Hip Arthroplasty After Hip Arthroscopy: Are Short-term Outcomes Affected? A Systematic Review of the Literature

Hip Arthroplasty After Hip Arthroscopy: Are Short-term Outcomes Affected? A Systematic Review of the Literature

Authors

Rosinsky PJ, Kyin C, Shapira J, Maldonado DR, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2019.03.057

Background

Hip arthroscopy is a minimally invasive procedure used to treat hip problems, while hip arthroplasty (THA) is a more invasive surgery typically performed for severe hip arthritis. This study reviews whether previous hip arthroscopy impacts the short-term outcomes of subsequent hip replacement surgery.

Methods

Eight studies were reviewed, including 305 hips that underwent hip replacement after a prior hip arthroscopy. Patient-reported outcomes (PROMs) and complications were compared between those with prior arthroscopy and those undergoing primary THA.

Key Findings

Short-term outcomes such as PROMs were similar between patients with prior hip arthroscopy and those undergoing primary THA. There was a trend toward slightly higher rates of dislocations and infections in the prior hip arthroscopy group.

Conclusions

Overall, hip replacement following previous hip arthroscopy appears to be safe with similar short-term outcomes compared to primary THA. However, increased awareness of potential complications, such as dislocations and infections, is recommended.

What Does This Mean for Patients

If you've had hip arthroscopy before needing a hip replacement, the outcome after surgery should be similar to someone who has not had previous hip surgery. However, watch for possible complications like dislocations or infections.