EP8.97 Patient Characteristics Associated with the Highest Postoperative Hip Arthroscopy Outcomes

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ID: 331166
2026
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Abstract
Abstract Background Hip arthroscopy has demonstrated considerable success in alleviating hip symptoms in patients at both short and now longer-term followup. Nevertheless, treatment failures do occur, necessitating secondary interventions. The identification of patient characteristics associated with future revision procedures is essential to enhance surgical decision-making processes, and understanding characteristics associated with the highest post-operative outcomes can aide in patient counseling. Objective This study aims to identify characteristics that may predispose patients to failure following hip arthroscopy as well as identify characteristics associated with the highest post operative outcomes. Methods A retrospective review was performed of 452 patients who underwent primary hip arthroscopy between January 2020 and December 2022 by a single high-volume hip arthroscopist. Records were reviewed for subsequent, secondary hip procedures. Patient characteristics included demographic data, preoperative imaging metrics and patient-reported outcomes (PROs). Separate logistic regressions for each patient characteristic were used to estimate the odds of requiring secondary procedures. Odds ratios with 95% confidence intervals are reported. Results Secondary procedures were indicated for 53 patients (11.7%) with revision surgeries accounting for 15 cases (3.3%). 18 patients (3.6%) underwent manipulation under anesthesia (MUA), 16 (3.5%) proceeded to total hip arthroplasty (THA), and four (0.9%) proceeded to a periacetabular osteotomy (PAO). The odds of secondary procedure increased with increasing age (OR = 1.04 [1.01, 1.06], p = 0.01), greater acetabular inclination (OR = 1.09 [1.01, 1.17], p = 0.02), and lower pre-operative Hip Outcome Score Sport Subscale score (OR = 0.73 [0.59, 0.90], p < 0.01). Patients with a Tonnis grade of 1 were more likely to have a secondary procedure compared to patients with a Tonnis grade of 0 (OR = 2.52 [1.32, 4.81], p < 0.01). Additionally, greater BMI was marginally associated with greater odds of a secondary procedure (OR = 1.05 [0.99, 1.11], p = 0.08). Conclusions Understanding the factors associated with the most optimal surgical outcomes is important in pre-operative patient counseling and understanding the patient specific success rate of hip arthroscopy. Patients with the highest post-operative outcome measures after hip arthroscopy were younger, had more acetabular coverage as defined by the acetabular inclination, higher pre-operative HOS-SS, Tonnis grade 0, and had a lower BMI.
Reference Key
openalex_W7220409434 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.476
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