ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Preoperative risk factors in hip arthroscopy.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Patient selection refines total hip arthroplasty free survival after hip arthroscopy: an eighteen year, one thousand and fifty one hip cohort study.International orthopaedics · 2026Article
- Short- and Medium-Term Outcomes of Hip Arthroscopy in Patients under 18 Years.Clinics in orthopedic surgery · 2026Article
- Risk factors for conversion to total hip arthroplasty after hip arthroscopy for femoroacetabular impingement: a five-year analysis in a large cohort.International orthopaedics · 2026Article
- Three-Zone threshold of acetabular cartilage damage predicts failure to achieve minimal clinically important difference after hip arthroscopy.International orthopaedics · 2026Article
- Hip Microinstability: Current Concepts in Diagnosis, Surgical Management, and Outcomes A Narrative Review.Open access journal of sports medicine · 2025Review
- Predictive importance of cartilage acetabular index for acetabular dysplasia in orthopedic surgery.Acta cirurgica brasileira · 2025Article
- Current understanding of articular cartilage lesions in femoroacetabular impingement syndrome.Journal of orthopaedic surgery and research · 2024Review
- The traction force of the pulled limb in hip arthroscopic surgery is determined by stiffness coefficient which is significantly related to muscle volume.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The HAR-index: a reliable method for evaluating the risk of total hip arthroplasty conversion after hip arthroscopy for femoroacetabular impingement.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Arthroscopy Confers Excellent Clinical Outcomes in Femoroacetabular Impingement Syndrome (FAIS) Patients Aged 50 Years and Above.Orthopaedic surgery · 2023Article
- Associating Outcomes After Hip Arthroscopy With Patient Resilience.Orthopaedic journal of sports medicine · 2023Article
- Hyperlipidemia does not influence clinical outcome in arthroscopic treatment of femoroacetabular impingement syndrome.Journal of orthopaedic surgery and research · 2022Article
- Machine Learning Model Identifies Increased Operative Time and Greater BMI as Predictors for Overnight Admission After Outpatient Hip Arthroscopy.Arthroscopy, sports medicine, and rehabilitation · 2021Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeArthroscopic surgery is a usual technique to repair hip femoroacetabular impingement. Correlation exists among surgical indication, postoperative evolution, the final result, and the necessity of prosthesis in the near future. The assessment of specific parameters allowing us to evaluate the prognosis becomes vital to improve the results. The objective of this study is to check the variables found in patients with femoroacetabular impingement (FAI) treated with hip arthroscopy, and determine which of these variables would serve as key indicators in predicting the need for subsequent arthroplasty.
methodsData from FAI surgical indications (age, weight, height, BMI, gender, side, radiographic Tönnis degree, cartilage lesion degree by Acetabular Labrum Articular Disruption (ALAD) degree, VAS value, HOS, mHHS and WOMAC) were collected from cases which should have had a minimum monitoring period of 2 years from 2007 to 2017. The results of the group which needed prosthesis were compared to the results of the ones who did not.
resultsAmong 452 patients who were monitored for an average of 5.8 years, 82 (18.1%) required conversion to prosthesis. The variables that indicated relatively high risk were fourth-degree acetabular labrum articular disruption (ALAD) chondral injury, preoperative radiographic Grade 2 Tönnis classification, age of over 55 years, WOMAC over 45 points, and HOS-ADL under 50 points. There were no significant differences between side, gender, VAS level, nor HOS.
conclusionsThe presence of chondral injuries such as acetabular labrum articular disruption (ALAD) 4, radiographic Grade 2 Tönnis classification, higher age, higher BMI, and worse WOMAC, along with mHHS and HOS-ADL preoperative results, are factors which lead to a poor prognosis following FAI hip arthroscopic surgery, increasing the risk of prosthetic conversion in the short or medium term. LEVEL OF EVIDENCE: Level IV.
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