Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears in Patients Younger than 50 Years: Minimum Five-year Outcomes, Survivorship, and Risk Factors for Reoperations

Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears in Patients Younger than 50 Years: Minimum Five-year Outcomes, Survivorship, and Risk Factors for Reoperations

Authors

Perets I, Chaharbakhshi EO, Shapira J, Ashberg L, Mu BH, Domb BG
Journal: J Am Acad Orthop Surg. 2019 Feb 15;27(4):e173-e183.
DOI: 10.5435/JAAOS-D-17-00258
PMID: 30260911

Background

This study investigates mid-term outcomes for patients under 50 who underwent hip arthroscopy for femoroacetabular impingement (FAI) and labral tears. The study aimed to evaluate reoperation rates and identify risk factors for poor outcomes.

Methods

Data from 407 eligible patients were analyzed, with 327 hips (295 patients) meeting the criteria for a minimum 5-year follow-up. Patient-reported outcomes (PROs) were assessed preoperatively and at follow-up.

Key Findings

Significant improvements were observed in PROs and visual analog scale (VAS) scores. The reoperation rate was 11.6%, with 38 hips requiring secondary arthroscopy. Survivorship at 5 years was 92.4%, and complication rates were low (7%).

Conclusions

Hip arthroscopy for FAI and labral tears in patients under 50 shows favorable mid-term outcomes. However, there is a risk of requiring reoperation, and careful patient selection is advised.

What Does This Mean for Patients

Patients under 50 can expect significant improvement in hip function, but they should be aware of the potential for secondary procedures, including further arthroscopies.

DOI: 10.5435/JAAOS-D-17-00258