Hip arthroscopy for femoroacetabular impingement may improve outcomes in adolescents
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Key takeaways:
- Patients reported high satisfaction after primary hip arthroscopy for femoroacetabular impingement.
- Less than 6% of patients underwent revision arthroscopy.
NEW ORLEANS — Adolescents who underwent primary hip arthroscopy for femoroacetabular impingement had significant improvements in patient-reported outcomes and high patient satisfaction, according to results presented here.
Benjamin G. Domb, MD, and colleagues retrospectively reviewed preoperative and postoperative patient-reported outcomes data, minimally clinically important difference, patient-acceptable symptomatic state, secondary surgeries and complications among 249 patients (278 hips; 75% were female patients) 19 years of age or younger who underwent primary hip arthroscopy for femoroacetabular impingement between 2008 and 2019 at the American Hip Institute and the Mayo Clinic. Researchers conducted a multivariate survival analysis for risk factors and secondary surgery.
Domb noted all patient-reported outcomes improved postoperatively with high patient satisfaction. The nonarthritic hip score and the International Hip Outcome Tool had an 83% and 79.5% achievement of minimally clinically important difference, respectively, according to Domb. He added the Harris Hip Score and the nonarthritic hip score had a 68% and 73% achievement for patient-acceptable symptomatic state, respectively.
“We found low rates of revision arthroscopy at less than 6% and CAM recurrence, importantly, was less than 2%,” Domb said in his presentation at the Arthroscopy Association of North America Annual Meeting.
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