical hip dislocation. The hypothesis was that the majority of patients (>75%) would be active in sports at follow-up.


METHODS
Case series; Level of evidence, 4.


METHODS
This retrospective study included 153 patients (mean age, 30.0 years; 40.5% female) with 192 hips treated. Sports behavior and satisfaction were determined at a mean follow-up of 59.4 months with the use of a questionnaire. Activity levels at follow-up were assessed by the Hip Sports Activity Scale (HSAS) and the University of California, Los Angeles (UCLA) activity scale.


RESULTS
Of 126 patients who were regularly active in sports before surgery, 107 (85%) were so at follow-up. Nineteen patients (12.4%) stopped participating in regular sports, and 8 (5.2%) commenced with sports after the operation. The most popular activities before surgery were skiing (22%), cycling (22%), jogging (20%), and soccer (13%). At follow-up, most patients were engaged in cycling (23%), fitness/weight training (20%), skiing (18%), and jogging (11%). Of all patients, 75% were satisfied with their sports ability, and 25% were not. Moreover, 60.3% stated that their sports ability had improved after surgery, 20.5% declared no change, and 19.2% were subjectively deteriorated. The mean pain level during sports was rated to be 2.1 according to the visual analog scale. The mean HSAS score was 3.5 (range, 0-8), and the mean UCLA score was 7.7 (range, 3-10); male patients reported significantly higher scores than did female patients on the HSAS (4.1 vs 2.7, respectively) and UCLA scale (8.2 vs 7.0, respectively).


CONCLUSIONS
The vast majority of patients with FAI who are treated by surgical hip dislocation return to sports activities, and most patients are satisfied with their sports ability at midterm follow-up. Activity levels are significantly higher in male patients, but this does not yield higher satisfaction rates.
Department of Orthopaedic Surgery, Schulthess Clinic, Zurich, Switzerland Department of Orthopaedic Surgery, Spital Netz Bern-Ziegler, Bern, Switzerland florian.naal@gmail.com.
Florian D
FD
Naal
Department of Orthopaedic Surgery, Spital Netz Bern-Ziegler, Bern, Switzerland Department of Orthopaedic Surgery, Sonnenhof Clinic, Bern, Switzerland.
Michael
M
Schär
Department of Orthopaedic Surgery, Spital Netz Bern-Ziegler, Bern, Switzerland Department of Orthopaedic Surgery, University Hospital of Geneva, Geneva, Switzerland.
Hermes H
HH
Miozzari
Department of Orthopaedic Surgery, Spital Netz Bern-Ziegler, Bern, Switzerland Department of Orthopaedic Surgery, Sonnenhof Clinic, Bern, Switzerland.
Hubert P
HP
Nötzli
D000293:Adolescent; D000328:Adult; D056352:Athletes / Q000706:statistics & numerical data*; D054874:Athletic Performance / Q000706:statistics & numerical data*; D005260:Female; D057925:Femoracetabular Impingement / Q000534:rehabilitation* / Q000601:surgery*; D005500:Follow-Up Studies; D006615:Hip / Q000601:surgery; D006617:Hip Dislocation / Q000601:surgery; D006621:Hip Joint / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D000068958:Return to Sport; D011795:Surveys and Questionnaires; D055815:Young Adult
FAI; activity; femoroacetabular impingement; outcome; results; sport; surgical hip dislocation