A meta-analysis of prospective studies issued in 'Journal of American Academy of Orthopaedic Surgeons' revealed that radiographic osteoarthritis (OA) was associated with higher failure rates, increased conversion to total hip arthroplasty, and worse outcomes following the surgical management of Femoroacetabular Impingement (FAI).Lei, Pengfei et al. examined the prognostic value of OA on the overall failure rate, pain, and function of surgical management of FAI using meta-analysis.

To justify the aim of this study, PubMed, OVID, and Cochrane database were searched to obtain suitable comparative studies until April 2016. The eligibility criteria were used to determine the studies. Following the evaluation of the quality of each trial, the participant characteristics, study design, interventions, and outcomes were reviewed. Review Manager 5.3 was used to analyse the aggregate data. Total seven studies were recognised with 1,120 patients.

There were 819 patients in the FAI group and 310 patients in the FAI with the OA group. The overall failure rate was significantly higher in the FAI-OA group as compared to the FAI group as revealed from the pooled analyses. Also, the rate of conversion to total hip arthroplasty was notably higher in the FAI-OA group (37.3%) than the FAI group (9.7%).