Direct anterior total hip arthroplasty after hip arthroscopy: A retrospective review.

Authors

Matthew Pate, Corewell Health West Resident
Joshua Gira, Corewell Health West Student
Carl Wierks, Corewell Health West

Document Type

Article

Publication Date

1-29-2025

Publication Title

Journal of orthopaedics

Abstract

INTRODUCTION: Limited studies have investigated outcomes of total hip arthroplasty (THA) after ipsilateral hip arthroscopy, with mixed conclusions. There is need to provide clarity on potential risks/complications associated with this sequence of operations.

METHODS: This is a retrospective single surgeon cohort study, evaluating patients from 01/01/2012-01/01/2020 undergoing direct anterior THA for osteoarthritis, with minimum 90-day follow-up. There were two groups: previous hip arthroscopy plus THA (THA+) and isolated THA (control) without previous hip arthroscopy. All THA + patients had undergone one previous hip arthroscopy prior to THA. Quantitative variables were evaluated using the Mann-Whitney-U test or a two-tailed unpaired

RESULTS: Seventy-one patients were included, 38 patients in the THA + group, and 33 patients in the control group. Surgery duration was longer in the THA + group (74 min THA + [SD = 9.5], 60 min control [SD = 11.3], p < 0.0001). The only secondary outcome with significance was average estimated blood loss (400 mL THA+, 275 mL control, p = 0.009). Only one THA + patient required postoperative transfusion (p = 1.0). There were no postoperative deep infections requiring debridement, intra-operative fractures requiring fixation, or postoperative dislocations in either group. The THA group had one post-operative fracture requiring surgery. The THA + group was younger (average) than the control group (52 THA + [SD = 9.9], 58.4 control [SD = 8.8], p = 0.0062).

CONCLUSION: This study highlights increased operative time and estimated blood loss after previous ipsilateral hip arthroscopy. Surgeons should recognize implications on time management, and assist surgeons when deciding to perform a THA at a surgery center vs hospital. These results contribute to a growing body of literature indicating no increase in major complication rate of THA after ipsilateral hip arthroscopy.

Volume

68

First Page

68

Last Page

71

Recommended Citation

Pate M, Gira J, Wierks C. Direct anterior total hip arthroplasty after hip arthroscopy: a retrospective review. J Orthop. 2025 Jan 29;68:68-71. doi: 10.1016/j.jor.2025.01.017. PMID: 40007526

DOI

10.1016/j.jor.2025.01.017

ISSN

0972-978X

PubMed ID

40007526