Clinical Outcome

P205 - Return to Basketball After Hip Arthroscopy: Minimum Two-Year Follow-up

Corresponding Author
Disclosure
B.Domb: Research Support: Arthrex, Medacta, Stryker; Shareholder: American Hip Institute, Hinsdale Orthopedic Associates, Munster Specialty Surgery Center, North Shore Surgical Suites, SCD#3; Paid Instructor: Arthrex, Pacira Pharmaceuticals; Employee: AAN
Presentation Topic
Clinical Outcome
Poster Rating
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Abstract

Purpose

To present minimum two-year patient-reported outcomes (PROs) and return to sport (RTS) data for a population of professional, amateur, and recreational basketball players.

Methods and Materials

Demographic and intraoperative data were prospectively collected for all patients that underwent hip preservation surgery from February 2009 to May 2014. Patients who underwent hip arthroscopy with preoperative and minimum two-year postoperative PROs, visual analogue scale (VAS) and satisfaction, regularly played basketball within a year prior to surgery, and attempted to RTS met inclusion criteria. Exclusion criteria were previous ipsilateral hip surgery or conditions such as fracture, dysplasia, or femoral avascular necrosis. RTS rates and subjective ability (higher, same, or lower) were recorded.

Results

Thirty-one patients (81.6%) met inclusion criteria and had complete follow-up at an average of 46.8 months after surgery. Mean age was 30.0, and mean body-mass-index was 26.3. Males (64.5%) outnumbered females (35.5%). Most (54.8%) players identified themselves as recreational athletes; the remainder competed at the high school, collegiate, amateur, or professional level. There was significant improvement in all PRO measures and VAS from baseline to minimum two-year follow-up. At latest follow-up, mean patient satisfaction was 8.1. Three (9.7%) patients with an average age of 47.5 ((p = 0.023) converted to THA at a mean of 35.9 months after arthroscopy. At latest follow-up, the RTS rate was 83.9%. Subjective ability level was the same or higher in 23 (74.2%) patients.

Conclusion

Hip arthroscopy in all levels of basketball athletes demonstrates a significant increase in PROs, high RTS rate, and low risk of complications. Hip arthroscopy should be considered in basketball players < 40 years that fail non-operative treatment and have significantly limited level of play.

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