Survivorship Following Hip Arthroscopy: Lessons Learned from a Comprehensive Database

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomechanical Engineering

Background:

• Hip arthroscopy indications are expanding, necessitating an understanding of procedure durability.
• Patient counseling and procedure success assessment depend on long-term survivorship data.
• Survivorship is defined as the absence of subsequent periacetabular osteotomy (PAO), total hip arthroplasty (THA), or revision surgery.

Purpose of the Study:

• To review recent literature on survivorship after specific hip arthroscopic procedures.
• To evaluate survivorship in special populations undergoing hip arthroscopy.
• To consolidate current evidence on the longevity of hip arthroscopic interventions.

Main Methods:

• Systematic review of recent literature on hip arthroscopy survivorship.
• Analysis of prospective studies focusing on long-term outcomes.
• Inclusion of data on femoroacetabular impingement (FAI) and other hip conditions.

Main Results:

• No Level 1 evidence currently exists for hip arthroscopy survivorship.
• Long-term prospective studies show good to excellent survivorship for FAI treatment.
• Limited follow-up exists for other hip arthroscopic procedures and special populations, though initial results are promising.

Conclusions:

• Hip arthroscopy for FAI demonstrates excellent long-term durability.
• Labral reconstruction, capsular closure, and athletic populations show good survivorship with shorter follow-up.
• Further prospective research is required to fully elucidate survivorship across diverse hip arthroscopic procedures and patient groups.