Comparing Midterm Outcomes of High-Level Athletes Versus Nonathletes Undergoing Primary Hip Arthroscopy: A Propensity-Matched Comparison With Minimum 5-Year Follow-up
Authors: Jimenez AE, Monahan PF, Maldonado DR, Saks BR, Ankem HK, Sabetian PW, Lall AC, Domb BG
DOI: 10.1177/03635465211041763
Background
While high-level athletes (HLAs) are known to demonstrate superior short-term recovery after hip arthroscopy, there is limited data comparing their midterm outcomes to nonathletes (NAs). This study addresses this gap with a 5-year follow-up.
Methods
This was a propensity-matched study comparing HLAs and NAs who underwent primary hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Patient-reported outcomes (PROs), return to sport (RTS), and revision rates were assessed over a minimum 5-year period.
Key Findings
- Both HLAs and NAs experienced significant improvements in PROs.
- HLAs had higher achievement of PASS on the HOS–Sport-Specific Subscale (HOS-SSS).
- RTS among HLAs was 80.4%.
- No significant difference in revision rates between the two cohorts.
Conclusions
Hip arthroscopy provides durable outcomes in both HLAs and NAs at midterm follow-up. HLAs are more likely to achieve superior sport-specific results, although both groups benefit similarly in terms of general pain relief and function.
What Does This Mean for Providers?
- Providers can expect comparable long-term surgical success in both athletic and nonathletic populations.
- High-level athletes may experience more robust improvement in sport-specific functionality, which can inform postoperative counseling and goal-setting.
- Revision risk does not increase with athletic status, supporting the durability of outcomes across varying activity levels.