Prior Arthroscopy Leads to Inferior Outcomes in Total Hip Arthroplasty: A Match-Controlled Study
Authors
Perets I, Mansor Y, Mu BH, Walsh JP, Ortiz-Declet V, Domb BG
Journal: J Arthroplasty. 2017 Dec;32(12):3665–3668
DOI: 10.1016/j.arth.2017.06.050
Background
Although total hip arthroplasty (THA) is commonly performed after failed hip arthroscopy, it remains unclear whether prior arthroscopy impacts THA outcomes.
Methods
A match-controlled study compared 35 patients undergoing THA following prior ipsilateral hip arthroscopy with matched THA patients without prior hip surgery. Outcome measures included HHS, FJS-12, VAS, satisfaction, and complication/reoperation rates at a minimum of 2 years post-op.
Key Findings
The THA-after-arthroscopy group had significantly worse HHS, FJS-12, and satisfaction scores. VAS pain and complication rates were also higher, though not statistically significant. Reoperation rates were similar.
Conclusions
Previous hip arthroscopy may negatively impact functional and subjective outcomes after THA. This consideration should factor into surgical planning and patient counseling.
What Does This Mean for Patients
Patients considering hip arthroscopy should be aware that, if a future hip replacement becomes necessary, their outcomes may be slightly less favorable than those without prior arthroscopy.