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Protocol for a multi-centre randomised controlled trial comparing arthroscopic hip surgery to physiotherapy-led care for femoroacetabular impingement (FAI): the Australian FASHIoN trial


Background: Femoroacetabular impingement syndrome (FAI), a hip disorder affecting active young adults, is
believed to be a leading cause of hip osteoarthritis (OA). Current management approaches for FAI include
arthroscopic hip surgery and physiotherapy-led non-surgical care; however, there is a paucity of clinical trial
evidence comparing these approaches. In particular, it is unknown whether these management approaches
modify the future risk of developing hip OA. The primary objective of this randomised controlled trial is to
determine if participants with FAI who undergo hip arthroscopy have greater improvements in hip cartilage
health, as demonstrated by changes in delayed gadolinium-enhanced magnetic resonance imaging (MRI) of
cartilage (dGEMRIC) index between baseline and 12 months, compared to those who undergo physiotherapy-led
non-surgical management

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Nicholas J. Murphy1,2† , Jillian Eyles1,2† , Kim L. Bennell3 , Megan Bohensky4 , Alexander Burns5 , Fraser M. Callaghan6,7, Edward Dickenson8 , Camdon Fary9,10, Stuart M. Grieve6,7, Damian R. Griffin8 , Michelle Hall3 , Rachel Hobson8 , Young Jo Kim11, James M. Linklater12, David G. Lloyd13,14, Robert Molnar15, Rachel L. O’Connell2,16, John O’Donnell17,18, Michael O’Sullivan19, Sunny Randhawa20, Stephan Reichenbach21,22, David J. Saxby13,14, Parminder Singh17,23, Libby Spiers3 , Phong Tran9,10, Tim V. Wrigley3 and David J. Hunter
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