Females and Males Achieved Comparable Outcomes and Clinical Benefits Following Primary Hip Arthroscopy with Labral Repair, but Age Affected Outcomes and Conversion to Total Hip Arthroplasty
Authors: Maldonado DR, Owens JS, Go CC, Lee MS, Saks BR, Jimenez AE, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2022.02.003
Background
While hip arthroscopy with labral repair is common for FAIS, the influence of sex and age on outcomes and risk of conversion to THA has been unclear.
Methods
- Analysis of PROs in patients undergoing primary hip arthroscopy for FAIS from 2008 to 2018.
- Outcomes stratified by sex and age, with minimum 2- and 5-year follow-up.
Key Findings
- Males and females achieved similar improvements in PROs regardless of age.
- Younger patients (<21 years) had better outcomes and lower THA conversion rates.
- No significant difference in THA conversion by sex.
Conclusions
Primary hip arthroscopy yields comparable outcomes in males and females, with age being a significant predictor of outcome quality and THA risk.
What Does This Mean for Providers?
When counseling patients, providers should communicate that sex does not appear to influence arthroscopy outcomes, but younger age (<21 years) is associated with superior functional outcomes and decreased risk of conversion to THA. Age should be considered in prognosis and surgical decision-making.