Does Obesity Affect Outcomes in Hip Arthroscopy? A Matched-Pair Controlled Study With Minimum 2-Year Follow-up
Authors: Gupta A, Redmond JM, Hammarstedt JE, Stake CE, Domb BG
DOI: 10.1177/0363546514565089
Purpose
Compare clinical outcomes after primary hip arthroscopy between obese and nonobese patients over 2 years.
Methods
Prospective matched cohort of 62 obese and 124 nonobese patients; assessed PROs and complications.
Key Findings
- Obese patients had lower absolute PRO scores pre- and postoperatively but showed similar magnitude of improvement.
- No significant difference in revision, THA conversion, or complication rates, though obese patients trended toward higher rates.
- Hip arthroscopy remains a viable option for obese patients with proper expectation management.
What Does This Mean for Providers?
- Expect meaningful improvements in obese patients comparable to nonobese peers, despite lower absolute function scores.
- Discuss realistic outcomes with obese patients preoperatively to optimize satisfaction.
- Monitor closely for potential increased risk of revision or arthroplasty, though evidence is not definitive.