How to know if hip labrum surgery failed

Demographic predictors of poor outcome after hip arthroscopy

There are other patient factors, not directly related to joint pathology or morphology, that can influence outcome of hip arthroscopy.

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Demographic predictors of poor outcome after hip arthroscopy
How do you know if hip arthroscopy failed?
How do I know if I re injured my hip labrum after surgery?
Why does my hip still hurt after labrum surgery?
Can you Retear a repaired hip labrum tear?

Demographic predictors of failed hip arthroscopy include:3

increased Body Mass Index (BMI)
increased age,
male gender, or
young, thin females.

Not surprisingly, older individuals and those with higher BMI are less likely to gain benefit from hip arthroscopy. Two groups – older overweight males (BMI >25) and young, thin females in the context of mild-moderate dysplasia – are more likely to experience failed arthroscopy.3

Age alone has a significant impact on conversion rate to arthroplasty. A systematic review of outcomes in patients aged 40 years or more reported that the rate of conversion to total hip arthroplasty (hip replacement surgery) was 18.1% for patients aged 40 years or older, 23.1% for patients older than 50 years, and 25.2% for patients older than 60 years, with a mean time to arthroplasty of 25.0 months.8

Prior to arthroscopic surgery, both surgeons and non-surgical health professionals should carefully evaluate the individual and determine if there are patient predictors that increase the chances of a poor outcome. If so, a more prolonged and perhaps optimised course on non-surgical management may be warranted. Join me next month to explore surgical and rehabilitation predictors that may help provide some explanation for failed hip arthroscopies.

If you are keen to hear more about rehabilitation considerations for hip arthroscopy, you might like to join me at our upcoming Hip Academy meeting.

How do you know if hip arthroscopy failed?

Failed hip arthroscopy may be defined as persistent postoperative pain and/or stiffness—diagnosed by a combination of decreased joint capacity and global range of motion (ROM)—that does not improve with nonsurgical means [5].

How do I know if I re injured my hip labrum after surgery?

Hip labral tear symptoms can include:.

Deep groin pain or pain in the buttocks on the side of the injured hip..

A feeling or sound of clicking or locking when your hip is in motion..

Hip pain, especially while it rotates in certain directions..

Stiffness while moving your hip..

Why does my hip still hurt after labrum surgery?

Persistent groin pain after open and arthroscopic impingement surgery can be due to insufficient correction of the femoral and acetabular pathology, advanced joint degeneration with joint space narrowing, cartilage damage [2, 4, 11, 16]. It is also sometimes associated with resection of the labrum [5].

Can you Retear a repaired hip labrum tear?

Once the labrum has been repaired and all bony impingement has been corrected there is a very small chance that the labrum will re-tear. However, if the labrum is repaired without removing the bony impingement there is a high likelihood that the labrum will tear again.

hip labrum surgery failed