Editorial Commentary: The Child of 2 Mothers: Hip Preservation and Hip Arthroplasty
Authors: Shapira J, Chen SL, Lall AC, Domb BGD
OI: 10.1016/j.arthro.2018.11.052
Background
Hip preservation surgery (e.g., arthroscopy) and hip arthroplasty represent two complementary approaches to managing hip pathology at different stages. Preservation addresses early joint disease, while arthroplasty is reserved for end-stage arthritis.
Key Findings
- Patients undergoing hip preservation may eventually require hip arthroplasty.
- Prior hip preservation can affect the technical aspects and outcomes of subsequent arthroplasty.
- Collaborative care models between arthroscopy and arthroplasty specialists improve long-term patient outcomes.
What Does This Mean for Providers?
- Educate patients that hip preservation may delay but not eliminate the need for arthroplasty.
- Consider prior preservation procedures when planning hip replacement, as they may impact surgical complexity and rehabilitation.
- Foster multidisciplinary collaboration to optimize sequencing and timing of interventions along the spectrum of hip care.