EP3.22 Patient-Reported Outcomes Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Prospective Comparison Between Fast versus Slow Responders

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ID: 331214
2026
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Abstract
Abstract Background Previous studies have compared fast and slow “starters” after hip arthroscopy based on early postoperative pain scores. However, no prior studies have compared outcomes based on early postoperative improvement in symptoms. Purpose To compare early patient-reported outcomes (PROs) between "fast responders" and "slow responders" after hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS). Methods A prospective study was performed on all patients who underwent primary HA by the senior author between October 2024 and February 2026. Patients who underwent derotational femoral osteotomy, periacetabular osteotomy, or revision HA were excluded. At each patient's initial (2-week) postoperative follow-up appointment, the patient was asked if he/she could notice a significant improvement in hip pain compared to preoperatively. Patients who responded “yes” or “no” were grouped into fast responders (FR) and slow responders (SR), respectively. PROs were compared between the two groups at 2-weeks, 6-weeks, and 3-months postoperatively. PROs included the International Hip Outcome Tool-12 (iHOT-12), Non-Arthritic Hip Score (NAHS), Hip Outcome Score (HOS), Visual Analogue Scale (VAS) for pain, and Single Assessment Numeric Evaluation (SANE). Mann-Whitney U tests were used to compare PROs between groups. A Fisher’s exact test was used to compare reoperation rates between groups. Results A total of 57 patients (40 female, 70.2%) met the inclusion criteria for this study, with a mean age at surgery of 31.4 years. Forty-eight patients (84%) were identified as FR, and 9 (16%) were SR. At 2 weeks postoperatively, the FR group displayed significantly better iHOT-12 (p=0.002), NAHS (p=0.005), HOS-SSS (p=0.020), and VAS (p=0.003) compared to the SR group. The same was true for iHOT-12 (p=0.014), NAHS (p=0.017), HOS-ADL (p=0.015), HOS-SSS (p=0.014), and VAS (p=0.008) at 6 weeks postoperatively; and iHOT-12 (p=0.015), NAHS (p=0.033), HOS-ADL (p=0.041), HOS-SSS (p=0.004), and VAS (p=0.008) at 3 months postoperatively. Additionally, 3 FR patients and 1 SR patient underwent reoperation by latest follow-up (p=0.51). Conclusion Following HA for FAIS, FRs demonstrate significantly better PROs up to 3 months postoperatively. Further studies are necessary to determine if these differences in PROs continue beyond 3-month follow-up.
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Authors Gabriel Embree, Karter Morris, Matthew Krauetler
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.307
URL
https://doi.org/10.1093/jhps/hnag043.307
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