Mid- to Long-Term Outcomes of Hip Arthroscopy: A Systematic Review
Authors: Kyin C, Maldonado DR, Go CC, Shapira J, Lall AC, Domb BG
DOI: 10.1016/j.arthro.2020.10.001
Background
Hip arthroscopy is widely used for FAIS and labral tears, but evidence on mid- to long-term outcomes and revision rates remains limited.
Methods
A systematic review of 13 studies with follow-ups from 5 to 20 years assessed patient-reported outcomes, rates of revision surgery, and predictors of outcomes.
Key Findings
Significant improvements in pain and function were consistently reported. Conversion to total hip arthroplasty varied widely from 3.0% at 5 years to 32.5% at 10 years. Osteoarthritis severity and patient age were the primary predictors of poorer outcomes and higher conversion rates.
Conclusions
Hip arthroscopy generally offers sustained functional benefit over mid- to long-term periods. However, the presence of osteoarthritis and advanced age increases the likelihood of requiring subsequent hip replacement.
What Does This Mean for Providers?
Providers should consider osteoarthritis severity and patient age as critical factors when recommending hip arthroscopy, as these influence long-term success and risk for conversion to arthroplasty. Careful patient selection and counseling on expected outcomes and potential need for future surgery are essential.