Bilateral Hip Arthroscopy: Can Results From Initial Arthroscopy for Femoroacetabular Impingement Predict Future Contralateral Results?
Authors: Hassebrock JD, Krych AJ, Domb BG, Levy BA, Neville MR, Hartigan DE
DOI: 10.1016/j.arthro.2018.12.033
Background
- A significant number of patients undergoing hip arthroscopy for FAI later require contralateral surgery. Predicting outcomes for the second side may aid clinical decision-making and patient counseling.
Methods
- 133 patients who underwent bilateral hip arthroscopy were analyzed for intraoperative findings and postoperative outcomes.
Key Findings
- Preoperative radiographic and intraoperative findings were highly concordant between hips.
- Patient-reported outcomes improved similarly in both hips, with no significant differences in functional gain or satisfaction.
What Does This Mean for Providers?
- The clinical course and outcomes from the initial hip arthroscopy can guide prognosis for contralateral procedures.
- Bilateral cases may benefit from early detection and intervention on the second hip when symptoms arise.
- Providers can confidently use the first-side experience to guide expectations, rehabilitation, and timing for the second-side intervention.
- Reinforce adherence to post-op protocols and long-term monitoring of both hips, especially in active individuals or athletes.