(HealthDay)—For patients with femoroacetabular impingement (FAI) undergoing hip arthroscopy, those with psychological impairment are less likely to achieve a favorable outcome, according to a review published online Dec. 12 in the American Journal of Sports Medicine.
Abby L. Cheng, M.D., from the Washington University School of Medicine in St. Louis, and colleagues conducted a systematic review and meta-analysis to examine the effect of baseline psychological impairment on postoperative outcomes among patients with prearthritic hip disorders, including FAI, acetabular dysplasia, and/or acetabular labral tears.
The researchers identified 12 eligible studies, representing 5,636 patients (median, 35.4 years of age); all the studies assessed patients with FAI after hip arthroscopy. The likelihood of achieving a favorable outcome after arthroscopy was lower for patients with psychological impairment (odds ratio, 0.74); in addition, compared with nonimpaired patients, those with psychological impairment had worse postoperative patient-reported outcome measure scores (weighted mean difference, −20.2 points).
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