Does Primary Hip Arthroscopy Result in Improved Clinical Outcomes?: 2-Year Clinical Follow-up on 738 Primary Hip Arthroscopies
Authors: Gupta A, Redmond JM, Stake CE, Dunne KF, Domb BG
Purpose
Assess patient-reported outcomes and satisfaction at 2 years post-primary hip arthroscopy at a high-volume center.
Methods
Prospective case series of 595 patients (2008–2011); evaluated mHHS, NAHS, HOS-ADL, HOS-SSS, VAS pain, satisfaction.
Key Findings
- Significant improvement in all PRO scores and pain reduction at 2 years.
- Average patient satisfaction was 7.86/10.
- 7.7% required revision surgery; 9.1% converted to THA or resurfacing.
- Older age and certain surgical factors linked to higher failure rates.
What Does This Mean for Providers?
- Hip arthroscopy reliably improves pain and function at short-term follow-up in a broad patient cohort.
- Counsel patients—especially older individuals or those with risk factors—about the possibility of revision or eventual arthroplasty.
- Use these outcomes to set realistic postoperative expectations and guide patient selection.