Hip Arthroscopy in Military Personnel Produces Outcomes Similar to Civilian Series
Abstract/Description/Artist Statement
Introduction
Hip arthroscopy for femoroacetabular impingement syndrome (FAIS) has shown excellent outcomes in civilian populations, but earlier military studies have reported higher military separation rates and limited improvement versus physical therapy. Given advances in modern techniques, this study evaluated clinical and return-to-duty outcomes for active-duty U.S. military personnel undergoing surgical management of FAIS by a single surgeon.
Methods
Active-duty patients who underwent primary hip arthroscopy over a four-year period were identified. Demographic, clinical, operative, and radiographic data (LCEA, ACEA, alpha angle) were collected. Patient-reported outcome measures (PROMs) were collected pre- and postoperatively, along with satisfaction and military disposition. Cohort-specific minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) were calculated.
Results
One-hundred nine patients (123 hips) completed final follow-up (81%) at a mean 46 ± 11 months post-op. Acetabuloplasty and capsular repair was performed in 100% of hips, while femoroplasty and labral repair in 98%. Acceptable postoperative radiographic parameters were achieved in 96%. Five patients required subsequent total hip arthroplasty and two underwent revision arthroscopy. Among surviving hips significant findings include, mHHS improved from 61 to 81 and SANE from 47 to 69, while VAS pain decreased modestly from 3.8 to 3.2 (p=0.02). MCID and PASS for mHHS were achieved in 75% and 72%, respectively, with an 89% patient satisfaction rate. Excluding THA patients, return-to-duty was 73%, with 28% remaining on active duty at a mean 42 ± 10 months.
Conclusion
These findings suggest modern arthroscopic management of FAIS can provide favorable outcomes in appropriately selected military personel.
Faculty Advisor/Mentor
Dr. George Balazs
Faculty Advisor/Mentor Email
gcbalazs@gmail.com
Faculty Advisor/Mentor Department
NMCP Department of Orthopedic Surgery
College/School Affiliation
Eastern Virginia School of Medicine
Student Level Group
Medical
Presentation Type
Oral Presentation
Hip Arthroscopy in Military Personnel Produces Outcomes Similar to Civilian Series
Introduction
Hip arthroscopy for femoroacetabular impingement syndrome (FAIS) has shown excellent outcomes in civilian populations, but earlier military studies have reported higher military separation rates and limited improvement versus physical therapy. Given advances in modern techniques, this study evaluated clinical and return-to-duty outcomes for active-duty U.S. military personnel undergoing surgical management of FAIS by a single surgeon.
Methods
Active-duty patients who underwent primary hip arthroscopy over a four-year period were identified. Demographic, clinical, operative, and radiographic data (LCEA, ACEA, alpha angle) were collected. Patient-reported outcome measures (PROMs) were collected pre- and postoperatively, along with satisfaction and military disposition. Cohort-specific minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) were calculated.
Results
One-hundred nine patients (123 hips) completed final follow-up (81%) at a mean 46 ± 11 months post-op. Acetabuloplasty and capsular repair was performed in 100% of hips, while femoroplasty and labral repair in 98%. Acceptable postoperative radiographic parameters were achieved in 96%. Five patients required subsequent total hip arthroplasty and two underwent revision arthroscopy. Among surviving hips significant findings include, mHHS improved from 61 to 81 and SANE from 47 to 69, while VAS pain decreased modestly from 3.8 to 3.2 (p=0.02). MCID and PASS for mHHS were achieved in 75% and 72%, respectively, with an 89% patient satisfaction rate. Excluding THA patients, return-to-duty was 73%, with 28% remaining on active duty at a mean 42 ± 10 months.
Conclusion
These findings suggest modern arthroscopic management of FAIS can provide favorable outcomes in appropriately selected military personel.