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Effect of femoral anteversion on clinical outcomes after hip arthroscopy

Authors

Jackson TJ, Lindner D, El-Bitar YF, Domb BG
DOI: 10.1016/j.arthro.2014.07.009

Purpose

To compare clinical outcomes after hip arthroscopy among patients with femoral retroversion, normal femoral version, and excessive femoral anteversion.

Methods

Retrospective analysis of 278 patients who underwent primary hip arthroscopy and femoral anteversion measurement by MRI/MRA. Patients were categorized into retroversion (≤ -2°), normal version (within 1 SD of mean), and excessive anteversion (≥ 18°) groups. Patient-reported outcome scores and pain scores were collected prospectively and analyzed retrospectively.

Key Findings

  • All groups showed significant improvement postoperatively in all outcome measures (P < .001).
  • No statistically significant differences were found in postoperative scores between the three groups.
  • The excessive anteversion group had fewer labral tears at the anterior 3-o’clock position compared to other groups.

Conclusion

Femoral anteversion does not significantly affect clinical outcomes after hip arthroscopy when analyzed by patient-reported outcomes.

What This Means for Patients

Patients with different femoral anteversion angles can expect similar improvements in hip function and pain relief after arthroscopic surgery.