Outcomes After Primary Hip Arthroscopy in Athletes Older Than 40 Years Compared With Nonathletes
Authors: Saks BR, Monahan PF, Hawkins GC, Maldonado DR, Jimenez AE, Sabetian PW, Lall AC, Domb BG
Journal: Am J Sports Med, July 2022
DOI: 10.1177/03635465221096843
Background
Master athletes (MAs)—defined as patients >40 years old who maintain high levels of physical activity—are increasingly undergoing hip arthroscopy. This study compared surgical outcomes between MAs and matched nonathletes (NAs).
Methods
- Included patients >40 years undergoing primary hip arthroscopy for FAIS.
- MAs were 1:2 propensity-matched with NAs by age, BMI, and radiographic findings.
- PROMs were collected preoperatively and at a minimum 2-year follow-up.
Key Findings
- MAs had significantly higher pre- and postoperative PROMs (mHHS, NAHS, HOS-SSS, VAS).
- MAs experienced lower rates of secondary arthroscopy (0%) and conversion to THA (12.5%) compared to NAs (7.5% and 26.9%, respectively).
- Both groups achieved similar magnitude of PROM improvement, but MAs had higher absolute scores.
Conclusions
Active older adults undergoing primary hip arthroscopy show better outcomes and lower revision or THA conversion rates than nonathletes.
What Does This Mean for Providers
- Patients over 40 who maintain athletic activity levels are excellent candidates for hip arthroscopy.
- These patients may benefit from more favorable surgical outcomes, higher satisfaction, and reduced risk of subsequent procedures.
- Preoperative counseling should emphasize that athletic engagement may positively influence postoperative recovery and survivorship.