Can Patient-Reported Outcomes Predict the Need for Secondary Surgeries After Hip Arthroscopy?
Authors: Shapira J, Bheem R, Kyin C, Rosinsky PJ, Meghpara MB, Maldonado DR, Lall AC, Domb BG
Background
Patient-reported outcomes (PROs) are valuable for tracking recovery after hip arthroscopy, but their utility in predicting the need for secondary surgeries has not been well established.
Methods
This study evaluated PROs collected at 3 months and 1 year post-hip arthroscopy to assess their predictive capacity regarding subsequent surgical intervention. Statistical analysis identified thresholds correlating with future surgery risk.
Key Findings
A modified Harris Hip Score (mHHS) above 80.5 at 1 year post-op was significantly associated with a decreased likelihood of requiring secondary surgery.
Conclusions
The 1-year mHHS is an effective predictive tool for identifying patients at low risk for secondary surgery, offering a quantifiable benchmark to aid clinical decision-making.
What Does This Mean for Providers?
Providers can utilize the 1-year mHHS threshold of 80.5 as a prognostic indicator to guide postoperative counseling and tailor follow-up strategies. Monitoring PROs may facilitate earlier identification of patients at risk for additional procedures, optimizing management pathways.