Editorial Commentary: The Child of 2 Mothers: Hip Preservation and Hip Arthroplasty
Authors
Shapira J, Chen SL, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2018.11.052
Background
Hip preservation and hip replacement are two key approaches to managing hip problems. Hip preservation surgery aims to treat issues like labral tears and femoroacetabular impingement, while hip replacement surgery is typically performed for end-stage arthritis. This editorial explores how both approaches interact and how the outcomes of one may influence the other.
Methods
This commentary provides an overview of the relationship between hip preservation surgery (such as hip arthroscopy) and hip arthroplasty (hip replacement). It emphasizes the impact that a prior preservation surgery may have on a subsequent hip replacement, focusing on patient outcomes.
Key Findings
While many patients who undergo hip preservation surgery may eventually require a hip replacement, understanding the effects of prior preservation surgery on hip replacement outcomes is crucial. The coexistence of both surgical approaches highlights the need for collaboration between arthroscopy and arthroplasty specialists.
Conclusions
The relationship between hip preservation and hip replacement surgery is complex but crucial for achieving optimal patient outcomes. Both approaches should be considered together in the treatment of hip conditions, especially in patients who may eventually require joint replacement.
What Does This Mean for Patients
If you undergo hip preservation surgery, it's important to know that while it may delay the need for hip replacement, some patients may still require it in the future. Collaboration between your hip preservation and replacement specialists will ensure the best possible outcomes for your long-term hip health.