Defining the Percent Thresholds for Achieving the Maximum Outcome Improvement of Common Hip Outcome Measures After Revision Hip Arthroscopy at Minimum 2-Year Follow-Up

Defining the Percent Thresholds for Achieving the Maximum Outcome Improvement of Common Hip Outcome Measures After Revision Hip Arthroscopy at Minimum 2-Year Follow-Up

Authors: Maldonado DR, Padmanabhan S, George T, Domb BG
Journal: Arthroscopy, April 2024
DOI: 10.1016/j.arthro.2023.08.023

Objective

Identify percent improvement thresholds in hip outcome scores that correlate with patient satisfaction following revision hip arthroscopy.

Key Findings

• Significant improvements in all hip outcome scores at minimum 2-year follow-up.
• Patient satisfaction correlated with 42–50% improvement in scores such as the modified Harris Hip Score and iHOT-12.
• Presence of subspine impingement negatively impacted satisfaction rates.

Conclusion

Defined improvement thresholds can guide expectation setting for revision hip arthroscopy patients and emphasize the importance of addressing all hip pathologies to optimize satisfaction.

What Does This Mean for Providers?

• Use these outcome improvement benchmarks to counsel patients realistically about expected benefits after revision hip arthroscopy.
• Thoroughly evaluate and manage coexisting conditions like subspine impingement to improve postoperative satisfaction.
• Employ these thresholds to monitor postoperative progress and tailor rehabilitation or additional interventions.