5-Year Arthroscopy-Free Survivorship and Outcomes of Adolescents Undergoing Primary Hip Arthroscopy: A Comparison Between Traumatic and Atraumatic Injuries
Authors: Lee MS, Paraschos OA, Jimenez AE, Owens JS, Maldonado DR, Domb BG
Journal: American Journal of Sports Medicine, August 2022
DOI: 10.1177/03635465221103255
Background
This study evaluates 5-year outcomes and revision rates after hip arthroscopy in adolescents with femoroacetabular impingement syndrome (FAIS) caused by traumatic injuries (TIs) versus atraumatic hip conditions (AHS).
Methods
- Compared 31 patients (32 hips) with traumatic injuries to 64 patients with atraumatic FAIS.
- Outcomes measured included mHHS, Nonarthritic Hip Score, HOS-SSS, and pain scales with 5-year follow-up.
Key Findings
- Both groups showed significant improvements in PROs.
- Revision surgery rates were substantially higher in the traumatic injury group (28.1% vs. 6.3%).
Conclusions
Adolescents with traumatic hip injuries achieve comparable functional improvement but have a higher risk of requiring revision surgery compared to those with atraumatic FAIS.
What Does This Mean for Providers
- Be vigilant when managing adolescents with traumatic hip injuries, as they have a higher likelihood of revision surgery despite good initial outcomes.
- Counsel patients and families about the increased revision risk associated with traumatic injuries.
- Consider closer postoperative monitoring and tailored rehabilitation protocols for traumatic injury cases to optimize long-term joint preservation.