Abstract
Background
The indications for hip arthroscopy have been increasing, as have been the number
of patients undergoing total hip arthroplasty (THA) after hip arthroscopy. Several
matched cohort studies have assessed the impact of prior hip arthroscopy on THA, but
conflicting results have been observed. The purpose of this study was to evaluate
the influence of prior arthroscopy on subsequent THA.
Methods
This systematic review and meta-analysis were performed in accordance with the Preferred
Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) 2020 checklist.
PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and
the Cochrane Library were searched to identify relevant studies. Dichotomous variables
were summarized qualitatively as a meta-analysis of pooled odds ratios (ORs) and 95%
confidence intervals (CIs), and continuous variables were summarized as standardized
mean differences and 95% CIs. P-values <0.05 were considered statistically significant.
The risk of bias was evaluated for each study, as was publication bias.
Results
In patients who underwent hip arthroscopy prior to THA, the ORs for dislocation, reoperation,
and revision were 2.02 (P = 0.01), 1.66 (P = 0.01), and 2.15 (P = 0.001), respectively.
There were no significant between-group differences in the Harris Hip Score (HHS;
P = 0.40), WOMAC (P = 0.069), FJS-12 (P = 0.77), estimated blood loss (P = 0.48),
and surgical time (P = 0.16).
Conclusions
Prior hip arthroscopy is a risk for postoperative dislocation, reoperation, or revision
after conversion THA. However, prior hip arthroscopy has no effect on patient-reported
outcomes, or operative factors such as surgical time and blood loss.
Keywords
Abbreviations:
total hip arthroplasty (THA), femoroacetabular impingement (FAI)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 18, 2023
Accepted:
December 22,
2022
Received in revised form:
December 13,
2022
Received:
October 30,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.
