Propensity-Matched Patients Undergoing Revision Hip Arthroscopy Older Than the Age of 40 Years Had Greater Risk of Conversion to Total Hip Arthroplasty Compared With Their Primary Counterparts

Propensity-Matched Patients Undergoing Revision Hip Arthroscopy Older Than the Age of 40 Years Had Greater Risk of Conversion to Total Hip Arthroplasty Compared With Their Primary Counterparts

Authors

Maldonado DR, Diulus SC, Lee MS, Owens JS, Jimenez AE, Perez-Padilla PA, Domb BG

Journal

Arthroscopy, January 2023

Background

This study investigates the outcomes of revision hip arthroscopy in patients aged 40 or older and compares the risk of conversion to total hip arthroplasty (THA) with patients who underwent primary hip arthroscopy.

Methods

• 89 hips from patients aged ≥40 undergoing revision hip arthroscopy were analyzed with a minimum 2-year follow-up.
• Propensity-matched comparison with primary hip arthroscopy patients based on age, sex, BMI, and labrum damage.

Key Findings

• Significant improvement in patient-reported outcomes (PROs) was observed.
• Patients in the revision group had a 2.63 times greater risk of requiring conversion to THA compared to those in the primary hip arthroscopy group.

Conclusions

Revision hip arthroscopy in patients aged ≥40 results in improvement in PROs, but the risk of conversion to THA is significantly higher compared to primary hip arthroscopy.

What Does This Mean For Patients

If you're over 40 and undergoing revision hip arthroscopy, expect to see improvement, but be aware of an increased risk for later hip replacement surgery.