EP8.43 Long-term clinical outcomes and survivorship of hip Arthroscopy for femoroacetabular impingement with labral lesions in middle-aged patients

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ID: 331320
2026
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Abstract
Abstract Background Hip arthroscopy has become an established treatment for femoroacetabular impingement (FAI) with associated labral pathology. However, long-term clinical outcomes and survivorship in middle-aged patients (≥40 years at the time of surgery) remain incompletely defined, particularly given concerns regarding age-related degeneration and progression to osteoarthritis. Purpose The purpose of this study was to evaluate long-term patient-reported outcomes (PROs), survivorship, and rates of conversion to total hip arthroplasty (THA) following hip arthroscopy for FAI with labral lesions in middle-aged patients. Methods Retrospectively, from January 2012 to December 2015, 37 patients who underwent hip arthroscopy for femoroacetabular impingement with labral lesions met our inclusion criteria. Of the 37 patients who met the inclusion criteria and had long-term (at least 10 years) follow-up, 31 patients included in the analysis. Patients’ medical records were reviewed for demographic characteristics, intraoperative findings, reoperation, and progression to THA. Clinical (e.g., modified Harris hip score [mHHS], hip outcome score-activities of daily living [HOS-ADL], visual analogue scale [VAS] for pain, and patients’ satisfaction) and radiological (change of Tönnis grade) outcomes were collected preoperatively and at final follow-up. Survivorship was defined as freedom from conversion to THA. Results At long-term follow-up, patients demonstrated significant and favorable improvements across all PROs compared with preoperative baselines (p < 0.05). The mean patient satisfaction score was 7.9 of 10. The average Tönnis grade at the last follow-up (0.81; range, 0 to 3) was not significantly different from the preoperative average (0.58; range, 0 to 1). Survivorship at 10 years was high, with the majority of patients not requiring conversion to THA. Conclusion Hip arthroscopy for FAI with labral lesions in carefully selected middle-aged patients results in sustained clinical outcomes improvement and favorable long-term survivorship. While the risk of progression to THA remains, age alone should not be considered a contraindication to arthroscopic management in the absence of advanced degenerative changes.
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Authors Jungmo Hwang
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.423
URL
https://doi.org/10.1093/jhps/hnag043.423
Keywords Keywords not found

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