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Improvements seen after hip arthroscopy for FAI, labral tears in patients aged 50 years or older
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At minimum 5-year follow-up, significant improvements in patient-reported outcomes were seen in patients aged 50 years or older who underwent hip arthroscopy for treatment of labral tears and femoroacetabular impingement, according to recently published results.
Researchers prospectively collected data for 94 patients with a mean age of 55.2 years. The minimum follow-up was 5 years, with a mean of 70.1 months. Preoperative patient-reported outcomes included modified Harris hip score (mHHS), nonarthritic hip score (NAHS), hip outcome score-sports specific subscale (HOS-SSS) and VAS.
Results showed patient-reported outcomes and VAS significantly improved at the most recent follow-up. Investigators noted the mean patient satisfaction was 8.4. From 2 years to the latest follow-up, all mean scores showed durability. Thereafter, NAHS, HOS-SSS and VAS continued to improve significantly.
There were 51 patients who reached a patient-acceptable symptomatic state for mHHS, while 49 cases achieved a minimal clinically important difference. Secondary arthroscopy was needed in four patients. Survivorship was 72.3%.
The subgroup of patients that required total hip arthroplasty compared with survivors had higher BMIs, larger alpha angles, smaller lateral center-edge angles and had higher proportion of Tönnis grade 1, acetabular Outerbridge grade of 2 or more and a femoral head Outerbridge grade of 2 or more. – by Monica Jaramillo
Disclosures: Perets reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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