Hip Arthroscopic Surgery in the Context of Femoroacetabular Impingement Syndrome, Labral Tear, and Acetabular Overcoverage: Minimum 5-Year Outcomes With a Subanalysis Against Patients Without Overcoverage
Authors
Maldonado DR, Diulus SC, Shapira J, Rosinsky PJ, Kyin C, Ankem HK, Lall AC, Domb BG
DOI: 10.1177/0363546520969985
Background
Hip arthroscopy has been shown to improve short-term outcomes for patients with femoroacetabular impingement syndrome (FAIS) and labral tears, but long-term results, especially for patients with acetabular overcoverage, are not well understood.
Methods
This study tracked patients with FAIS, labral tears, and acetabular overcoverage for a minimum of 5 years after hip arthroscopy and compared their outcomes to a control group without acetabular overcoverage.
Key Findings
Both groups showed significant improvements in hip scores and functional outcomes over 5 years, with no significant differences between the two groups.
The group with acetabular overcoverage had a significantly lower rate of conversion to total hip arthroplasty (2.2% vs. 15.6%).
Conclusions
Hip arthroscopy for patients with acetabular overcoverage provides similar long-term improvements in outcomes as for those without overcoverage, with a lower risk of needing a hip replacement.
What Does This Mean for Patients
If you have acetabular overcoverage along with FAIS and labral tears, hip arthroscopy may still offer excellent long-term outcomes, and you may have a lower chance of needing a hip replacement compared to patients without overcoverage.