Minimum Five-Year Outcomes of Hip Arthroscopy for the Treatment of Femoroacetabular Impingement and Labral Tears in Patients with Obesity: A Match-Controlled Study
Authors
Perets I, Rybalko D, Chaharbakhshi EO, Mu BH, Chen AW, Domb BG
Journal: J Bone Joint Surg Am. 2018 Jun 6;100(11):965-973.
DOI: 10.2106/JBJS.17.00892
PMID: 29870448
Background
Obesity can complicate surgical outcomes. This study compares outcomes in obese patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) and labral tears to a matched group of normal-weight patients.
Methods
A cohort of obese patients (BMI ≥30) was matched with normal-weight patients (BMI 18.5–24.99) based on key demographic factors. Functional outcomes were measured pre- and post-surgery over a minimum of 5 years.
Key Findings
Both groups showed significant improvements in patient-reported outcomes (PROs), but obese patients had worse scores at baseline and were more likely to require conversion to THA (29.7% vs 14.9%).
Conclusions
Although hip arthroscopy in obese patients resulted in significant functional improvements, these patients faced a higher risk of needing a THA compared to their normal-weight counterparts.
What Does This Mean for Patients
Obesity can influence the success of hip arthroscopy, with a higher risk of needing THA in the long term. However, improvements are still seen after surgery.
DOI: 10.2106/JBJS.17.00892