Does Hip Arthroscopy Affect the Outcomes of a Subsequent Total Hip Arthroplasty?

Hip arthroscopy utilization is on the rise in the United States. Thus, determining the impact of prior hip arthroscopy on subsequent total hip arthroplasty (THA) is important to understand.

A retrospective review of a high-volume orthopedic surgery practice’s billing database yielded 42 hip arthroscopies that underwent subsequent THA. An age-, sex-, and body mass index (2:1)–matched cohort of primary THAs was used for comparison.

No difference was observed in the postoperative Harris Hip Score between groups (92.1 ± 10.9 vs 90.1 ± 6.6, P = .20); however, there was greater overall improvement in Harris Hip Score in the control group (40.4 ± 18.4 vs 45.1 ± 8.7, P = .05). There were no differences observed in the complication (P = .5) or revision rates (P = .4).

With the numbers available, prior hip arthroscopy does not appear to have an impact on the functional outcomes of a subsequent THA.