It stands to reason that if a patient is in their 50s and leads a moderately active lifestyle, hip arthroscopy may provide the relief they require to continue those activities for a few years longer [ 35 ], but they must understand the significant risk of their decision.
All the recent work into outcomes of hip arthroscopy has shown us when to use caution. Patients with signs on AP radiographs of morphological abnormalities, particularly the presence of posterior wall sign and reduced medial proximal femoral angle, also have increased odds of arthritic progression [ 19 ].
These factors serve to help with deciding surgical treatment options and curb patient expectations. There are studies that support the use of arthroscopy even in the face of OA, but even some of these show a high reoperation rate and progression to THR [ 25 , 27 , 33 , 36 ]. The basis of decision-making should be formed upon a discussion with the patient regarding their expectation of hip arthroscopy and their understanding of the lengthy rehabilitation process that may ensue following arthroscopic intervention.
Discussion must also emphasize the possible finding of arthritis at the time of procedure even if there are minimal radiographic signs pre-operatively. The goals of treatment do change in the over 40s and in those with recognizable OA. With many studies showing a high conversion rate within a short period following arthroscopy, perhaps in the face of moderate arthritis, arthroscopy cannot delay the need for hip arthroplasty.
National Center for Biotechnology Information , U. J Hip Preserv Surg. Published online Feb Viswanath and V. Author information Article notes Copyright and License information Disclaimer. Corresponding author. E-mail: ku. Received Nov 10; Accepted Nov Published by Oxford University Press.
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Risks of Hip Arthroscopy
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Hip Arthroscopy and Hip Joint Preservation Surgery
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Can hip arthroscopy in the presence of arthritis delay the need for hip arthroplasty?
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J Bone Joint Surg Br ; 93 — Create Alert. Share This Paper. Figures, Tables, and Topics from this paper. Figures and Tables. Citations Publications citing this paper. Flores , Caitlin C. Chambers , Kristina R. Borak , Alan L. Good midterm results of hip arthroscopy for femoroacetabular impingement. Osteoarthritis of the hip and knee in former male professional soccer players. References Publications referenced by this paper. Anterior femoroacetabular impingement: part II. Midterm results of surgical treatment.