AANA19 Hip Access Pass-Psychiatric Disorders and Osteoarthritis Independently Predict Failure of Hip Arthroscopy-Dr. Robert W. Westermann, M.D.

Psychiatric Disorders and Osteoarthritis Independently Predict Failure of Hip Arthroscopy-Dr. Robert W. Westermann, M.D.

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Video Summary

This study analyzed factors predicting failure after hip arthroscopy using a large insurance database. Failure was defined as subsequent hip surgery or total hip replacement within one year. Among 785 patients (mean age 40), the failure rate was 18%, higher than prior reports. Psychiatric comorbidities predicted both revision surgery and total hip replacement, with younger age linked to revision and older age and osteoarthritis linked to total hip replacement. Preoperative opioid use, obesity, smoking, and female gender did not predict failure. The study suggests limiting arthroscopy in osteoarthritis and addressing mental health preoperatively, with potential benefits from multidisciplinary treatments like cognitive behavioral therapy.

Keywords

hip arthroscopy failure

psychiatric comorbidities

revision surgery predictors

total hip replacement

osteoarthritis limitation