Inferior Clinical Outcomes and Increased Conversion to Total Hip Arthroplasty Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Patients With Inflammatory Joint Disease: A Minimum 5-Year Matched Cohort Study
Authors
Kahana-Rojkind AH, Schab AR, Sikligar D, Quesada-Jimenez R, Kuhns BD, Domb BG.
Background
Some patients with hip impingement also have inflammatory joint disease, which can affect the hip joint and may influence recovery after surgery.
Methods
This study compared patients with inflammatory joint disease to similar patients without it who had hip arthroscopy for hip impingement. Patients were followed for at least 5 years.
Key Findings
Both groups improved after surgery in terms of pain and hip function. However, patients with inflammatory joint disease had:
- Lower overall hip function scores after surgery
- Fewer patients reaching what is considered a “good” or meaningful recovery
- Higher chance of needing another hip surgery
- Higher chance of eventually needing a hip replacement
Conclusion
Hip arthroscopy can still help patients with inflammatory joint disease, but outcomes are generally not as strong or as long-lasting as in patients without this condition.
What Does This Mean For Patients
If you have inflammatory joint disease, hip arthroscopy may still improve your symptoms, but your recovery may be less predictable and there is a higher chance you could need additional surgery or a hip replacement in the future. This is important when deciding on treatment options.