Arthroscopic Hip Surgery with a Microfracture Procedure of the Hip: Clinical Outcomes with Two-Year Follow-up
Authors: Domb BG, El Bitar YF, Lindner D, Jackson TJ, Stake CE
Purpose
To evaluate 2-year clinical outcomes following hip arthroscopy combined with microfracture.
Methods
Follow-up of 37 patients (including workers’ compensation and non-compensation groups) who underwent microfracture during hip arthroscopy. Patient-reported outcomes, pain, satisfaction, revision surgeries, and conversion to THA were tracked over 2 years.
Key Findings
- 30 patients completed the 2-year follow-up.
- Significant improvements in all patient-reported outcomes in both groups.
- Workers’ compensation patients started with lower baseline scores but showed similar improvement magnitude.
- Two patients underwent total hip arthroplasty; two required revision arthroscopy.
Conclusion
Microfracture during hip arthroscopy leads to significant clinical improvement at 2 years.
What Does This Mean for Providers?
- Microfracture is a viable adjunct to hip arthroscopy with meaningful functional improvement at mid-term follow-up.
- Patient compensation status does not appear to affect degree of clinical improvement.
- Continued monitoring is warranted due to risk of conversion to THA or revision surgery.