Abstract Perspective: Mid To Long-term Outcomes Of Hip Arthroscopy: A Systematic Review


“The efficacy of primary hip arthroscopy in the short-term has been well established. However, there is a paucity of literature regarding long-term outcomes. This systematic review included 13 studies with follow-up times that ranged from five to 20 years. In total, 1571 hips were included, and the most common indications for surgery were labral tears and femoroacetabular impingement. Based on patient-reported outcome scores, patients who underwent primary hip arthroscopy demonstrated significant improvements at mid to long-term follow-up. Despite these promising results, there was still great variability regarding rates of conversion to total hip arthroplasty. After grouping studies based on follow-up time, the conversion rates for the five and ten-year windows ranged from 3.0% to 17.9% and 2.4% to 32.5% respectively. Additionally, the single study with a follow-up time of 20 years had a conversion rate of 41.0%. The heterogeneity of these results may be due to improvements in surgical technique as well as a better understanding of the appropriate indications for hip arthroscopy. Across the articles, the most reported reasons for unfavorable outcomes were osteoarthritis and increased age. Future studies are needed to validate the durability of patient outcomes and to determine average conversion rates at mid to long-term follow-up.”

– Dr. Domb, study author