Patients Who Underwent Primary Hip Arthroscopy for Femoroacetabular Impingement with Acetabular Microfracture Show 77% Survivorship at 10-Year Follow-Up
Authors
Domb BG, Lee MS, Annin S, Owens JS, Jimenez AE, Sabetian PW, Maldonado DR
Journal
Arthroscopy, May 2023
Background
Femoroacetabular impingement (FAI) with acetabular chondral lesions is a common cause of hip pain. This study reports the 10-year survivorship and patient-reported outcomes (PROs) for patients undergoing primary hip arthroscopy with acetabular microfracture to treat these conditions.
Methods
- Data collected on patients who underwent primary hip arthroscopy with acetabular microfracture between June 2009 and January 2011.
- Preoperative and 10-year follow-up PROs (mHHS, NAHS, VAS pain) were analyzed.
- Survivorship was defined as avoiding conversion to total hip arthroplasty (THA).
Key Findings
- 77.3% of patients did not need to undergo THA.
- Significant improvements in PROs were noted at 10-year follow-up (p < 0.05).
- 83.3% of patients achieved the minimal clinically important difference (MCID) for the mHHS, NAHS, and VAS pain.
Conclusions
Patients who underwent primary hip arthroscopy with acetabular microfracture showed 77% survivorship at 10 years, with significant improvements in function and pain scores.
What Does This Mean For Patients
If you have hip pain due to FAI and acetabular cartilage damage, this procedure can help avoid the need for a total hip replacement, with lasting improvements in pain and function.