FP3.7 Hip Arthroscopy Pain Relief Outcomes Predict Contralateral Improvement Following Staged Bilateral Hip Arthroscopy for Symptomatic Acetabular Labral Tears

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ID: 331143
2026
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Abstract
Abstract ICLB03 - The Labral Reconstruction Masterclass: Autografts, Allografts, and Technical Frontiers, Session Room 12 (BMCC Level 3), October 8, 2026, 10:30 - 12:30 Background The purpose of this study was to evaluate whether pain-related outcomes following initial hip arthroscopy can predict pain-related outcomes on the contralateral hip at 1- and 2-years post-operatively in patients undergoing staged bilateral procedures. Methods This was a retrospective review of prospectively collected data of patients undergoing arthroscopic hip surgery for symptomatic bilateral acetabular labral tears. The primary outcome was the correlation of the Bodily Pain subscale of the RAND 36-Item Health Survey 1- and 2-years postoperatively between the index hip and the contralateral hip. Secondary analyses evaluated correlations between index and contralateral hip functional PROMs (mHHS, HOS-ADL, HOS-SSS, NAHS, LEFS, and iHOT-33) at 1- and 2-years post-operatively. Results Eighteen patients (66.7% male) with a mean age of 34.9 years were included with an average time between surgeries of 17.8 months. At the 1-year follow-up, there was a statistically significant positive correlation between index and contralateral hip pain scores at 1-year post-operatively (Spearman ρ=0.676, P=0.008). On multivariable analysis, index hip pain score retained independent significance (B=0.708, P=0.002). No PROM other than RAND-36 pain demonstrated a statistically significant correlation between index hip and contralateral hip outcomes at 1-year post-operatively. At the 2-year follow-up, there was also a statistically significant positive correlation between index and contralateral hip pain (ρ=0.733, P<0.001), HOS-SSS (r=0.621, P=0.031), NAHS (ρ=0.495, P=0.004), LEFS (r=0.758, P=0.004), and iHOT-33 (r=0.778, P=0.003). Conclusions Pain-related outcomes following initial hip arthroscopy demonstrated a strong and independent correlation with contralateral hip outcomes at 1-year postoperatively in patients undergoing staged bilateral procedures. At the 2-year timepoint, index pain and multiple functional PROMs were significant predictors of contralateral outcomes. These findings support the use of index hip pain outcomes as a counseling tool for patients considering contralateral hip arthroscopy.
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Authors Jackson Woodrow, Brandon Allen, Rachel Poutre, Rishi Earla, Jeffrey Mun, Stephen Gillinov, Adarsh Aratikatla, Solomon Williams, Scott David Martin
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.023
URL
https://doi.org/10.1093/jhps/hnag043.023
Keywords Keywords not found

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