Hip Arthroscopy Results in Similar Short-Term Function Compared to Total Hip Arthroplasty in Patients of Similar Demographic Profiles
Authors: Lall AC, Secretov E, Battaglia MR, Chen SL, Laseter JR, Yelton MJ, Chaharbakhshi EO, Maldonado DR, Domb BG
Journal: Arthroscopy, Sports Medicine, and Rehabilitation, August 2022
DOI: 10.1016/j.asmr.2022.06.013
Background
Hip arthroscopy is commonly performed for labral tears, while total hip arthroplasty (THA) is a more invasive option. This study compares short-term outcomes of hip arthroscopy versus THA in demographically matched patients.
Methods
- Retrospective review of 67 patients undergoing hip arthroscopy matched with 67 patients undergoing THA by age, gender, BMI.
- Functional outcomes assessed via mHHS, non-arthritic hip score, and VAS for pain.
Key Findings
- Both groups demonstrated similar improvements in mHHS scores (arthroscopy 82.9 vs THA 87.3) and patient satisfaction (8.1 vs 8.8).
- No significant differences in short-term pain relief or function.
Conclusions
For selected patients, hip arthroscopy can provide short-term functional outcomes comparable to THA.
What Does This Mean for Providers?
- Hip arthroscopy should be considered a viable treatment for appropriate patients with labral pathology, potentially delaying or avoiding the need for arthroplasty.
- Patient selection is critical; younger patients or those without advanced osteoarthritis may benefit most.
- This data supports counseling patients on hip arthroscopy as an effective option with favorable short-term results relative to THA.