Paper #70 - ISHA Annual Scientific Meeting 2016

Arthroscopic Treatment of Labral Tears in Patients Aged 65 Years and Older: A Multi-Center Study of Prospectively Collected Outcomes

David E. Hartigan, MD, Westmont, IL UNITED STATES
Rebecca Beradelli, BS, Rochester, NY UNITED STATES
Aaron J. Krych, MD, Rochester, MN UNITED STATES
Bruce A. Levy, MD, Rochester, MN UNITED STATES
Benjamin G. Domb, MD, Chicago, IL UNITED STATES

Mayo Clinic, Rochester, MN, UNITED STATES

FDA Status Not Applicable

Summary: Treatment of patients over the age of 65 with intra-articular hip pain should exhaust all non-operative measures prior to hip arthroscopy; however, if these measures fail, this study suggests hip arthroscopy may result in a modest improvement in their functional state, yielding high patient satisfaction and a high rate of survivorship at two years follow up.

Abstract:
Purpose: This multicenter study’s purpose was to investigate the clinical outcomes after hip arthroscopy in a series of patients aged 65 years and older with a minimum of two-year follow-up.

Methods: Outcome data was prospectively collected and retrospectively reviewed in patients aged 65 years and older who underwent hip arthroscopy. Outcomes at minimum two-year follow-up were analyzed using prospectively collected Hip Outcome Score (HOS) and Modified Harris Hip Score (mHHS). A paired student’s t-test was performed to determine significant differences between pre- and post-operative patient reported outcome scores.

Results: 19 patients were included with a mean age of 67 (65-75) and mean follow-up of 33.5 months. The survivorship rate was 89% with two patients requiring hip arthroplasty. At minimum of two-year follow-up, mean mHHS, HOS-ADL, and HOS- SSS scores were 72.2 (43-100), 77 (21-100), and 62.8 (12.5-100) respectively, and the mean improvement in the scores were 10, 15, and 22 with p-values of 0.07, 0.03 and 0.07 respectively. The average patient satisfaction was 8.3 on a scale of 10.

Conclusions: Treatment of patients over the age of 65 with intra-articular hip pain should exhaust all non-operative measures prior to hip arthroscopy. If patients fail non-operative measures, this study suggests hip arthroscopy may result in a modest improvement in their functional state, yielding high patient satisfaction and a high rate of survivorship at two years follow up.