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Clinical Outcomes of Hip Arthroscopic Surgery in Patients With Femoral Retroversion: A Matched Study to Patients With Normal Femoral Anteversion

Authors: Hartigan DE, Perets I, Walsh JP, Chaharbakhshi EO, Yuen LC, Domb BG

Journal: Orthop J Sports Med. 2017 Oct;5(10):2325967117732726

DOI: 10.1177/2325967117732726

Background

Femoral retroversion has been theorized to negatively affect hip arthroscopy outcomes, but clinical data are limited.

Methods

This matched cohort study compared 59 patients with femoral retroversion (≤0°) to 59 with normal anteversion (10–20°), matched for age, BMI, and Tönnis grade. Clinical and radiographic outcomes were assessed.

Key Findings

Both groups showed significant improvements in patient-reported outcomes with no statistically significant difference between retroverted and normal anteversion groups.

Conclusions

Femoral retroversion does not appear to adversely affect outcomes after hip arthroscopy.

What Does This Mean for Providers?

Providers should not consider femoral retroversion alone as a contraindication or a negative prognostic factor for hip arthroscopy outcomes when patients are appropriately selected.