Clinical Outcomes After Hip Arthroscopy for Patients With Rheumatoid Arthritis: A Matched-Pair Control Study With Minimum 2-Year Follow-Up
Authors
Ashberg L, Yuen LC, Close MR, Perets I, Mohr MR, Chaharbakhshi EO, Domb BG
Journal: Arthroscopy. 2019 Feb;35(2):434-442.
DOI: 10.1016/j.arthro.2018.08.054
PMID: 30612769
Background
This study investigates the outcomes of hip arthroscopy in patients with rheumatoid arthritis (RA), comparing them to a control group without RA.
Methods
A retrospective matched-pair analysis of RA and non-RA patients undergoing hip arthroscopy for intra-articular pathology. Outcomes were assessed using PRO scores, pain levels, and rates of secondary surgeries.
Key Findings
RA patients showed less improvement in PRO scores and were less satisfied compared to controls, despite similar preoperative scores. DMARD use in RA patients showed slightly better improvements in PROs and pain levels. RA patients had a higher rate of secondary arthroscopies.
Conclusions
Patients with RA undergoing hip arthroscopy experience less improvement in function and pain relief than controls, with higher rates of revision procedures.
What Does This Mean for Patients
RA patients should be informed about the possibility of less favorable outcomes following hip arthroscopy and managed expectations should be adjusted accordingly.
DOI: 10.1016/j.arthro.2018.08.054