Hip Arthroscopy in the Presence of Advanced Osteoarthritis Results in 57% Survivorship, With 78% Survivor Satisfaction at 10 Years. A Matched - Control Study
The purpose of this study was two-fold: 1) to determine the long term (10 years) survivorship (i.e., avoidance of a total hip replacement) for patients with advanced osteoarthritis undergoing hip arthroscopy for femoroacetabular impingement, and 2) compare survivorship and patient-reported outcomes against a matched control group with no osteoarthritis. This study found that 57% of cases with OA avoided a total hip replacement at final 10 year follow-up with 78% of those satisfied with their hip functioning. Despite evidence of advanced hip osteoarthritis, surgically corecting FAI bony deformities and repairing the labrum and hip capsule leads to long-term success >10 years, for a large majority of patients. Most of these patients would otherwise have proceeded with total hip replacement given the level of symptoms and poor function.