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Hip arthroscopy for labral tears in workers' compensation: a matched-pair controlled study.
Christine E Stake1, Timothy J Jackson, Jennifer C Stone
1Benjamin G. Domb, Loyola University Chicago, Hinsdale Orthopaedics, American Hip Institute, 1010 Executive Court, Suite 250, Westmont, IL 60559. DrDomb@americanhipinstitute.org.
The American Journal of Sports Medicine
|July 23, 2013
Summary
Hip arthroscopy improved outcomes for workers' compensation (WC) patients with labral tears, despite lower baseline scores compared to controls. Both groups showed significant recovery, indicating the procedure benefits WC patients.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Rehabilitative Medicine
Background:
- Workers' compensation (WC) status is linked to clinical outcomes, but comparative studies on hip arthroscopy are lacking.
- No prior research has assessed 2-year outcomes for hip arthroscopy patients based on WC status.
Purpose of the Study:
- To evaluate 2-year outcomes in patients undergoing hip arthroscopy for labral tears who receive WC.
- To compare these outcomes with a matched control group not receiving WC.
Main Methods:
- A cohort study (Level of evidence, 3) comparing WC patients with a matched control group.
- Utilized four patient-reported outcome measures (mHHS, NAHS, HOS-ADL, HOS-SSS), VAS pain, and satisfaction scales pre- and post-operatively.
- Matched controls 1:1 based on age, sex, surgical procedure, and radiographic findings.
Main Results:
- WC patients had lower preoperative scores but showed significant postoperative improvement in all measures.
- No significant difference in pain reduction or patient satisfaction between WC and control groups.
- 86% of WC patients returned to work within 82 days; both groups experienced significant functional gains post-surgery.
Conclusions:
- WC patients exhibit lower baseline scores but benefit significantly from hip arthroscopy for labral tears.
- The procedure demonstrates favorable outcomes for the WC population, though expectations should be managed.
- Hip arthroscopy is a viable treatment option for labral tears in workers' compensation patients.