Clinical Equipoise Regarding Arthroscopic Management of Femoroacetabular Impingement with T önnis Grade 2 Osteoarthritis May Mean We Don't Know or Don't Agree: It Does Not Mean We Don’t Care

Management of patients with FAI and moderate (T önnis grade 2) osteoarthritis remains a debated topic. Outcomes demonstrate that such patients can benefit from hip arthroscopy, yet the improvement may not be as favorable as desired. While certain factors, such as Tönnis grade 3 hip OA, older age, higher BMI, bipolar cartilage defects, and joint space less than 2mm may influence surgeons to avoid arthroscopic treatments, the threshold for grade 2 OA is not as clear. Moreover, while radiographs may appear similar in Tönnis 2, there may be a wide range of chondral damage seen arthroscopically.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Editorial Commentary Source Type: research