Effect of Previous Hip Arthroscopy on Results after Hip Arthroplasty: Systematic Review and Meta-Analysis

Abstract

SUMMARY AND CONCLUSION Hip arthroplasty is the most frequently performed adult reconstructive hip procedure. Total hip arthroplasty (THA) is one of the most successful procedures performed in modern orthopedics. The primary indication for THA in a patient with endstage arthropathy is pain resulting in significant limitation of physical activity. Important factors to be considered in the decision to recommend or undergo THA are patient age, diagnosis, and medical comorbidities. In diagnosing and treating several early-arthritic and pre-arthritic hip problems, hip arthroscopy has developed to be a well-accepted technique. 1 It is safe and efficient in treating femoroacetabular impingement and labral tears as it was proven, while it expands to cover other indications like intra-articular and extra-articular pathologies. A successful outcome from arthroscopy or endoscopy of the hip requires careful patient selection and recognition of technical factors that may preclude the procedure or compromise clinical outcomes.

Patients who have previously undergone hip arthroscopy are more likely to experience postoperative complications such as dislocation, revision, and reoperation following subsequent hip arthroplasty. On the other hand, prior hip arthroscopy did not appear to affect post-operative infection or functional result like HHS or WOMAC or intraoperative complications.