Outcomes for Hip Arthroscopy According to Sex and Age

Frank, Rachel M.; Lee, Simon; Bush‐Joseph, Charles A.; Salata, Michael J.; Mather, Richard C.; Nho, Shane J.

doi:10.2106/jbjs.15.00445

Cited by 151 publications

(170 citation statements)

References 54 publications

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“…This information will help guide surgeons and patients in choosing the optimal treatment algorithm. [15][16][17][18][19][20] Preoperative predictors of clinically significant sport function level at 2 years after hip arthroscopy are unclear. Westermann and colleagues 21 identified that mental health, activity level, sex, and smoking predict greater baseline pain and decreased baseline function before hip arthroscopy; however, the authors did not evaluate the efficacy of the intervention or predictors of postoperative pain and function.…”

Section: Introductionmentioning

confidence: 99%

Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up

Stone

Beck

Malloy

et al. 2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Introductionmentioning

confidence: 99%

Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up

Stone

Beck

Malloy

et al. 2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…49,50 Markedly improved functional outcome scores after hip arthroscopy have been reported, with no difference between sexes in patients aged ,45 years. 51,52 Further investigation of sex-based differences in the clinical presentation, relevant anatomy, and surgical management of FAI is necessary to elucidate factors markedly associated with patient outcomes. For example, recognizing that females have higher rates of pelvic anteversion coupled with greater ligamentous laxity might suggest that surgical osteoplasty would be beneficial in this population, even in the setting of radiographically smaller impingement lesions.…”

Section: Figurementioning

confidence: 99%

Sex-based Differences in Common Sports Injuries

Carter

Ireland

Johnson

et al. 2018

J Am Acad Orthop Surg

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The patient's sex plays an important role in mediating the risk for, and experience of, disease. Injuries of the musculoskeletal system are no exception to this phenomenon. Increasing evidence shows that the incidence, clinical presentation, and treatment outcomes for male and female patients with common sports injuries may vary widely. Stress fracture, which is associated with the female athlete triad, is a sports injury with known sex-based differences. Other common sports-related injuries may also have distinct sex-based differences. Understanding these differences is important to optimize each patient's musculoskeletal care.

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“…14 In a study of 150 hip arthroscopy patients at 2-year follow-up, Frank and colleagues found that age greater than 45 years and female sex were associated with inferior patient-reported outcomes. 31 Similarly, in other arthroscopic orthopaedic procedures age has also been identified as a predictor of adverse outcomes, with one study assessing knee arthroscopy finding that older age (40-65 years vs < 40 years old) was an independent predictor of aggregated total short-term complications, with 1.5 times increased risk. 32 In shoulder arthroscopy, age greater than 60 years was also identified as an independent risk factor for short-term complications after arthroscopic rotator cuff repair.…”

Section: Discussionmentioning

confidence: 99%

Increasing Age Is Not Independently Associated with Increased 30-Day Morbidity after Hip Arthroscopy

Boddapati

Confino

et al. 2018

J Hip Surg

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The purpose of this study is to examine the 30-day postoperative complications after hip arthroscopy as a function of patient age. The American College of Surgeons National Surgical Quality Improvement Program database from 2005 to 2016 was used to identify all patients undergoing hip arthroscopy using Current Procedural Terminology and International Classification of Disease codes. Patient characteristics and postoperative complications were compared in a retrospective cohort study with a level of evidence 3 across patient age cohorts using bivariate and multivariate analysis that corrected for differences in baseline patient characteristics. In total, 2,427 patients undergoing hip arthroscopy were identified. Of all identified patients, 667 (27.5%) were under 30 years of age, 596 (24.5%) were between 31 and 40, 599 (24.6%) were between 41 and 50, and 566 (23.3%) were older than 50. Chondroplasty, abrasion arthroplasty, and/or resection of the labrum were the most commonly performed procedures in all age groups. As age increased, patients were more likely to be female and have a higher body mass index, more medical comorbidities, a shorter operative duration, and a higher American Society of Anesthesiologists class. The rate of any 30-day postoperative complication was 1.35% in patients under 30 years of age, 1.68% in patients between 31 and 40, 2.67% in patients between 41 and 50, and 5.12% in patients older than 50 (p < 0.001). Older patients also had a higher rate of deep surgical site infections and blood transfusions (p ≤ 0.001). However, no differences were identified with multivariate analysis. While older patients had higher short-term complications following hip arthroscopy, age alone was not an independent predictor of adverse outcomes. Further investigation is necessary to determine the risk factors associated with significant postoperative morbidity in older patients undergoing hip arthroscopy.

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Outcomes for Hip Arthroscopy According to Sex and Age

Abstract: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.

Cited by 151 publications

References 54 publications

Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up

Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up

Sex-based Differences in Common Sports Injuries

Increasing Age Is Not Independently Associated with Increased 30-Day Morbidity after Hip Arthroscopy

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