Does Hip Arthroscopy Affect the Outcomes of a Subsequent Total Hip Arthroplasty?

J Arthroplasty. 2016 Jul;31(7):1516-8. doi: 10.1016/j.arth.2016.01.008. Epub 2016 Jan 21.

Abstract

Background: Hip arthroscopy utilization is on the rise in the United States. Thus, determining the impact of prior hip arthroscopy on subsequent total hip arthroplasty (THA) is important to understand.

Methods: A retrospective review of a high-volume orthopedic surgery practice's billing database yielded 42 hip arthroscopies that underwent subsequent THA. An age-, sex-, and body mass index (2:1)-matched cohort of primary THAs was used for comparison.

Results: No difference was observed in the postoperative Harris Hip Score between groups (92.1 ± 10.9 vs 90.1 ± 6.6, P = .20); however, there was greater overall improvement in Harris Hip Score in the control group (40.4 ± 18.4 vs 45.1 ± 8.7, P = .05). There were no differences observed in the complication (P = .5) or revision rates (P = .4).

Conclusion: With the numbers available, prior hip arthroscopy does not appear to have an impact on the functional outcomes of a subsequent THA.

Keywords: complications; femoracetabular; hip arthroscopy; hip preservationfemoracetabular impingement; impingement; total hip arthroplasty.

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Arthroscopy / adverse effects*
  • Female
  • Hip Joint / surgery*
  • Humans
  • Joint Diseases / surgery*
  • Male
  • Middle Aged
  • Reoperation / adverse effects*
  • Retrospective Studies
  • Treatment Outcome