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Survivorship Following Hip Arthroscopy: Lessons Learned from a Comprehensive Database

  • Published:2020-05-06 Issue:3 Volume:13 Page:220-232
  • ISSN:1935-9748
  • Container-title:Current Reviews in Musculoskeletal Medicine
  • language:en
  • Short-container-title:Curr Rev Musculoskelet Med

Author:

Ruzbarsky Joseph J.,Soares Rui,Johannsen Adam,Philippon Marc J.

Publisher

Springer Science and Business Media LLC

Subject

Orthopedics and Sports Medicine

Reference37 articles.

1. • Palmer AJR, Malak TT, Broomfield J, Holton J, Majkowski L, Thomas GER, et al. Past and projected temporal trends in arthroscopic hip surgery in England between 2002 and 2013. BMJ Open Sport Exerc Med. 2016;2(1):e000082 This article is a database study that queried hip arthroscopies performed in the National Health Service hospitals in England performed betweem the years2002-2013. They found that the number of hip arthroscopies increased by 727% during that 11 year tie period. They found that females undergo the majority of hip arthroscopies and that the prevalence of hip arthroscopies varies by region.

2. •• Nho SJ, Beck EC, Nwachukwu BU, Cvetanovich GL, Neal WH, Harris JD, et al. Survivorship and outcome of hip arthroscopy for femoroacetabular impingement syndrome performed with modern surgical techniques. Am J Sports Med. 2019;47(7):1662–9 This article reports on a single surgeon’s experience with hip arthroscopy for FAI with capsular closure. At a minimum 2-year follow-up, they report an excellent overall survivorship of their cohort (96.4%). Risk factors for clinical failure included lower preoperative International Hip Outcome Tool score (iHOT), chronic preoperative pain, and chondromalacia seen at the time of arthroscopy. Tonnis grades > 1, workers’ compensation cases, and increase BMI were all predictors of inferior clinical outcomes.

3. Harris JD, McCormick FM, Abrams GD, Gupta AK, Ellis TJ, Bach BR, et al. Complications and reoperations during and after hip arthroscopy: a systematic review of 92 studies and more than 6000 patients. Arthrosc J Arthrosc Relat Surg. 2013;29(3):589–95.

4. • Haynes JA, Xiong A, Nepple JJ, An T, Nunley RM, Clohisy JC. Does previous hip arthroscopy affect the clinical outcomes of total hip arthroplasty? Orthop J Sport Med. 2019;7(3):1–5 These authors report on clinical outcomes in primary total hip arthroplasty between patients with and without prior hip arthroscopy. Fifty-eight patients undergoing primary THA with history of ipsilateral hip arthroscopy were compared and matched in a 1:2 manner to 116 hips undergoing primary THA without history of hip arthroscopy. A mean follow-up of 42 months determined. The authors concluded that prior hip arthroscopy did not affect the clinical outcome of a subsequent THA.

5. •• Menge TJ, Briggs KK, Dornan GJ, McNamara SC, Philippon MJ. Survivorship and outcomes 10 years following hip arthroscopy for femoroacetabular impingement. J Bone Jointt Surg. 2017;99(12):997–1004 The authors reported on long-term survivorship of labral debridement, when compared with repair for treatment of FAI with symptomatic labral tears. For the combined cohort consisting of 154 patients, at a mean follow-up of greater than 10 years, the overall survivorship when defined as conversion to THA at final follow-up was 66%. Independent risk factors associated with conversion to THA were determined to be increasing age (51 versus 31 years old), radiographic joint space less than 2 mm, and microfracture at the time of surgery.
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