Progression to total hip arthroplasty following hip arthroplasty.

Abstract

Hip arthroscopy offers a minimally invasive surgical technique for treating hip pathology and there has been a significant expansion in its use in recent years. There is evidence that a proportion of patients require total hip arthroplasty in the years immediately following their arthroscopy, suggesting that they have not derived major benefit from the procedure. Identification of risk factors for early progression to hip arthroscopy may enable refinement of hip arthroplasty indications and better utilisation of resources. Osteoarthritis has been identified as a risk factor for early arthroplasty, however evidence for age and obesity requires clarification. The aim of this study is to describe a cohort of patients who underwent hip arthroscopy, identify the proportion who progress to arthroplasty, and analyse risk factors for early progression.