Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticlePredictors of Hip Arthroscopy Outcomes for Labral Tears at Minimum 2-Year Follow-up: The Influence of Age and Arthritis
Section snippets
Study Design
After approval by the internal review board at a tertiary care hospital, patient records and surgical reports from July 2001 through July 2009 were retrospectively reviewed to identify patients who underwent hip arthroscopy for labral pathology. All surgeries were performed by a single surgeon who is fellowship trained in both sports medicine and total joint arthroplasty. Eligible patients were identified by a query of the electronic billing records by use of International Classification of
Demographics
We identified 200 patients by query, of whom 24 did not meet the inclusion criteria (Fig 1). Among the 176 eligible patients identified, the mean patient age at surgery was 40.9 years (range, 17.3 to 62.8 years) at a mean follow-up of 4.3 years (range, 2 to 10.4 years). There were 104 female patients (59%), 87 hips (51%) were noted to have femoroacetabular impingement (FAI), and labral pathology developed in 41 hips (23%) as a result of trauma (Table 1). There were no significant complications
Discussion
To our knowledge, this study is the largest case series in the literature reporting on the surgical results of patients undergoing hip arthroscopy with a minimum of 2 years' follow-up using a validated outcomes score. Overall, we found that surgical results after hip arthroscopy for labral pathology are primarily good to excellent across numerous outcome assessments, with very strong agreement among outcome measure tools. Furthermore, we report high subjective patient satisfaction with hip
Conclusions
In our large retrospective case series using a validated outcome, we found that of the 98 patients who completed the questionnaires, 71 (72%) obtained a good to excellent MHHS. Overall satisfaction among these 98 patients was high (84%). Patients aged younger than 40 years did better than older patients, and arthroscopically identified arthritis was predictive of surgical outcomes.
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The authors report that they have no conflicts of interest in the authorship and publication of this article.