Paper 25: Impact of Hip Arthroscopy for Femoroacetabular Impingement on Quality of Life

Abstract

In a prospective, consecutive series of 611 patients, the largest reported to date, we have found that arthroscopic surgery for FAI improves the QoL in 75% of the patients. The benefit of hip arthroscopy for the treatment of femoroacetabular impingement (FAI) on quality of life (QOL) needs further exploration. We prospectively collected data on 611 patients, the largest series reported, who underwent hip arthroscopy for FAI over a period of five years under the care of a single surgeon. The minimum follow-up was one year with a mean follow-up of three years. The responses to the Harris hip score were translated using Rosser index matrix, to QoL score. The mean QoL score increased from 0.946 (−1.486 to 0.995) to 0.974 (0.7 to 1) at one year after surgery (p<0.001). It was noted that the mean QoL score in males was significantly (p<0.001) better than females, both before surgery and at one year after surgery; although the mean change in the QoL score was not statistically different (M=0.02,F=0.04;p=0.12). Linear regression analysis revealed that the significant predictors of change in QoL score were pre-operative QoL score (p<0.001) and the gender (p=0.02). The change in QoL score showed moderate (?=−0.66;p<0.001) negative correlation with the pre-operative QoL score. The QoL scores improved in 74.5%, remained unchanged in 15.6%; while it deteriorated in 9.9% of the patients at one year after surgery. In a prospective, consecutive series of 611 patients, the largest reported to date, we have found that arthroscopic surgery for FAI improves the QoL in 75% of the patients. The pre-operative QoL score and gender were significant predictors of the change in QoL.