Clinical Outcomes of Hip Arthroscopic Surgery: A Prospective Survival Analysis of Primary and Revision Surgeries in a Large Mixed Cohort
Authors: Domb BG, Gui C, Hutchinson MR, Nho SJ, Terry MA, Lodhia P
Journal: Am J Sports Med
DOI: 10.1177/0363546516663463
Purpose
To compare outcomes and survivorship between primary and revision hip arthroscopic surgeries in a large prospective cohort.
Methods
Prospective analysis of 1,155 hip arthroscopies with minimum 2-year follow-up. Outcomes included PROs, VAS, satisfaction, and rates of conversion to total hip arthroplasty (THA) or resurfacing.
Key Findings
- All patients showed significant postoperative improvement.
- Primary procedures had superior outcomes and lower rates of conversion to THA.
- Revision cases had a higher risk of reoperation and less symptom relief.
Conclusions
Primary hip arthroscopy provides more durable results and a lower risk of progression to arthroplasty than revision surgery.
What Does This Mean for Providers?
- Early and accurate diagnosis with appropriate indication for primary arthroscopy is critical for optimizing long-term outcomes.
- Caution is advised with revision cases—patients should be counseled regarding the higher risk of conversion and less favorable results.
- Providers should prioritize precise capsular management and complete pathology correction in the index procedure to reduce revision risk.