Outcomes of Revision Hip Arthroscopy: 2-Year Clinical Follow-up
Authors: Gupta A, Redmond JM, Stake CE, Dunne KF, Hammarstedt JE, Domb BG
DOI: 10.1016/j.arthro.2015.11.016
Purpose
To assess clinical outcomes, pain, and patient satisfaction following revision hip arthroscopy at minimum 2-year follow-up.
Methods
Prospective data collection on 70 patients undergoing revision arthroscopy, with PROs measured pre- and postoperatively (mHHS, NAHS, HOS-ADL, HOS-SSS), pain VAS, and patient satisfaction scores.
Key Findings
- Significant improvements in all PRO scores and decreased pain.
- Average patient satisfaction was moderate-high (7.67/10).
- Success rate was 74.6%; hip survivorship 85.7%.
- 14.3% converted to total hip arthroplasty (THA), 7.1% underwent secondary revision.
- Minor complication rate was 10%.
What Does This Mean for Providers?
- Revision hip arthroscopy can provide meaningful clinical improvements and pain relief for many patients.
- Counsel patients regarding the realistic risks of progression to THA or need for further revision surgery.
- Close postoperative monitoring and appropriate patient selection are critical to optimizing outcomes.