Hip arthroscopy outcomes at 6 months may correlate with outcomes at 10 years
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Key takeaways:
- Patient outcomes 6 months after hip arthroscopy were closely associated with outcomes at 10 years.
- Outcomes at 6 months were also associated with conversion to total hip arthroplasty.
BOSTON — Patient outcome scores 6 months after hip arthroscopy for femoroacetabular impingement were significantly associated with 10-year outcomes and conversion to total hip arthroplasty, according to presented results.
“As the popularity of hip arthroscopy continues to grow, it’s increasingly important to identify which patients have satisfactory and long-lasting results,” Joshua Wright-Chisem, MD, said in his presentation at the Arthroscopy Association of North America Annual Meeting.
Wright-Chisem and colleagues from Hospital for Special Surgery performed a retrospective review of data from 60 patients (mean age, 36 years) who underwent primary hip arthroscopy for femoroacetabular impingement from 2012 to 2013. They reviewed hip outcome score for activities of daily living (HOS-ADL) and sports subscales (HOS-SS), modified Harris Hip Score (mHHS), as well as VAS scores for pain and satisfaction. Outcomes were assessed at 6-month follow-up and at 1-, 2-, 5- and 10-year follow-ups.
Overall, mHHS, VAS pain scores and VAS satisfaction scores significantly improved from 6-month follow-up to 10-year follow-up.
Researchers found significant associations between HOS-ADL, HOS-SS and mHHS at 6 months and outcomes at 10 years (P .021). They found significant associations between all outcomes at 6 months and outcomes at 1 year and 2 and 5 years (P < .014). In addition, they found significant associations between HOS-ADL and mHHS at 6 months and conversion to THA (P .041).
Wright-Chisem said the only patient-reported outcome that had a clinically significant correlation with 10-year minimal clinically important difference was 6-month HOS-SS.
“Conversely, 6-month HOS-ADL, sport subscale and modified Harris Hip were all significantly associated with 10-year [patient-acceptable symptomatic state] PASS achievement,” he said.
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Wright-Chisem J, et al. 6-month outcomes correlate with 10-year outcomes following hip arthroscopy for impingement. Presented at: Arthroscopy Association of North America Annual Meeting; May 9-11, 2024; Boston.
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