Risk of Conversion to Arthroplasty After Hip Arthroscopy: Validation of a Published Risk Score Using an Independent, Prospectively Collected Database
Authors: Hevesi M, Leland DP, Rosinsky PJ, Lall AC, Domb BG, Hartigan DE, Levy BA, Krych AJ
Background
While hip arthroscopy treats many hip problems, some patients eventually require total hip arthroplasty (THA). This study validates a risk score designed to predict which arthroscopy patients are more likely to need THA later.
Methods
The study followed 187 hip arthroscopy patients for at least 2 years to see who required THA. The published risk score, which includes factors like age and hip function, was tested against this data.
Key Findings
- 7% of patients needed THA within an average of 1.6 years after arthroscopy.
- The risk score accurately predicted which patients had a higher likelihood of conversion to THA (ROC curve 0.894, indicating excellent accuracy).
Conclusions
This risk score is a reliable tool to help predict the chance of needing hip replacement after arthroscopy, aiding treatment planning.
What Does This Mean for Providers
- Use this validated risk score to counsel patients realistically about their prognosis after hip arthroscopy.
- Incorporate the risk score into clinical decision-making to tailor treatment plans.
- Identify high-risk patients early and consider alternative or adjunctive therapies.
- Utilize this tool to improve shared decision-making and set appropriate patient expectations.