Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Adolescents Improves Outcomes and Clinical Benefit Achievement Rates at Short-Term Follow-Up: A Multicenter Analysis
Authors: Maldonado DR, Kufta AY, Krych AJ, Levy BA, Okoroha KR, Gonzalez-Carta K, Domb BG
Journal: Arthroscopy, May 2023
DOI: 10.1016/j.arthro.2022.11.020
Background
FAIS in adolescents can markedly impair hip function and quality of life. This study evaluates patient-reported outcomes after primary hip arthroscopy in this population.
Methods
- Multicenter cohort from two high-volume centers.
- Adolescents ≤19 years undergoing primary hip arthroscopy for FAIS.
- Minimum 2-year follow-up assessing mHHS, NAHS, and iHOT-12 scores.
Key Findings
- Significant improvements in all PRO measures with high patient satisfaction (8.8/10).
- Majority achieved MCID; 68.3% reached patient-acceptable symptomatic state (PASS).
- 77% attained maximal outcome improvement (MOI).
Conclusions
Primary hip arthroscopy in adolescents with FAIS leads to meaningful pain relief and functional improvement at short-term follow-up.
What Does This Mean for Providers?
- Arthroscopic treatment of FAIS in adolescents yields excellent clinical outcomes and high rates of meaningful patient benefit.
- Early intervention in this age group can result in improved hip function and satisfaction.
- Providers should consider patient selection carefully and counsel families about expected outcomes.
- Monitoring post-op outcomes with validated PROs is essential to assess treatment efficacy.