Predictors of Hip Arthroscopy Outcomes for Labral Tears at Minimum 2-Year Follow-up: The Influence of Age and Arthritis


      The purpose of this study was to perform a retrospective case-control outcome analysis at a minimum 2-year follow-up using a validated hip arthroscopy outcome measure to determine whether arthritis or age is predictive of outcomes after hip arthroscopy for labral pathology.


      We identified 176 consecutive patients undergoing hip arthroscopy for labral tears performed between 2001 and 2009 to complete the Modified Harris Hip Score (MHHS) and Hip Outcome Score questionnaires. Patients who underwent additional surgeries or reported an MHHS of less than 80 were compared with the control group of patients who achieved good to excellent surgical results on the MHHS (>80) to calculate odds ratios with 95% confidence intervals by use of the independent variables of patient age of 40 years or older and age below 40 years and the presence of grade 4 Outerbridge changes found at arthroscopy.


      Of 176 patients, 125 (71%) were contacted: 27 patients had undergone additional surgery in the follow-up period, and 98 completed questionnaires. The mean patient age at surgery was 40.9 years (range, 17.3 to 62.8 years) at a mean follow-up of 4.3 years (range, 2 to 10.4 years). Of 98 respondents, 71 (72%) obtained a good to excellent surgical outcome, with 84% reporting satisfaction. The presence of osteoarthritic changes at the time of arthroscopy was predictive of worse outcome scores compared with the nonarthritic cohort (odds ratio, 2.5; 95% confidence interval, 1.2 to 5.3; P = .02). Youth (age <40 years) is predictive of good to excellent results (odds ratio, 7; 95% confidence interval, 2.9 to 16.9; P < .0001).


      Of the 98 patients who completed the questionnaires in this study, 71 (72%) obtained good to excellent outcome scores. Overall satisfaction among patients undergoing hip arthroscopy was high (84%). Patients aged younger than 40 years did better than older patients, and arthroscopically identified arthritis was predictive of worse surgical outcomes.

