title: Does Hip Arthroscopy Affect the Outcomes of a Subsequent Total Hip Arthroplasty?
abstract: Hip arthroscopy utilization is on the rise in the United States. Thus, determining the impact of prior hip arthroscopy on subsequent total hip arthroplasty (THA) is important to understand.
  
  
  
  A retrospective review of a high-volume orthopedic surgery practice's billing database yielded 42 hip arthroscopies that underwent subsequent THA. An age-, sex-, and body mass index (2:1)-matched cohort of primary THAs was used for comparison.
  
  
  
  No difference was observed in the postoperative Harris Hip Score between groups (92.1 ± 10.9 vs 90.1 ± 6.6, P = .20); however, there was greater overall improvement in Harris Hip Score in the control group (40.4 ± 18.4 vs 45.1 ± 8.7, P = .05). There were no differences observed in the complication (P = .5) or revision rates (P = .4).
  
  
  
  With the numbers available, prior hip arthroscopy does not appear to have an impact on the functional outcomes of a subsequent THA.
authors: Department of Orthopaedic Surgery, Rush University, Chicago, Illinois.
authors: Bryan D
authors: BD
authors: Haughom
authors: Department of Orthopaedic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
authors: Darren R
authors: DR
authors: Plummer
authors: Department of Orthopaedic Surgery, Rush University, Chicago, Illinois.
authors: Michael D
authors: MD
authors: Hellman
authors: Department of Orthopaedic Surgery, Rush University, Chicago, Illinois.
authors: Shane J
authors: SJ
authors: Nho
authors: Department of Orthopaedic Surgery, Rush University, Chicago, Illinois.
authors: Aaron G
authors: AG
authors: Rosenberg
authors: Department of Orthopaedic Surgery, Rush University, Chicago, Illinois.
authors: Craig J
authors: CJ
authors: Della Valle
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001182:Arthroscopy / Q000009:adverse effects*; D005260:Female; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012086:Reoperation / Q000009:adverse effects*; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: complications; femoracetabular; hip arthroscopy; hip preservationfemoracetabular impingement; impingement; total hip arthroplasty