Key takeaways:
- Sufferers with and with out generalized ligamentous laxity had comparable outcomes 5 years after hip arthroscopy.
- Survivorship at 5-year follow-up was 98.3%.
WASHINGTON — Hip arthroscopy might yield favorable outcomes in sufferers with generalized ligamentous laxity, with a excessive proportion of sufferers capable of return to and proceed taking part in sports activities at 5 years, in response to outcomes offered right here.
“On this examine, we see on this explicit inhabitants, which is primarily females all with generalized ligamentous laxity [and] all athletes, a excessive fee of constructive useful outcomes and a excessive fee of return to sport, and, importantly, at midterm follow-up, a excessive fee of continued participation in sport,” Benjamin G. Domb, MD, medical director of the American Hip Institute, advised Healio about outcomes offered on the Arthroscopy Affiliation of North America Annual Assembly.
Domb, Roger Quesada-Jimenez, MD, and colleagues retrospectively reviewed prospectively collected information of sufferers who underwent hip arthroscopy between 2008 and 2019. Researchers matched sufferers with generalized ligamentous laxity, or GLL (n = 116), outlined as a Beighton rating of 4 or higher, to sufferers with out GLL (n = 116). Researchers additionally recognized whether or not sufferers met minimally clinically vital distinction (MCID) and affected person acceptable symptom state (PASS) and picked up charges of return to sport and secondary surgical procedure.
“Each teams confirmed comparable outcomes at 5-year follow-up,” Quesada-Jimenez, a fellow on the American Hip Institute, mentioned in his presentation on the assembly. “Reaching MCID and PASS was related between the 2 teams.”
Quesada-Jimenez mentioned 83% of sufferers with GLL and 84.4% of sufferers with out GLL had been capable of return to sport. Though the next proportion of sufferers with out GLL continued taking part in sport out to five years follow-up in contrast with sufferers with GLL (85% vs. 75%), Quesada-Jimenez mentioned the pattern was not statistically vital.
In response to Quesada-Jimenez, 6% of sufferers with GLL underwent revision arthroscopy in contrast with 8.5% of sufferers with out GLL. He additionally mentioned survivorship at 5 years was 98.3%.
“I hope that this examine attracts consideration to the distinctiveness of this inhabitants of sufferers. These with ligamentous laxity and instability of the hip could be handled efficiently however should be handled otherwise than a affected person with a main etiology of [femoroacetabular impingement] of their hip,” Domb mentioned.
For extra data:
Benjamin G. Domb, MD, could be reached at drdomb@americanhipinstitute.org.
Sources/Disclosures
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Quesada-Jimenez R, et al. Midterm outcomes and return-to-sport after hip arthroscopy in sufferers with ligamentous laxity. Introduced at: Arthroscopy Affiliation of North America Annual Assembly; Could 8-10, 2025; Washington, D.C.
Disclosures:
Domb and Quesada-Jimenez report no related monetary disclosures.
