Hip Arthroplasty After Hip Arthroscopy: Are Short-term Outcomes Affected? A Systematic Review of the Literature
Authors: Rosinsky PJ, Kyin C, Shapira J, Maldonado DR, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2019.03.057
Background
- Hip arthroscopy is a minimally invasive option for treating intra-articular hip pathology, while total hip arthroplasty (THA) is typically reserved for end-stage arthritis. This review assesses whether prior hip arthroscopy influences short-term outcomes after subsequent THA.
Methods
- Review of 8 studies including 305 hips undergoing THA after prior hip arthroscopy. PROMs and complication rates were compared to primary THA cases without prior arthroscopy.
Key Findings
- PROMs were similar between groups.
- Slightly higher incidence of dislocations and infections was noted in the prior arthroscopy group, though not statistically significant.
Conclusions
- THA following hip arthroscopy appears safe with comparable short-term functional outcomes.
- Increased vigilance for potential complications like dislocation and infection is advisable.
What Does This Mean for Providers?
- Prior hip arthroscopy should not contraindicate THA, but providers should maintain heightened awareness of potential postoperative complications.
- Preoperative planning may require tailored strategies to mitigate risks, including patient counseling on complication risks.
- Monitoring post-THA patients with prior arthroscopy should emphasize early detection of dislocation or infection.