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Hip Arthroscopy Results in Similar Short-Term Function Compared to Total Hip Arthroplasty in Patients of Similar Demographic Profiles

Authors

Lall AC, Secretov E, Battaglia MR, Chen SL, Laseter JR, Yelton MJ, Chaharbakhshi EO, Maldonado DR, Domb BG

Journal

Arthrosc Sports Med Rehabil, August 2022

Background

Hip arthroscopy is often used to treat labral tears, but some patients may require a more invasive procedure like total hip arthroplasty (THA). This study compares short-term outcomes of hip arthroscopy and THA in patients with similar demographic profiles.

Methods

  • Data were collected from 67 patients who underwent hip arthroscopy and 67 patients who underwent THA.
  • The patients were matched based on age, gender, and body mass index.
  • Functional outcomes were assessed using modified Harris Hip Score (mHHS), non-arthritic hip score, and visual analog scale (VAS).

Key Findings

  • Both groups showed similar results in terms of mHHS, patient satisfaction, and pain relief.
  • There were no significant differences in the mHHS scores between the two groups (hip arthroscopy = 82.9 vs THA = 87.3).
  • Patient satisfaction was also nearly identical (8.1 for hip arthroscopy vs 8.8 for THA).

Conclusions

Hip arthroscopy can provide short-term functional outcomes similar to those of total hip arthroplasty in patients with appropriate indications for the surgery.

What Does This Mean For Patients

If you're considering treatment for a labral tear, hip arthroscopy could be an effective option with similar results to a hip replacement, depending on your situation.