Long-Term Hip Arthroscopy Follow Up Study
Once your hip arthroscopy patient has left the table, what happens to them?
Filling out this cloudy picture is new research from NYU Langone Medical Center. “Independent Risk Factors for Revision Surgery or Conversion to Total Hip Arthroplasty After Hip Arthroscopy: A Review of a Large Statewide Database From 2011 to 2012,” was published in the February 2019 edition of Arthroscopy.
Benjamin Kester, M.D., an orthopedic resident at NYU Langone and first author on this work, told OTW, “We were interested in this work because long-term outcomes after hip arthroscopy are currently not completely understood. While the popularity of hip arthroscopy as a treatment has exploded over the past decade, we may still be under- or over-treating certain populations. We hoped that this study would help us identify which patients are ideal candidates for hip arthroscopy to help improve outcomes and patient experiences.”
The authors wrote, “The New York Statewide Planning and Research Cooperative System database was queried from 2011 through 2012 to identify patients undergoing hip arthroscopy…. We identified 3,957 patients….”
“Importantly,” says Dr. Kester, “we found that younger female patients who did not undergo labral repairs were more likely to require revision arthroscopy. In contrast, female patients over 60, especially obese ones with pre-existing arthritis are at increased risk of requiring a total hip replacement shortly after their arthroscopy.”
“Practically speaking, this information should be used to counsel patients about the risks and benefits of hip arthroscopy. Patients should understand that with certain risk factors they may require future procedures such as total hip replacement.”
