Predictors of Clinical Outcomes After Hip Arthroscopy: 5-Year Follow-up Analysis of 1038 Patients
Authors
Domb BG, Chen SL, Go CC, Shapira J, Rosinsky PJ, Meghpara MB, Maldonado DR, Lall AC
DOI: 10.1177/0363546520968896
Background
Hip arthroscopy is a common procedure for various hip joint issues, but predicting long-term outcomes is challenging. This study aimed to identify factors that predict outcomes at 5 years following surgery.
Methods
The study analyzed data from 1,038 patients who underwent hip arthroscopy between 2008 and 2012, focusing on outcomes at 5 years. Patient-reported outcomes (PROs) were measured using the Nonarthritic Hip Score (NAHS) and modified Harris Hip Score.
Key Findings
Seven factors were found to be significant predictors of 5-year outcomes:
Preoperative NAHS, body mass index (BMI), age, joint space, alpha angle, revision surgery, and acetabular microfracture.
Factors predicting the need for a total hip replacement included age, BMI, revision surgery, and femoral cartilage damage.
Conclusions
This study provides valuable insights into predicting long-term outcomes after hip arthroscopy, helping doctors guide treatment and set expectations for patients.
What Does This Mean for Patients
If you are considering hip arthroscopy, your preoperative health status (including BMI, age, and joint space) can help predict the success of your surgery. These factors can also guide discussions about the potential need for future hip replacement.