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Long-term Survivorship and Outcomes of Patients Without Dysplasia Undergoing Capsular Repair During Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome

Authors

Domb BG, Lee MS, Owens JS, Harris WT

Journal

American Journal of Sports Medicine, July 2024

Objective

To assess the long-term outcomes and survival of the native hip joint after hip arthroscopy with capsular repair for femoroacetabular impingement syndrome (FAIS) in patients without hip dysplasia.

Methodology

Follow-up study of 145 hips treated with arthroscopic capsular repair, comparing patient-reported outcomes and hip replacement rates to a control group without capsular repair.

Key Findings

  • 91% of patients preserved their hip joint after 10 years.
  • Significant improvements in pain and function were reported.
  • Capsular repair led to a trend toward a lower risk of needing future hip replacement.

Conclusion

Capsular repair during hip arthroscopy provides long-term benefits and may reduce the need for future hip replacements, especially in patients at higher risk for joint degeneration.

What Does This Mean For Patients

If you’re dealing with femoroacetabular impingement syndrome (FAIS) and don’t have hip dysplasia, arthroscopy with capsular repair could preserve your hip joint and reduce the need for a hip replacement in the future.