EP8.82 Traumatic Versus Atraumatic Etiology Does Not Influence 15-Year Outcomes Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome

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ID: 331253
2026
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Abstract
Abstract Purpose Traumatic injury is increasingly recognized as a potential factor contributing to femoroacetabular impingement syndrome (FAIS). However, the long-term effect of traumatic symptom onset on outcomes after surgical treatment remains poorly understood. The purpose of this study was to determine whether traumatic etiology influences 15-year patient-reported outcomes (PROs) following hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS). Methods Patients undergoing primary HA for FAIS with ≥15-year follow-up were identified from a prospectively maintained database and retrospectively reviewed. Individuals were classified as traumatic or atraumatic based on preoperative injury history. A 4:1 propensity-matched analysis was performed using age, sex, body mass index, and baseline modified Harris Hip Score (mHHS) and Non-Arthritic Hip Score (NAHS). Primary outcomes were 15-year mHHS and NAHS. Secondary outcomes included change from baseline (ΔmHHS, ΔNAHS), minimal clinically important difference (MCID) achievement, and reoperation and conversion to total hip arthroplasty (THA). Multivariable linear regression assessed whether traumatic etiology independently predicted 15-year outcomes. Results Seventy-five matched patients were included (traumatic n = 15; atraumatic n = 60). Baseline characteristics were well balanced. At a mean 15.0 ± 0.6-year follow-up, both cohorts demonstrated substantial improvements in PROs. There were no differences between groups in 15-year mHHS (87.9 ± 17.7 vs 89.0 ± 13.3, p = 0.813), ΔmHHS (39.5 ± 16.1 vs 40.3 ± 16.8, p = 0.861), 15-year NAHS (86.1 ± 18.3 vs 87.2 ± 16.4, p = 0.832), or ΔNAHS (41.3 ± 16.0 vs 42.0 ± 17.6, p = 0.884). MCID was achieved by all patients in the traumatic group and 98.3% in the atraumatic group (p = 1.000). Traumatic etiology was not an independent predictor of 15-year mHHS (p = 0.706) or NAHS (p = 0.798). Revision and conversion to THA rates were similar between groups. Conclusion HA for FAIS provides durable improvements in PROs at 15 years. Traumatic symptom onset does not adversely affect or independently predict long-term outcomes. These findings support that traumatic etiology should not be considered a negative prognostic factor when counseling patients undergoing HA for FAIS.
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openalex_W7220425055 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/hnag043.461
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