2025 ISAKOS Biennial Congress ePoster
Midterm Outcomes And Return To Sports Of Staged Bilateral Hip Arthroscopy In High-Level Athletes
Ady Haim Kahana Rojkind, MD, Des Plaines, IL UNITED STATES
Meredith F. Cohen, BA, Des Plaines, IL UNITED STATES
Matthew J. Strok, BA, Des Plaines, IL UNITED STATES
Elizabeth G. Walsh, BS, Des Plaines, Illinois UNITED STATES
Roger Quesada Jimenez, MD, Des Plaines, Illinois UNITED STATES
Benjamin G. Domb, MD, Des Plaines, Illinois UNITED STATES
American Hip Institute Research Foundation, Des Plaines, Illinois, UNITED STATES
FDA Status Cleared
Summary
High-level athletes who underwent staged bilateral primary hip arthroscopy may expect favorable return to sport rates and outcomes at minimum 5-year follow-up. These results were comparable with those of the propensity-matched control group of high-level athletes who underwent primary hip arthroscopy.
Abstract
Purpose
To (1) evaluate midterm patient-reported outcomes (PROs) and rates of return to sports (RTS) of staged bilateral primary hip arthroscopy in high-level athletes, with minimum 5-year follow-up, and to (2) compare outcomes to a propensity-matched control group of unilateral primary hip arthroscopy in high-level athletes.
Methods
Data were retrospectively analyzed for high-level athletes (high school, college, or professional) who underwent staged bilateral hip arthroscopy between 2010 – 2019. Patients were included in the present analysis if they had at least one of the following PRO scores; modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), International Hip Outcome Tool (iHOT-12), Hip Outcome Score–Sports-Specific Subscale (HOS-SSS), and patient satisfaction. These athletes were propensity matched to a benchmark control group of high-level athletes who underwent unilateral primary hip arthroscopy in a 1:1 ratio based on age, sex, Tonnis grade, labral treatment, acetabular outerbridge grade, follow-up time, and preoperative level of competition in their sport.
Results
A total of 58 high-level athletes who underwent bilateral primary hip arthroscopy were successfully matched to 58 control patients who underwent unilateral primary hip arthroscopy. Athletes who underwent bilateral hip arthroscopy returned to sports at a high rate (77.6%) and showed significant improvement for all PROs. The propensity-matched control group returned to sports at a comparable rate of 81.6%.
Conclusion
High-level athletes who underwent staged bilateral primary hip arthroscopy may expect favorable RTS rates and PROs at minimum 5-year follow-up. These results were comparable with those of the propensity-matched control group of high-level athletes who underwent primary hip arthroscopy.