Patients Obtain Meaningful Clinical Benefit After Hip Arthroscopy Despite Preoperative Psychological Distress: A Propensity-Matched Analysis of Mid-Term Outcomes

Patients Obtain Meaningful Clinical Benefit After Hip Arthroscopy Despite Preoperative Psychological Distress: A Propensity-Matched Analysis of Mid-Term Outcomes

Authors

Saks BR, Glein RM, Jimenez AE, Ankem HK, Sabetian PW, Maldonado DR, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2021.05.010

Background

Psychological distress can affect the success of surgeries, but its impact on hip arthroscopy outcomes has not been well studied. This research aims to explore how preoperative psychological distress influences long-term results after hip arthroscopy.

Methods

Patients were divided into two groups based on their psychological distress levels (measured using the SF-12 Mental Component Summary). Their outcomes were compared over a minimum 5-year follow-up after undergoing hip arthroscopy.

Key Findings

Despite having higher psychological distress before surgery, these patients still showed meaningful clinical improvements, with similar outcomes to those without distress after 5 years.

Conclusions

Preoperative psychological distress may affect a patient's initial functional status but does not prevent significant long-term benefits from hip arthroscopy.

What Does This Mean for Patients

If you're struggling with psychological distress alongside hip problems, rest assured that hip arthroscopy can still lead to substantial improvements in pain and function, regardless of mental health status.