Females and Males Achieved Comparable Outcomes and Clinical Benefits Following Primary Hip Arthroscopy with Labral Repair, but Age Affected Outcomes and Conversion to Total Hip Arthroplasty. A Short and Mid-Term Follow-Up Analysis with Dual Stratification
Authors
Maldonado DR, Owens JS, Go CC, Lee MS, Saks BR, Jimenez AE, Lall AC, Domb BG
Background
- Hip arthroscopy with labral repair is a common procedure for treating femoroacetabular impingement syndrome (FAIS).
- There has been a lack of research comparing the outcomes based on sex and age in this procedure.
Methods
- Data from patients undergoing primary hip arthroscopy for FAIS between 2008 and 2018 were analyzed.
- Patient-reported outcome scores (PROs) were assessed at a minimum of 2 and 5 years post-surgery, stratified by sex and age.
Key Findings
- Both males and females showed similar improvements in PROs after surgery, regardless of age group.
- Younger patients (<21 years old) reported better outcomes than older patients.
- The rate of conversion to total hip arthroplasty (THA) was lower in younger patients and was not significantly different between sexes.
Conclusions
- Hip arthroscopy for FAIS provides significant improvements in outcomes for both males and females.
- Younger patients (<21 years old) have better results and lower rates of needing THA later on.
What Does This Mean for Patients
- If you're a younger patient (<21), you are more likely to experience better outcomes with hip arthroscopy and have a lower risk of needing a hip replacement in the future.
- Both male and female patients generally have similar success rates following the procedure.