Editorial Commentary: Hip Arthroscopy—Safe, Effective, and Still Improving in Older Nonarthritic Patients
Authors: Ortiz-Declet V, Domb BG
Journal: Arthroscopy. 2016 Dec;32(12):2511–2512
DOI: 10.1016/j.arthro.2016.09.026
Purpose
To comment on emerging evidence supporting arthroscopy in select patients aged ≥60 years without advanced arthritis.
Methods
Narrative review of literature and recent case series highlighting indications and short-term outcomes in older adults.
Key Findings
- Good short-term functional improvement reported in older patients with minimal degenerative change.
- Accurate imaging and joint space assessment (≥2 mm) are essential for appropriate selection.
- Improved techniques reduce risk and enhance outcomes.
Conclusions
With precise patient selection and evolving surgical techniques, hip arthroscopy can be safely and effectively offered to older patients without advanced OA.
What Does This Mean for Providers?
- Don’t exclude older patients from hip arthroscopy solely based on age—radiographic and clinical criteria should guide decisions.
- Use advanced imaging to rule out subtle arthritis.
- Set realistic expectations while emphasizing the potential for pain relief and improved function.