Clinical Outcomes of Hip Arthroscopic Surgery: A Prospective Survival Analysis of Primary and Revision Surgeries in a Large Mixed Cohort
Authors
Domb BG, Gui C, Hutchinson MR, Nho SJ, Terry MA, Lodhia P
DOI: 10.1177/0363546516663463
Purpose
To perform a survival analysis comparing clinical outcomes of primary versus revision hip arthroscopic surgery with minimum 2-year follow-up.
Methods
Prospective cohort study of 1155 hip arthroscopic surgeries assessing patient-reported outcomes, pain, satisfaction, and rates of conversion to total hip arthroplasty or resurfacing.
Key Findings
Significant improvements seen in all groups; primary surgeries had better outcomes and lower conversion rates than revision surgeries.
Conclusions
Hip arthroscopy is effective, especially for primary cases; revision surgeries carry higher risk for conversion to hip replacement.
What Does This Mean For Patients
Patients can expect good functional outcomes from hip arthroscopy, with primary surgeries providing a better prognosis than revisions.