Prior hip arthroscopy impacts long-term outcomes of total hip arthroplasty : a propensity-matched study with a minimum ten-year follow-up
Authors
Quesada-Jimenez R, Walsh EG, Kahana-Rojkind AH, Sikligar D, Rana K, Domb BG.
Background
Some patients who later need a total hip replacement have previously had hip arthroscopy. This study looked at whether that earlier surgery affects long-term outcomes after hip replacement.
Methods
Patients who had hip replacement surgery were grouped based on whether or not they had a prior hip arthroscopy. They were followed for at least 10 years, and outcomes such as pain, function, complications, and need for further surgery were compared.
Key Findings
- Both groups had similar long-term pain relief and hip function
- Patients with prior hip arthroscopy did just as well in terms of daily function and satisfaction
- However, they had more complications after hip replacement
- They also had a higher chance of needing another surgery on the hip
Conclusion
Having had hip arthroscopy in the past does not change how well patients feel after hip replacement, but it is associated with a higher risk of complications and revision surgery.
What Does This Mean For Patients
If you had hip arthroscopy before needing a hip replacement, you can still expect good long-term results. However, your surgeon may discuss a slightly higher risk of complications and the possibility of additional surgery compared with patients who did not have prior hip surgery.