Mid- to Long-Term Outcomes of Hip Arthroscopy: A Systematic Review
Authors
Kyin C, Maldonado DR, Go CC, Shapira J, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2020.10.001
Background
Hip arthroscopy is commonly used for treating conditions like labral tears and femoroacetabular impingement syndrome (FAIS). While short-term outcomes are promising, there is limited information on mid- to long-term results and the risk of needing further surgeries.
Methods
A systematic review analyzed 13 studies with follow-up times ranging from 5 to 20 years to evaluate patient-reported outcomes (PROs), revision surgery rates, and factors influencing outcomes.
Key Findings
Most studies reported significant improvements in PROs, including hip function and pain relief.
Conversion rates to total hip arthroplasty ranged from 3.0% at 5 years to 32.5% at 10 years.
Osteoarthritis and age were the most common factors associated with poor outcomes or the need for further surgery.
Conclusions
Hip arthroscopy generally leads to improved outcomes in the mid- to long-term, but there is variability in conversion rates to hip replacement. Osteoarthritis and age are key factors for predicting unfavorable results.
What Does This Mean for Patients
If you undergo hip arthroscopy, you can expect improved hip function and pain relief over the long term, but it's important to be aware that some patients may eventually need a hip replacement, especially those with osteoarthritis or advanced age.