Mid-term Patient-reported Outcomes of Hip Arthroplasty After Previous Hip Arthroscopy: A Matched Case-control Study With a Minimum 5-year Follow-up
Authors
Rosinsky PJ, Chen JW, Shapira J, Maldonado DR, Lall AC, Domb BG
DOI: 10.5435/JAAOS-D-19-00459
Background
This study explores whether previous hip arthroscopy affects the outcomes of hip arthroplasty (hip replacement surgery). Specifically, it compares patient-reported outcomes (PROs) and complication rates between patients who had prior hip arthroscopy and those who did not.
Methods
A total of 34 patients with prior hip arthroscopy were matched with 89 patients who had not undergone previous hip surgery. Both groups were assessed for PROs, complications, and revision surgery rates over at least 5 years.
Key Findings
Both groups reported similar levels of pain relief and patient satisfaction. However, patients with prior arthroscopy had higher rates of complications (2.6 times higher) and needed revision surgery at a higher rate (13 times higher).
Conclusions
While the overall satisfaction and pain relief were similar, prior hip arthroscopy increased the risk of complications and the need for additional surgeries after hip replacement.
What Does This Mean for Patients
If you’ve had previous hip arthroscopy and are considering hip replacement, it’s important to discuss the potential for increased complications and the need for follow-up surgeries with your surgeon.