EP3.19 Patients with Chronic Inflammatory Diseases Undergoing Hip Arthroscopy Demonstrate Favorable Outcomes: A Systematic Review

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ID: 331152
2026
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Abstract
Abstract Purpose To evaluate the patient reported outcomes (PROMs) of hip arthroscopy and secondary surgeries in patients with chronic inflammatory conditions who underwent hip arthroscopy. Methods In March of 2026, a systematic review was performed with the following key words: “hip”, “arthroscopy”, “inflammatory disease”, “rheumatoid”, “lupus”, “ankylosing spondylitis”, and “psoriatic arthritis” in PubMed, Cochrane Center for Register of Controlled Trials (Cochrane Center for Register of Controlled Trials), and Scopus. Studies were searched for using the Preferred Reporting Items for Systematic Reviews and Meta-analyses criteria. Studies were included if they include patient reported outcome measures (PROMs) or survivorship for patients who underwent hip arthroscopy with concomitant chronic inflammatory conditions (CIDs). Exclusion criteria included non-English language studies and inappropriate study type. Demographics, pre- and postoperative data, PROMs, and secondary surgical information were reported as available. The Methodological Index for Non-Randomized Studies criteria was used to evaluate bias. Results Seven articles were included with 125 CID patients (135 hips). All studies had a retrospective study design, with five level III and two level IV studies. The mean patient age ranged from 23.75 to 41.5 years, with cohorts ranging from 16.7% to 85.2% female. Five of six studies reporting PROMs demonstrated statistically significant improvement (P < 0.05). Revision hip arthroscopy rates ranged from 19.2% to 26.7% and conversion to total hip arthroplasty (THA) ranged from 0% to 25.93%. Four studies included comparative analysis of CID to non-CID patients. Two of the four comparisons demonstrated CID patients to pose inferior PROMs or lower rates of survivorship. Conclusion Patients with CIDs who underwent hip arthroscopy demonstrated significant improvement in PROMs with rates of conversion to THA ranging from 0% to 25.93%. Patients who have CIDs may experience lesser magnitudes of improvement and higher rates of secondary hip surgery when compared to non-CID patients undergoing hip arthroscopy. Level of Evidence Level IV, systematic review of Level III and IV studies.
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Authors Andrew Jimenez, Andrew Schab, Judy Chen, Kevin Girardi, Saumith Menon, Kinjal D. Vasavada
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.304
URL
https://doi.org/10.1093/jhps/hnag043.304
Keywords Keywords not found

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