Midterm Outcomes And Return To Sports Of Staged Bilateral Hip Arthroscopy In High-Level Athletes

Midterm Outcomes And Return To Sports Of Staged Bilateral Hip Arthroscopy In High-Level Athletes

Ady Haim Kahana Rojkind, MD, UNITED STATES Meredith F. Cohen, BA, UNITED STATES Matthew J. Strok, BA, UNITED STATES Elizabeth G. Walsh, BS, UNITED STATES Roger Quesada Jimenez, MD, UNITED STATES Benjamin G. Domb, MD, UNITED STATES

American Hip Institute Research Foundation, Des Plaines, Illinois, UNITED STATES


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Anatomic Location

Anatomic Structure

Diagnosis / Condition

Treatment / Technique


Summary: High-level athletes who underwent staged bilateral primary hip arthroscopy may expect favorable return to sport rates and outcomes at minimum 5-year follow-up. These results were comparable with those of the propensity-matched control group of high-level athletes who underwent primary hip arthroscopy.


Purpose

To (1) evaluate midterm patient-reported outcomes (PROs) and rates of return to sports (RTS) of staged bilateral primary hip arthroscopy in high-level athletes, with minimum 5-year follow-up, and to (2) compare outcomes to a propensity-matched control group of unilateral primary hip arthroscopy in high-level athletes.

Methods

Data were retrospectively analyzed for high-level athletes (high school, college, or professional) who underwent staged bilateral hip arthroscopy between 2010 – 2019. Patients were included in the present analysis if they had at least one of the following PRO scores; modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), International Hip Outcome Tool (iHOT-12), Hip Outcome Score–Sports-Specific Subscale (HOS-SSS), and patient satisfaction. These athletes were propensity matched to a benchmark control group of high-level athletes who underwent unilateral primary hip arthroscopy in a 1:1 ratio based on age, sex, Tonnis grade, labral treatment, acetabular outerbridge grade, follow-up time, and preoperative level of competition in their sport.

Results

A total of 58 high-level athletes who underwent bilateral primary hip arthroscopy were successfully matched to 58 control patients who underwent unilateral primary hip arthroscopy. Athletes who underwent bilateral hip arthroscopy returned to sports at a high rate (77.6%) and showed significant improvement for all PROs. The propensity-matched control group returned to sports at a comparable rate of 81.6%.

Conclusion

High-level athletes who underwent staged bilateral primary hip arthroscopy may expect favorable RTS rates and PROs at minimum 5-year follow-up. These results were comparable with those of the propensity-matched control group of high-level athletes who underwent primary hip arthroscopy.