Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears in Patients Younger than 50 Years: Minimum Five-year Outcomes, Survivorship, and Risk Factors for Reoperations

Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears in Patients Younger than 50 Years: Minimum Five-year Outcomes, Survivorship, and Risk Factors for Reoperations

Authors: Perets I, Chaharbakhshi EO, Shapira J, Ashberg L, Mu BH, Domb BG

Journal: J Am Acad Orthop Surg. 2019 Feb 15;27(4):e173-e183.

DOI: 10.5435/JAAOS-D-17-00258 | PMID: 30260911

Background

Assesses mid-term outcomes of hip arthroscopy in patients <50 years with femoroacetabular impingement (FAI) and labral tears, focusing on reoperation and risk factors.

Key Findings

• Significant improvements in PROs and pain scores at minimum 5-year follow-up.
• Reoperation rate of 11.6%, primarily secondary arthroscopy.
• Survivorship at 5 years was 92.4%, with low complication rates (7%).

Conclusions

Hip arthroscopy in younger patients yields favorable mid-term results, but reoperation risk exists, highlighting the importance of appropriate patient selection.

What Does This Mean for Providers?

• Expect excellent functional improvements in patients under 50 undergoing hip arthroscopy.
• Monitor for and counsel about risk of secondary procedures, particularly revision arthroscopies.
• Use careful patient selection criteria to optimize outcomes and reduce reoperation rates.