Identifying the Most Successful Procedures in Hip Arthroscopy

Identifying the Most Successful Procedures in Hip Arthroscopy

Authors

Hammarstedt JE, Laseter JR, Gupta A, Christoforetti JJ, Lall AC, Domb BG
DOI: 10.3928/01477447-20200129-01

Background

Hip arthroscopy for labral tears has become more common, but the success of different procedures, especially their role in the need for revision surgery or hip replacement, is not well understood.

Methods

This study followed 1,118 patients who underwent hip arthroscopy for labral tears between 2008 and 2015. They were evaluated to identify which procedures were most successful in reducing the need for future hip surgeries.

Key Findings

9.8% of patients needed a total hip replacement within a few years.

Procedures like labral debridement and notchplasty increased the risk of needing hip replacement, while trochanteric bursectomy showed better survival rates.

9.9% of patients required a revision hip arthroscopy, and workers' compensation, capsular repair, and femoral head microfracture were linked to a higher chance of needing revision surgery.

Conclusions

Certain procedures in hip arthroscopy, including labral debridement and notchplasty, may increase the likelihood of needing hip replacement. Trochanteric bursectomy showed better long-term results.

What Does This Mean for Patients

If you’re undergoing hip arthroscopy, the choice of procedure is important for long-term success. Be sure to discuss the potential risks of revision surgeries or hip replacement with your surgeon.