Hip arthroscopy yields moderate clinical improvement in patients aged 65 years and older
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Hip arthroscopy yields high initial patient satisfaction but moderate long-term clinical improvement in patients aged 65 years and older, according to published results.
David E. Hartigan, MD, and colleagues prospectively collected and retrospectively reviewed outcome data on 26 patients (range of 65 to 75 years of age) who underwent hip arthroscopy for labral tears. Outcome measures included hip outcome score (HOS) and modified Harris Hip Score (mHHS), as well as a student’s t test to determine preoperative and postoperative outcome differences.
For surviving hips at minimum 2-year follow-up, mean mHHS was 78.97 (mean improvement of 28), mean HOS-activities of daily living was 78.56 and mean HOS-sports-specific subscale was 65.93 (mean improvement of 36.6). Short-term survivorship was 65%, and nine patients required total hip arthroplasty at latest follow-up, according to the study.
Hartigan and colleagues also noted no complications among the cohort, and average patient satisfaction was 7.7 out of 10.
“This clinical improvement yielded a high patient satisfaction, but due to the potential for subsequent THA in a subset of this population, surgeons should use a rigorous selection criteria and counsel patients appropriately,” Hartigan and colleagues wrote in the study. “These results may benefit counseling a population of patients 65 years and older who remain active and present with hip pain recalcitrant to nonoperative treatment,” they wrote.
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