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A randomised controlled trial of surgical versus non-surgical treatment of femoroacetabular impingement (FAIT)


Work package	Biomarkers (WP2) Mechanisms of Movement Dysfunction and Interventions (WP3)
Principal Investigator	Prof Siôn Glyn-Jones (University of Oxford)
Investigators	Mr Antony Palmer, Dr Karen Barker, Prof David Beard, Prof Andrew Carr
Collaborators	Mr Tony Andrade, Mr Tom Pollard, Mr David Hollinghurst, Mr Jon Conroy, Prof Andrew McCaskie, Mr Vikas Khanduja, Mr Callum McBryde
Details	There is recent evidence to suggest that approximately half of all cases of hip osteoarthritis may be caused by a condition called femoroacetabular impingement (FAI). This condition occurs when the hip is an abnormal shape resulting in damage to the labrum and cartilage. The development of this hip shape may be related to activity levels during adolescent years, and this is under investigation in our parallel study named ‘FAIM’. An increasing number of surgeons are performing keyhole surgery to reshape the hip and address any associated damage. Although this appears to be effective at improving symptoms in the short-term, there is no evidence that it reduces the risk of developing future osteoarthritis. Symptoms also frequently improve with physiotherapy, hence the role for surgery remains uncertain. Patients recruited for our study will be randomised to either physiotherapy or surgery to compare these treatment options at both improving symptoms and preventing the development of osteoarthritis.

Unique ID: NHS_ST MARYS 108
Caption: A medical procedure in hospital. Staff. A man wearing scrubs, latex gloves and surgical cap standing in front of shelves with medical equipment and medication.
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