Ten-Year Survivorship, Outcomes, and Sports Participation in Athletes After Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome

Ten-Year Survivorship, Outcomes, and Sports Participation in Athletes After Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome

Authors

Domb BG, Annin S, Monahan PF, Lee MS, Jimenez AE, Maldonado DR

Journal

American Journal of Sports Medicine, July 2023

Objective

To assess the 10-year survivorship and outcomes, including sports participation, after primary hip arthroscopy for femoroacetabular impingement (FAI) syndrome in athletes.

Key Findings

• The survivorship rate was 85.7%, with significant improvements in all outcome measures.
• Athletes had high rates of return to sport (78.6%) with many returning to pre-injury performance levels.
• The labral repair group showed better long-term outcomes compared to labral debridement, with a lower risk of needing total hip arthroplasty (THA).

Conclusion

Primary hip arthroscopy for FAI in athletes results in sustained improvements in hip function and a high return-to-sport rate after 10 years.

What Does This Mean For Patients

If you’re an athlete with FAI, this surgery can help you return to your sport. Repairing the labrum appears to provide better long-term outcomes than simply debriding the labrum, including a lower chance of needing a hip replacement.