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Return to Sports and Minimum 2-Year Outcomes of Bilateral Hip Arthroscopy in High-Level Athletes With a Propensity-Matched Benchmarking Against a Unilateral Control Group

Authors

Owens JS, Jimenez AE, Monahan PF, Maldonado DR, Kyin C, Saks BR, Ankem HK, Sabetian PW, Lall AC, Domb BG

Background

  • Return to sports (RTS) after bilateral hip arthroscopy in high-level athletes has not been well studied. This research compares outcomes in athletes who underwent bilateral hip arthroscopy versus unilateral arthroscopy.

Methods

  • The study tracked high-level athletes (professional, college, or high school) who underwent staged bilateral hip arthroscopy for femoroacetabular impingement syndrome (FAIS). They were compared with athletes who had unilateral arthroscopy.

Key Findings

  • Athletes who underwent bilateral hip arthroscopy returned to sports at a high rate (81.7%) and showed significant improvements in pain and hip function.
  • There were no significant differences in outcomes between bilateral and unilateral arthroscopy groups in terms of return to sports, pain relief, or improvement in hip function.

Conclusions

  • Staged bilateral hip arthroscopy provides favorable outcomes for high-level athletes, with results similar to those of athletes who undergo unilateral hip surgery.

What Does This Mean for Patients

  • If you're a high-level athlete facing hip issues on both sides, bilateral hip arthroscopy can lead to excellent outcomes, allowing you to return to sports just as effectively as unilateral surgery.