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Clinical Orthopaedics and Related Research®

, Volume 469, Issue 2, pp 362–371 | Cite as

What Factors Influence Long-term Survivorship After Hip Arthroscopy?

  • Joseph C. McCarthy
  • Bryan T. Jarrett
  • Olumide Ojeifo
  • Jo Ann Lee
  • Charles R. Bragdon
Symposium: Papers Presented at the Hip Society Meetings 2010

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.

Keywords

Cartilage Damage Loose Body Knee Arthroscopy Chondral Lesion Labral Tear 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

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

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Copyright information

© The Association of Bone and Joint Surgeons® 2010

Authors and Affiliations

  • Joseph C. McCarthy
    • 1
    • 2
  • Bryan T. Jarrett
    • 1
    • 2
  • Olumide Ojeifo
    • 1
    • 2
  • Jo Ann Lee
    • 1
    • 2
  • Charles R. Bragdon
    • 1
    • 2
  1. 1.Harris Orthopaedic LaboratoryMassachusetts General HospitalBostonUSA
  2. 2.Harvard Medical SchoolBostonUSA

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