Patient-Reported Outcomes Improve at 2-Year Minimum Follow-Up After Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Systematic Review
Authors: Curley AJ, Nerys-Figueroa J, George T, Carbone AD, Parsa A, Domb BG
Journal: Arthroscopy, February 2023
DOI: 10.1016/j.arthro.2022.10.038
Background
FAIS often requires arthroscopic intervention to relieve pain and improve function. This review examines patient-reported outcomes with a minimum 2-year follow-up after hip arthroscopy for FAIS.
Methods
- Systematic review of nine studies with over 100 patients each.
- PROs assessed included modified Harris Hip Score (mHHS) and Hip Outcome Score (HOS).
Key Findings
- Consistent, significant improvements in PROs postoperatively across studies.
- Preoperative mHHS ranged from 53.1 to 80; postoperative mHHS ranged from 67.4 to 100.
- Revision and conversion to total hip arthroplasty were low but increased with patient age.
Conclusions
Hip arthroscopy for FAIS reliably improves pain and function at a minimum 2-year follow-up, with low revision rates overall.
What Does This Mean for Providers?
- Providers can expect durable patient benefits after hip arthroscopy for FAIS, reinforcing its role as an effective treatment.
- Older patients should be counseled about a slightly increased risk of conversion to arthroplasty.
- Monitoring of PROs should be incorporated into postoperative follow-up to assess success and identify patients at risk for suboptimal outcomes.