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What Factors Influence Long-term Survivorship After Hip Arthroscopy?

  • Symposium: Papers Presented at the Hip Society Meetings 2010
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Background

Hip arthroscopy is an evolving procedure. One small study suggested that a low modified Harris hip score and arthritis at the time of surgery were predictors of poor prognosis.

Questions/purposes

We therefore intended to confirm those findings with a large patient cohort to (1) determine the long-term nonarthritic hip score; (2) determine survivorship; (3) identify risk factors that increase the likelihood of THA; and (4) use those factors to create a usable risk assessment algorithm.

Patients and Methods

We retrospectively reviewed 324 patients (340 hips) who underwent arthroscopy for pain and/or catching. Of these, 106 patients (111 hips or 33%) had a minimum followup of 10 years (mean, 13 years; range, 10–20 years). The average age was 39 years (± 13) with 47 men and 59 women. We recorded patient age, gender, acetabular and femoral Outerbridge grade at surgery, and the presence of a labral tear. Followup consisted of a nonarthritic hip score or the date of a subsequent THA. We determined survivorship with the end point of THA for the acetabular and femoral Outerbridge grades.

Results

Overall survivorship among the 111 hips was 63% at 10 years. The average nonarthritic hip score for non-THA patients was 87.3 (± 12.1). Survivorship was greater for acetabular and femoral Outerbridge grades normal through II. Age at arthroscopy and Outerbridge grades independently predicted eventual THA. Gender and the presence of a labral tear did not influence long-term survivorship.

Conclusions

The long-term survivorship of labral tears with low-grade cartilage damage indicates hip arthroscopy is reasonable for treating labral tears.

Level of Evidence

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgments

We thank David Zurakowski, PhD, Department of Orthopedic Surgery, Children’s Hospital, for his assistance with the statistical analysis.

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Authors and Affiliations

  1. Harris Orthopaedic Laboratory, Massachusetts General Hospital, 55 Fruit Street, Yawkey 3B, Boston, MA, 02115, USA

    Joseph C. McCarthy MD, Bryan T. Jarrett BS, Olumide Ojeifo BS, Jo Ann Lee MS & Charles R. Bragdon PhD

  2. Harvard Medical School, Boston, MA, USA

    Joseph C. McCarthy MD, Bryan T. Jarrett BS, Olumide Ojeifo BS, Jo Ann Lee MS & Charles R. Bragdon PhD

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  1. Joseph C. McCarthy MD
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  2. Bryan T. Jarrett BS
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  3. Olumide Ojeifo BS
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  4. Jo Ann Lee MS
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Corresponding author

Correspondence to Joseph C. McCarthy MD.

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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

This work was performed at Massachusetts General Hospital, Boston, MA, USA.

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McCarthy, J.C., Jarrett, B.T., Ojeifo, O. et al. What Factors Influence Long-term Survivorship After Hip Arthroscopy?. Clin Orthop Relat Res 469, 362–371 (2011). https://doi.org/10.1007/s11999-010-1559-2

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  • DOI: https://doi.org/10.1007/s11999-010-1559-2

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