Functional Outcomes After Hip Arthroscopy Based on Self-Reported Cannabis Use: A Matched-Controlled Study.

Area of Science:

• Orthopedic Surgery
• Pain Management
• Cannabis Research

Background:

• Limited research exists on cannabis use's impact on functional outcomes post-hip arthroscopy for labral tears.
• Investigating cannabis use in patients undergoing hip arthroscopy is crucial for understanding its effects on recovery.

Purpose of the Study:

• Compare patient-reported outcome measures (PROMs) between cannabis users and non-users after hip arthroscopy.
• Analyze the correlation between cannabis use frequency and PROMs.
• Evaluate differences in achieving clinically meaningful outcomes between the two groups.

Main Methods:

• A matched-control cohort study included 68 patients undergoing primary hip arthroscopy for labral tears.
• Patients were divided into cannabis-naive and cannabis-user groups, then propensity-matched.
• PROMs were collected at baseline and 2-year follow-up, including scores for function and pain.

Main Results:

• No significant differences in functional outcomes were observed between cannabis users and non-users at 2 years.
• The cannabis-naive group showed significantly better improvement in pain scores from baseline to 2 years.
• Increased cannabis usage frequency correlated with worse pain scores post-surgery.

Conclusions:

• Self-reported cannabis use does not impact overall functional outcomes after hip arthroscopy.
• Higher frequency of cannabis consumption is associated with increased pain symptoms following hip arthroscopy.
• Further research is needed to elucidate the complex relationship between cannabis and surgical recovery.