Does Failure to Meet Threshold Scores for mHHS and iHOT-12 Correlate to Secondary Operations Following Hip Arthroscopy?
Authors
Rosinsky PJ, Chen JW, Yelton MJ, Lall AC, Maldonado DR, Meghpara MB, Shapira J, Domb BG
DOI: 10.1093/jhps/hnaa015
Background
Patient-reported outcome scores (PROs) like the modified Harris Hip Score (mHHS) and iHOT-12 are used to assess recovery after hip arthroscopy. It's not clear if failing to meet certain thresholds in these scores predicts the need for further surgery.
Methods
The study analyzed patients who underwent primary hip arthroscopy, tracking their PROs at 1 year and examining whether failing to meet specific thresholds correlated with the need for secondary surgeries (revision or hip replacement).
Key Findings
Patients who did not meet key thresholds for mHHS and iHOT-12 scores at 1 year had a higher risk of requiring secondary operations.
The iHOT-12 score, in particular, was strongly associated with the need for further surgery.
Conclusions
If you don't achieve certain thresholds on your hip outcome scores after hip arthroscopy, you may be at increased risk of needing a secondary surgery, such as a revision or hip replacement.
What Does This Mean for Patients
After hip arthroscopy, if your recovery scores (like mHHS or iHOT-12) are not improving as expected, it could signal that further surgery might be needed, and you should discuss this with your surgeon.