      Level of Evidence

      Level III, case-control study.
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        • Groh M.M.
        • Herrera J.
        A comprehensive review of hip labral tears.
        Curr Rev Musculoskelet Med. 2009; 2: 105-117
        • Kelly B.T.
        • Weiland D.E.
        • Schenker M.L.
        • Philippon M.J.
        Arthroscopic labral repair in the hip: Surgical technique and review of the literature.
        Arthroscopy. 2005; 21: 1496-1504
        • Khanduja V.
        • Villar R.N.
        Arthroscopic surgery of the hip: Current concepts and recent advances.
        J Bone Joint Surg Br. 2006; 88: 1557-1566
        • Kemp J.L.
        • Collins N.J.
        • Makdissi M.
        • Schache A.G.
        • Machotka Z.
        • Crossley K.
        Hip arthroscopy for intra-articular pathology: A systematic review of outcomes with and without femoral osteoplasty.
        Br J Sports Med. 2012; 46: 632-643
        • Stevens M.S.
        • Legay D.A.
        • Glazebrook M.A.
        • Amirault D.
        The evidence for hip arthroscopy: Grading the current indications.
        Arthroscopy. 2010; 26: 1370-1383
        • Bedi A.
        • Chen N.
        • Robertson W.
        • Kelly B.T.
        The management of labral tears and femoroacetabular impingement of the hip in the young, active patient.
        Arthroscopy. 2008; 24: 1135-1145
        • Larson C.M.
        • Giveans M.R.
        • Taylor M.
        Does arthroscopic FAI correction improve function with radiographic arthritis?.
        Clin Orthop Relat Res. 2011; 469: 1667-1676
        • Fabricant P.D.
        • Heyworth B.E.
        • Kelly B.T.
        Hip arthroscopy improves symptoms associated with FAI in selected adolescent athletes.
        Clin Orthop Relat Res. 2012; 470: 261-269
        • Shindle M.K.
        • Voos J.E.
        • Heyworth B.E.
        • et al.
        Hip arthroscopy in the athletic patient: Current techniques and spectrum of disease.
        J Bone Joint Surg Am. 2007; 89: 29-43
        • Byrd J.W.
        • Jones K.S.
        Prospective analysis of hip arthroscopy with 2-year follow-up.
        Arthroscopy. 2000; 16: 578-587
        • Martin R.L.
        • Kelly B.T.
        • Philippon M.J.
        Evidence of validity for the hip outcome score.
        Arthroscopy. 2006; 22: 1304-1311
        • Dienst M.
        • Seil R.
        • Kohn D.M.
        Safe arthroscopic access to the central compartment of the hip.
        Arthroscopy. 2005; 21: 1510-1514
        • McCormick F.
        • Kleweno C.P.
        • Kim Y.J.
        • Martin S.D.
        Vascular safe zones in hip arthroscopy.
        Am J Sports Med. 2011; 39: 64S-71S
        • Robertson W.J.
        • Kadrmas W.R.
        • Kelly B.T.
        Arthroscopic management of labral tears in the hip: A systematic review of the literature.
        Clin Orthop Relat Res. 2007; 455: 88-92
        • Horisberger M.
        • Brunner A.
        • Herzog R.F.
        Arthroscopic treatment of femoral acetabular impingement in patients with preoperative generalized degenerative changes.
        Arthroscopy. 2010; 26: 623-629
        • Beck M.
        • Kalhor M.
        • Leunig M.
        • Ganz R.
        Hip morphology influences the pattern of damage to the acetabular cartilage: Femoroacetabular impingement as a cause of early osteoarthritis of the hip.
        J Bone Joint Surg Br. 2005; 87: 1012-1018
        • Beck M.
        • Leunig M.
        • Parvizi J.
        • Boutier V.
        • Wyss D.
        • Ganz R.
        Anterior femoroacetabular impingement: Part II.
        Clin Orthop Relat Res. 2004; : 67-73
        • Kamath A.F.
        • Componovo R.
        • Baldwin K.
        • Israelite C.L.
        • Nelson C.L.
        Hip arthroscopy for labral tears: Review of clinical outcomes with 4.8-year mean follow-up.
        Am J Sports Med. 2009; 37: 1721-1727
        • Jerosch J.
        • Schunck J.
        • Khoja A.
        Arthroscopic treatment of the hip in early and midstage degenerative joint disease.
        Knee Surg Sports Traumatol Arthrosc. 2006; 14: 641-645
        • Kim K.C.
        • Hwang D.S.
        • Lee C.H.
        • Kwon S.T.
        Influence of femoroacetabular impingement on results of hip arthroscopy in patients with early osteoarthritis.
        Clin Orthop Relat Res. 2007; 456: 128-132
        • Murphy S.
        • Tannast M.
        • Kim Y.J.
        • Buly R.
        • Millis M.B.
        Debridement of the adult hip for femoroacetabular impingement: Indications and preliminary clinical results.
        Clin Orthop Relat Res. 2004; : 178-181
        • Margheritini F.
        • Villar R.N.
        The efficacy of arthroscopy in the treatment of hip osteoarthritis.
        Chir Organi Mov. 1999; 84: 257-261
        • Philippon M.J.
        • Souza B.G.
        • Briggs K.K.
        Hip arthroscopy for femoroacetabular impingement in patients aged 50 years or older.
        Arthroscopy. 2012; 28: 59-65
        • McCarthy J.C.
        • Jarrett B.T.
        • Ojeifo O.
        • Lee J.A.
        • Bragdon C.R.
        What factors influence long-term survivorship after hip arthroscopy?.
        Clin Orthop Relat Res. 2011; 469: 362-371
        • Farr J.
        • Cole B.
        • Dhawan A.
        • Kercher J.
        • Sherman S.
        Clinical cartilage restoration: Evolution and overview.
        Clin Orthop Relat Res. 2011; 469: 2696-2705