Purpose
To present minimum 2-year patient-reported outcomes (PROs) and return to sport (RTS)
data for a population of basketball players after hip arthroscopy.
Methods
Data were prospectively collected and retrospectively reviewed for all patients who
underwent hip arthroscopy between February 2009 and May 2014. Patients with preoperative
and minimum 2-year postoperative PROs, visual analog scale score for pain, and satisfaction,
who regularly played basketball within 1 year before surgery, and who attempted to
RTS met the inclusion criteria. Exclusion criteria were previous ipsilateral hip surgery
or conditions such as fracture, dysplasia, or femoral avascular necrosis. Patients
were matched 1:1 to a control group composed of those who did not play any sports
before surgery, based on the following matching criteria: age ±5 years, sex, and body
mass index ±5. Statistical analysis was performed to determine significant differences
in PROs. Conversion to total hip arthroplasty (THA) was considered an endpoint.
Results
Thirty-one patients (81.6%) met inclusion criteria with follow-up of 46.8 ± 20.6 months.
The mean age was 30.0 ± 12.3, and the mean body mass index was 26.3 ± 6.5. Male patients
(64.5%) outnumbered female patients (35.5%). A majority of the players (54.8%) identified
themselves as recreational athletes; the remainder competed at the high school, collegiate,
amateur, or professional level. There was significant (P < .001) improvement in all PRO measures and visual-analog scale scores from baseline
to a minimum 2-year follow-up. At the most recent follow-up, mean patient satisfaction
was 8.1 ± 2.1. Twenty-two (78.6%), and 23 patients (82.1%) achieved the patient acceptable
symptom state on the modified Harris Hip Score and the Hip Outcomes Score–Sports Specific
Subscale. Twenty-one (75.0%) and 17 (60.7%) patients had a minimal clinically important
difference on the modified Harris Hip Score and the Hip Outcomes Score–Sports Specific
Subscale, respectively. Three patients (9.7%) with an average age of 47.5 (P = .023) converted to THA at a mean of 35.9 ± 7.2 (range 29.66-43.75) months after
arthroscopy. At the most recent follow-up, the RTS rate was 83.9%. Subjective ability
level was the same or higher in 23 patients (74.2%).
Conclusion
Hip arthroscopy in basketball athletes demonstrates a significant increase in PROs,
a high RTS rate, and a low risk of complications. Hip arthroscopy may be considered
in basketball players <40 years old for whom nonoperative treatment fails and who
have a significantly limited level of play. Careful patient selection and counseling
should be used when considering hip arthroscopy in basketball players >40 years old
because there may be a high rate of conversion to THA.
Level of Evidence
Level III, retrospective comparative study.
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Article info
Publication history
Accepted:
April 16,
2019
Received:
August 18,
2017
Footnotes
The authors report that they have no conflicts of interest in the authorship and publication of this article. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
See commentary on page 2845
Identification
Copyright
© 2019 by the Arthroscopy Association of North America
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Access this article on ScienceDirectLinked Article
- Editorial Commentary: How Do We Measure Return-to-Sport “Success” After Hip Arthroscopy for Femoroacetabular Impingement?ArthroscopyVol. 35Issue 10
- PreviewHip arthroscopy for femoroacetabular impingement has generally been considered to enjoy a high rate of success. These patients tend to be young and active. One measure of “success” has been return to sport. However, much of the literature has used subjective return criteria and reported on diverse groups in terms of skill levels, sports, and sexes, as well as small numbers, thus limiting specific recommendations.
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