ArticleOrthopaedic journal of sports medicine2026
Effect of Preoperative Opioid Consumption on Outcomes After Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears: A Minimum 2-Year Follow-up Study.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: There is a paucity of literature investigating the effect of preoperative opioid use on outcomes after hip arthroscopy. Purpose: To evaluate the short-term outcomes and the recovery curve of patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) and labral tears who reported preoperative opioid use and to compare these results to a control group of patients without preoperative opioid use. Study Design: Cohort study; Level of evidence, 3. Methods: We retrospectively analyzed data for patients who underwent primary hip arthroscopy for FAI and labral tears between 2009 and 2021. Patients were included if they reported daily opioid-based pain management within 1 year of surgery (preoperative opioid [PO] group) and had completed preoperative and postoperative patient-reported outcome (PRO) measures at 2-year follow-up. Patients were propensity score matched in a 1:1 ratio to a control group based on sex, age, body mass index, acetabular Outerbridge grade, and labral and capsular treatment. Analysis included comparisons of PROs at 3 months, 1 year, and 2 years as well as clinical thresholds and secondary surgery. Results: A total of 236 patients in the PO group were matched to 236 control cases. The PO group demonstrated significant improvements on all PRO measures at 2-year follow-up. Compared to the control group, the PO group had lower preoperative scores for the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), and Hip Outcome Score-Sports-Specific Subscale (HOS-SSS) and experienced a prolonged recovery, as indicated by lower mHHS and HOS-SSS scores at 3 months and lower mHHS, HOS-SSS and NAHS scores at 1 year. However, by 2-year follow-up, the PO group achieved comparable scores for the mHHS, NAHS, HOS-SSS, and visual analog scale (VAS). Despite these improvements, the PO group reported lower patient satisfaction compared to the control group (6.3 vs 8.7, respectively; Conclusion: Hip arthroscopy for the treatment of FAI and labral tears in patients using daily opioid-based pain control resulted in significant short-term improvements in PROs. Compared to a control group, these patients experienced a prolonged recovery process but ultimately achieved comparable functional outcomes at 2-year follow-up. Despite these improvements, they reported lower patient satisfaction and met the PASS for the VAS at a lower rate.
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