Effect of Femoral Anteversion on Clinical Outcomes After Hip Arthroscopy
Authors: Jackson TJ, Lindner D, El-Bitar YF, Domb BG
DOI: 10.1016/j.arthro.2014.07.009
Purpose
To investigate whether femoral version (retroversion, normal, or excessive anteversion) impacts clinical outcomes after hip arthroscopy.
Methods
Retrospective analysis of 278 patients undergoing hip arthroscopy with MRI/MRA measurement of femoral version. Patients grouped by femoral retroversion (≤ -2°), normal version, or excessive anteversion (≥ 18°). Patient-reported outcomes and pain scores were evaluated pre- and postoperatively.
Key Findings
- All groups demonstrated significant improvement in clinical outcomes postoperatively.
- No significant difference in outcomes was found among retroversion, normal, and excessive anteversion groups.
- Excessive anteversion group had fewer anterior labral tears.
Conclusion
Femoral anteversion does not significantly influence patient-reported outcomes after hip arthroscopy.
What Does This Mean for Providers?
- Femoral version should not be considered a contraindication or a major factor influencing prognosis after hip arthroscopy.
- Preoperative assessment of femoral anteversion remains important for surgical planning but does not predict functional outcomes.
- Patients with varying femoral versions can be counseled to expect similar improvements in pain and function.