EP8.30 Male and Female Patients Report No Differences in Outcomes Following Hip Arthroscopy Utilizing Puncture Capsulotomy Technique at Five-Year Follow-Up

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ID: 330988
2026
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Abstract
Abstract Background There is a paucity of research on sex-based differences following hip arthroscopy utilizing the puncture capsulotomy technique. Hypothesis The purpose of this study is to investigate mid-term differences in patient-reported outcomes (PROM), achievement of clinically meaningful outcomes, and secondary surgery rates based on sex following hip arthroscopy utilizing the puncture capsulotomy technique. Methods This was a retrospective review of prospectively collected data of patients undergoing hip arthroscopy via puncture capsulotomy for symptomatic labral tears. Patients were emailed PROM surveys at enrollment, 2, and 5 years after surgery. Revision arthroscopy, hip resurfacing, and conversion to total hip arthroplasty surgery rates were collected. Results 120 patients were included in the final analysis. 63 (52.5%) of whom were female. The female cohort reported a mean age of 41.4 ± 11.5 years, and the male cohort reported a mean of 37.7 ± 11.1 (P=0.072). At baseline, the female cohort reported significantly lower scores across all PROMs than the male cohort (all P<0.05). At 5-year follow-up, both cohorts reported similar scores across all PROMs (all P>0.05). The female cohort reported a significantly greater magnitude of improvement at 5-year follow-up for mHHS and iHOT-33 (P=0.009 and P=0.031, respectively). At 5-year follow-up, the female cohort reported significantly greater MCID achievement for all PROMs (all P<0.05) except for HOS-SSS (P=0.357) and iHOT-33 (P=0.565). Both cohorts reported similar PASS and SCB achievement (all P>0.05). No differences were observed in secondary surgery rates (all P>0.05). Conclusion Although the female cohort presented with significantly lower baseline PROMs, no differences were observed by the 5-year mark in PROM scores, PASS achievement, SCB achievement, or secondary surgery rates. These findings suggest that despite preoperative differences, the puncture capsulotomy technique yields similar outcomes for both sexes.
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Authors Rishi Earla, Jackson G. Woodrow, Rachel L. Poutre, Brandon Allen, Jeffery Mun, Stephen Gillinov, Bilal S. Siddiq, Adarsh Aratikatla, Destiny Kluck, Scott David Martin
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.410
URL
https://doi.org/10.1093/jhps/hnag043.410
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