Minimum 5-Year Outcomes for Revision Hip Arthroscopy With a Prospective Subanalysis Against a Propensity-Matched Control Primary Group

Minimum 5-Year Outcomes for Revision Hip Arthroscopy With a Prospective Subanalysis Against a Propensity-Matched Control Primary Group

Authors

Maldonado DR, Kyin C, Rosinsky PJ, Shapira J, Diulus SC, Lall AC, Domb BG
DOI: 10.1177/03635465211013006

Background

Hip arthroscopy is a common procedure to treat hip labral tears and femoroacetabular impingement, but outcomes after revision surgery (when the first surgery doesn’t work) are not well-documented.

Methods

The study followed patients who had revision hip arthroscopy for at least 5 years, comparing their outcomes with those who underwent primary (first-time) hip arthroscopy.

Key Findings

The revision group showed significant improvements in pain and function, with most patients reaching important clinical milestones (like the minimal clinically important difference). However, patients who had revision surgery reported lower outcomes than those who had their first hip surgery.

Conclusions

Revision hip arthroscopy can provide substantial benefits in the long-term, even though it may not be as successful as primary surgery. Patients with revision surgery also have a higher likelihood of eventually needing a hip replacement.

What Does This Mean for Patients

If you're considering revision hip arthroscopy, it can still lead to significant improvements in pain and function, but it’s important to have realistic expectations and understand that you may be at higher risk of needing a hip replacement in the future.