Competitive Athletes Who Underwent Hip Arthroscopy With Capsular Repair Showed Greater Improvement in Patient-Reported Outcome Scores Compared With Those Who Did Not Undergo Repair

Competitive Athletes Who Underwent Hip Arthroscopy With Capsular Repair Showed Greater Improvement in Patient-Reported Outcome Scores Compared With Those Who Did Not Undergo Repair

Authors

Jimenez AE, Lee MS, Owens JS, Paraschos OA, Maldonado DR, Domb BG

Journal

Arthroscopy, November 2022

Background

The effect of capsular repair during hip arthroscopy for femoroacetabular impingement syndrome (FAIS) in competitive athletes is not well understood. This study compares athletes who underwent capsular repair with those who did not.

Methods

• Competitive athletes undergoing hip arthroscopy for FAIS between 2012 and 2018 were divided into two groups: those with and without capsular repair.
• Patient-reported outcomes (PROs) and return-to-sport (RTS) rates were assessed at a minimum 2-year follow-up.
• Propensity score matching was used to account for potential confounders.

Key Findings

• Athletes who underwent capsular repair showed significantly greater improvements in NAHS, HOS-SSS, and VAS scores.
• They also had higher rates of achieving the minimal clinically important difference (MCID) for HOS-SSS compared to the unrepaired group.

Conclusions

Capsular repair during hip arthroscopy significantly improves outcomes and increases the likelihood of achieving the MCID for competitive athletes.

What Does This Mean For Patients

For athletes undergoing hip arthroscopy, capsular repair may enhance recovery and improve the chances of returning to sports at a high level.