[Translated article] Hip arthroscopy for femoroacetabular impingement with 10-year minimum follow-up

J Más Martínez; A Cuenca Copete; C Verdú Román; D Jiménez Arias; D Beneito Pastor; J Sanz-Reig

doi:10.1016/j.recot.2023.11.012

[Translated article] Hip arthroscopy for femoroacetabular impingement with 10-year minimum follow-up

Rev Esp Cir Ortop Traumatol. 2024 Jan-Feb;68(1):T35-T43. doi: 10.1016/j.recot.2023.11.012. Epub 2023 Nov 22.

[Article in English, Spanish]

Authors

J Más Martínez¹, A Cuenca Copete¹, C Verdú Román¹, D Jiménez Arias¹, D Beneito Pastor¹, J Sanz-Reig²

Affiliations

¹ Traumatología Vistahermosa, HLA Clínica Vistahermosa, Alicante, Spain.
² Traumatología Vistahermosa, HLA Clínica Vistahermosa, Alicante, Spain. Electronic address: jsanz@traumavist.com.

PMID: 37995818
DOI: 10.1016/j.recot.2023.11.012

Abstract

Purpose: To determine outcomes after hip arthroscopy (HA) for femoroacetabular impingement (FAI) at a minimun 10-year follow up and identified risk factors for revision surgery.

Methods: Retrospective study of a prospective database of patients undergoing HA between January 2010 and December 2011. Rim chondral injuries were evaluated using the acetabular labral articular disruptions system (ALAD). Clinical and radiological data was obtained. Cumulative survival was estimated by Kaplan-Meier and a multivariate Cox proportional hazards model.

Results: Seventy-four patients were included in the study. Mean follow-up was 132 months. There was statistically significant improvement from preoperative PROs at latest follow-up. Seventeen patients (23.9%) underwent revision surgery. Odds ratio for revision surgery was 8.08 in a patient above 40 years old, 7.57 in a patient Tönnis greater than 1, and 4.25 in a patient ALAD 2-3. Cumulative survivorship rate at 10 years was 77.8%, with a 45.4% for patients with Tönnis grade greater than 1 in front of 85.2% for patients with Tönnis grade of 1 or less (p<.001). Risk factor for revision surgery was preoperative degree of osteoarthrosis (p=.02).

Conclusion: Cumulative survivorship rate at 10 years was 45.4% for patients with Tönnis grade greater than 1 in front of 85.2% for patients with Tönnis grade of 1 or less (p<.001). Age, chondral injuries, and degree of osteoarthrosis would increase the risk for revision surgery.

Keywords: Arthroscopy; Artroscopia; Cadera; Choque femoroacetabular; Femoroacetabular impingement; Hip; Outcomes; Resultado del tratamiento; Resultados; Treatment outcome.