Rate of Return to Sport and Functional Outcomes After Bilateral Hip Arthroscopy in High-Level Athletes
Authors: Rosinsky PJ, Kyin C, Lall AC, Shapira J, Maldonado DR, Domb BG
DOI: 10.1177/0363546519885354
Background
- High-level athletes with bilateral femoroacetabular impingement syndrome (FAIS) may require arthroscopic intervention on both hips. While unilateral outcomes are well studied, data on bilateral procedures remain limited.
Methods
- This study followed 87 high-level athletes who underwent bilateral hip arthroscopy, assessing return-to-sport (RTS) rates and functional outcome scores (e.g., iHOT-12, mHHS) with a minimum one-year follow-up. Outcomes were also compared by sex.
Key Findings
- Overall RTS rate was 53.7%.
- Male athletes had significantly higher RTS rates compared to females.
- Athletes who returned to sport demonstrated superior functional outcomes based on validated PROs.
Conclusions
- Bilateral hip arthroscopy can yield RTS rates comparable to those seen after unilateral procedures.
- Gender appears to influence RTS outcomes, with males more likely to return.
What Does This Mean for Providers?
- Bilateral arthroscopy can be a viable option for high-level athletes presenting with bilateral hip pathology, but expectations should be managed, especially in female patients.
- RTS should not be assumed, as nearly half may not return. Consider individualizing counseling, emphasizing that functional improvement is possible even without RTS.
- Providers should monitor PROs closely and incorporate sex-specific factors into post-op rehab and return-to-play planning.