Quesada-Jimenez Roger, Walsh Elizabeth G, Kahana-Rojkind Ady H, Sikligar Drashti, Rana Krishi, Domb Benjamin G
American Hip Institute Research Foundation, Chicago, USA.
American Hip Institute, Chicago, USA.
Bone Jt Open. 2025 Sep 3;6(9):1022-1030. doi: 10.1302/2633-1462.69.BJO-2025-0064.
The objective of this study was to perform a long-term comparative analysis of patients who underwent total hip arthroplasty (THA) with a history of previous ipsilateral hip arthroscopy (PA) to a propensity-score matched control group of primary THA with no prior hip arthroscopy (NPA).
Data were analyzed from patients who underwent primary THA for symptomatic hip osteoarthritis between November 2010 and November 2013. Patients included had completed a minimum of ten years of patient-reported outcome measure questionnaires. The PA group was propensity-score matched 1:1 based on age at THA, BMI, sex, robotic assistance, approach, and laterality to the NPA group. Clinical hip arthroplasty outcome thresholds, complications, and revision surgery rates were compared between cohorts. A Kaplan-Meier analysis was performed to assess survivorship.
A total of 108 patients were included, 54 in each group. The groups displayed comparable outcomes at minimum ten-year follow-up, for modified Harris Hip Score (mHHS) (p = 0.370), Harris Hip Score (HHS) (p = 0.370), Hip dysfunction and Osteoarthritis Outcome Score for Joint Replacement (HOOS-JR) (p = 0.380), Forgotten Joint Score (FJS) (p = 0.250), visual analogue scale (VAS; p = 0.150), and patient satisfaction (p = 0.310). The two groups reached Patient Acceptable Symptom State (PASS) for FJS, HHS, and HOOS-JR at similar rates (p > 0.05). The PA group exhibited a significantly higher complication rate, with 11 major complications compared to two in the NPA group, translating to a relative risk of 2.8 (p < 0.033). Among the major complications in the PA group, nine required revision surgery, resulting in a relative risk of 4.5 (p < 0.047).
Patients undergoing primary THA with a history of prior hip arthroscopy achieve similar long-term functional outcomes compared to a propensity-matched control group. However, they face a 2.8-fold increased risk of complications and a 4.5-fold higher risk of major complications requiring revision THA.
本研究的目的是对有同侧髋关节镜检查史（PA）的全髋关节置换术（THA）患者与倾向评分匹配的无既往髋关节镜检查史（NPA）的初次THA对照组进行长期比较分析。
分析2010年11月至2013年11月间因症状性髋关节骨关节炎接受初次THA的患者数据。纳入患者完成了至少十年的患者报告结局测量问卷。PA组根据THA时的年龄、体重指数、性别、机器人辅助、手术入路和手术侧别与NPA组进行1:1倾向评分匹配。比较两组队列的临床髋关节置换术结局阈值、并发症和翻修手术率。进行Kaplan-Meier分析以评估生存率。
共纳入108例患者，每组54例。在至少十年的随访中，两组在改良Harris髋关节评分（mHHS）（p = 0.370）、Harris髋关节评分（HHS）（p = 0.370）、髋关节功能障碍和骨关节炎关节置换结局评分（HOOS-JR）（p = 0.380）、遗忘关节评分（FJS）（p = 0.250）、视觉模拟量表（VAS；p = 0.150）和患者满意度（p = 0.310）方面显示出相似的结果。两组在FJS、HHS和HOOS-JR方面达到患者可接受症状状态（PASS）的比例相似（p > 0.05）。PA组的并发症发生率显著更高，有11例主要并发症，而NPA组为2例，相对风险为2.8（p < 0.033）。在PA组的主要并发症中，9例需要翻修手术，相对风险为4.5（p < 0.0
