Prior Arthroscopy Leads to Inferior Outcomes in Total Hip Arthroplasty: A Match-Controlled Study
Authors: Perets I, Mansor Y, Mu BH, Walsh JP, Ortiz-Declet V, Domb BG
Journal: J Arthroplasty. 2017 Dec;32(12):3665–3668
DOI: 10.1016/j.arth.2017.06.050
Background
The impact of prior hip arthroscopy on outcomes after total hip arthroplasty (THA) is unclear.
Methods
35 patients undergoing THA after prior ipsilateral hip arthroscopy were matched with 35 THA patients without prior hip surgery. Outcomes at ≥2 years included Harris Hip Score (HHS), Forgotten Joint Score-12 (FJS-12), VAS pain, satisfaction, and complications.
Key Findings
- Patients with prior arthroscopy had significantly worse functional scores (HHS, FJS-12) and lower satisfaction.
- Pain and complication rates were higher but not statistically significant.
- Reoperation rates were similar between groups.
Conclusions
Previous hip arthroscopy may adversely affect functional and subjective outcomes after THA.
What Does This Mean for Providers?
When counseling patients considering hip arthroscopy, discuss potential implications for future THA outcomes. Be mindful of the potential for less favorable functional recovery after THA if prior arthroscopy was performed.