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Patients Undergoing Hip Arthroscopy With Active Workers' Compensation Claims Do Not Demonstrate Inferior Outcomes at Mid-Term

Authors: Perets I, Prat D, Close MR, Chaharbakhshi EO, Rabe SM, Battaglia MR, Domb BG
Journal: Hip Int. 2019 Sep;29(5):543-549.
DOI: 10.1177/1120700018810537 | PMID: 30442020

Background

Assesses whether active workers’ compensation (WC) claims affect outcomes after hip arthroscopy for FAI and labral tears.

Methods

Compared 52 WC patients to 52 matched non-WC patients on PROs, pain scores, satisfaction, secondary surgeries, and THA conversion.

Key Findings

  • WC patients showed similar or better mid-term PRO improvements.
  • No significant difference in complication rates, secondary surgeries, or THA conversion.
  • WC patients had comparable return-to-work rates.

Conclusions

Active WC claims do not negatively impact mid-term hip arthroscopy outcomes.

What Does This Mean for Providers?

  • Providers should not assume worse outcomes in WC patients.
  • WC status alone should not exclude patients from consideration for hip arthroscopy.
  • Careful evaluation and counseling can help set realistic expectations and support return-to-work planning.