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Promising results seen with primary hip arthroscopy after 2 years
Results from this study showed clinical outcomes and patient satisfaction was excellent after primary hip arthroscopy, with a 91.4% survivorship overall after 2 years of follow-up.
Researchers prospectively collected data on 595 patients who underwent primary hip arthroscopy, with a minimum 2-year follow-up. Investigators used radiographs to determine measurements for the Tönnis angle, the lateral center-edge angle of Wiberg, joint space at lowest point, ischial prominence size, crossover sign, alpha angle and offset.
Preoperatively and at follow-up visits at 3 months, 1-year, 2 years and 3 years patients were evaluated. The Non-Arthritic Hip Score (NAHS), Hip Outcome Score – Activities of Daily Living and Hip Outcome Score – Specific Subscale was used to assess patients.
Findings showed all scores had improved from preoperative to postoperatively at the 2-year follow-up. The patient satisfaction overall was 7.86 at the final follow-up. Investigators noted 54 patients underwent total hip arthropalsty or a hip resurfacing procedure. Revision hip arthroscopy was performed in 47 patients.
According to multiregression analysis results, there was a significant chance for conversion to THA, revision arthroscopy and a change in NAHS <10 points with increased age at time of procedure. Age was a significant factor for three types of failure. Acute injury, acetabuloplasty, iliopsoas release and sex were significant factors in two out of the three failure types, according to researchers.‒ by Monica Jaramillo
Disclosures: Gupta reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.