Sex-Based Differences in Outcomes, Clinical Benefit, and Survivorship in Patients With Borderline Hip Dysplasia Undergoing Hip Arthroscopy at a Minimum 5-Year Follow-up: A Propensity-Matched Comparison Study
Authors
Maldonado DR, Walsh EG, Schab AR, Domb BG.
Background
Borderline hip dysplasia is a condition where the hip socket is slightly shallow, which can contribute to pain and instability. Researchers wanted to see whether outcomes after hip arthroscopy differ between men and women with this condition.
Methods
This study followed patients with borderline hip dysplasia who had hip arthroscopy and compared outcomes between men and women over at least 5 years. Pain, function, satisfaction, and need for further surgery were evaluated.
Key Findings
Both men and women showed significant improvement in pain and hip function after surgery. Long-term results were strong in both groups, with similar rates of avoiding further surgery. Women were more likely to reach levels of improvement considered clinically meaningful in several outcome measures.
Conclusion
Hip arthroscopy provides durable and effective results for both men and women with borderline hip dysplasia, with some differences in how strongly patients perceive improvement.
What Does This Mean For Patients
If you have borderline hip dysplasia, hip arthroscopy can significantly improve pain and function regardless of sex. While both men and women do well overall, women in this study were more likely to report larger perceived improvements in symptoms.