Female and Male Patients Achieve Similar Improvement, Outcomes, and Survivorship After Hip Arthroscopy With Labral and Capsular Repair for Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-Up

Jordan H. Larson; Omair Kazi; Corey Beals; Alexander Alvero; Daniel J. Kaplan; Thomas W. Fenn; Christopher Brusalis; Sachin Allahabadi; Vince Morgan; Shane J. Nho

doi:10.1016/j.arthro.2024.05.035

Female and Male Patients Achieve Similar Improvement, Outcomes, and Survivorship After Hip Arthroscopy With Labral and Capsular Repair for Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-Up

Jordan H. Larson, Omair Kazi, Corey Beals, Alexander Alvero, Daniel J. Kaplan, Thomas W. Fenn, Christopher Brusalis, Sachin Allahabadi, Vince Morgan, Shane J. Nho

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

PURPOSE: To evaluate the effect of patient sex on 10-year patient-reported outcomes (PROs) and survivorship after hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS).

METHODS: Patients who underwent primary HA for FAIS with minimum 10-year follow-up from January 2012 to December 2013 were retrospectively reviewed. Female patients were propensity-matched to male patients in a 1:1 ratio by age and body mass index. PROs and rates of minimal clinically important difference (MCID) and patient-acceptable symptom state (PASS) achievement were compared between cohorts. Rate of reoperation-free survivorship was compared between sexes.

RESULTS: One hundred twenty-two female patients (age: 36.2 ± 12.3 years) were matched to 122 male patients (age: 35.7 ± 11.3 years, P = .594) at an average follow-up of 10.4 ± 0.4 years. There were no differences in any preoperative demographic characteristics between the groups (P ≥ .187). Both groups demonstrated significant improvement in every PRO measure between the preoperative and 10-year postoperative time points (P < .001). The magnitude of improvement was similar between the groups for all PRO measures (P ≥ .139). At 10 years, female patients trended toward greater MCID achievement for the Hip Outcome Score-Activities of Daily Living subscale than male patients (72.7% vs 57.3%, P = .061), with otherwise similar MCID achievement rates. Female patients trended toward significantly lower Hip Outcome Score-Sports Subscale PASS achievement (65.4% vs 77.1%, P = .121) with otherwise similar PASS achievement rates between the groups (P ≥ .170).

CONCLUSIONS: Female and male patients experienced similar improvement in PROs at 10-year follow-up. MCID and PASS achievement rates were predominantly similar between sexes. Survivorship did not differ between groups. Long-term success can be expected for appropriately indicated patients undergoing HA for FAIS, regardless of sex.

LEVEL OF EVIDENCE: Level III, retrospective cohort study.

Original language	English (US)
Pages (from-to)	1348-1357
Number of pages	10
Journal	Arthroscopy - Journal of Arthroscopic and Related Surgery
Volume	41
Issue number	5
DOIs	https://doi.org/10.1016/j.arthro.2024.05.035
State	Published - May 2025

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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Larson, J. H., Kazi, O., Beals, C., Alvero, A., Kaplan, D. J., Fenn, T. W., Brusalis, C., Allahabadi, S., Morgan, V., & Nho, S. J. (2025). Female and Male Patients Achieve Similar Improvement, Outcomes, and Survivorship After Hip Arthroscopy With Labral and Capsular Repair for Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-Up. Arthroscopy - Journal of Arthroscopic and Related Surgery, 41(5), 1348-1357. https://doi.org/10.1016/j.arthro.2024.05.035

Female and Male Patients Achieve Similar Improvement, Outcomes, and Survivorship After Hip Arthroscopy With Labral and Capsular Repair for Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-Up. / Larson, Jordan H.; Kazi, Omair; Beals, Corey et al.
In: Arthroscopy - Journal of Arthroscopic and Related Surgery, Vol. 41, No. 5, 05.2025, p. 1348-1357.

Research output: Contribution to journal › Article › peer-review

Larson, JH, Kazi, O, Beals, C, Alvero, A, Kaplan, DJ, Fenn, TW, Brusalis, C, Allahabadi, S, Morgan, V & Nho, SJ 2025, 'Female and Male Patients Achieve Similar Improvement, Outcomes, and Survivorship After Hip Arthroscopy With Labral and Capsular Repair for Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-Up', Arthroscopy - Journal of Arthroscopic and Related Surgery, vol. 41, no. 5, pp. 1348-1357. https://doi.org/10.1016/j.arthro.2024.05.035

Larson JH, Kazi O, Beals C, Alvero A, Kaplan DJ, Fenn TW et al. Female and Male Patients Achieve Similar Improvement, Outcomes, and Survivorship After Hip Arthroscopy With Labral and Capsular Repair for Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-Up. Arthroscopy - Journal of Arthroscopic and Related Surgery. 2025 May;41(5):1348-1357. doi: 10.1016/j.arthro.2024.05.035

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title = "Female and Male Patients Achieve Similar Improvement, Outcomes, and Survivorship After Hip Arthroscopy With Labral and Capsular Repair for Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-Up",

abstract = "PURPOSE: To evaluate the effect of patient sex on 10-year patient-reported outcomes (PROs) and survivorship after hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS).METHODS: Patients who underwent primary HA for FAIS with minimum 10-year follow-up from January 2012 to December 2013 were retrospectively reviewed. Female patients were propensity-matched to male patients in a 1:1 ratio by age and body mass index. PROs and rates of minimal clinically important difference (MCID) and patient-acceptable symptom state (PASS) achievement were compared between cohorts. Rate of reoperation-free survivorship was compared between sexes.RESULTS: One hundred twenty-two female patients (age: 36.2 ± 12.3 years) were matched to 122 male patients (age: 35.7 ± 11.3 years, P = .594) at an average follow-up of 10.4 ± 0.4 years. There were no differences in any preoperative demographic characteristics between the groups (P ≥ .187). Both groups demonstrated significant improvement in every PRO measure between the preoperative and 10-year postoperative time points (P < .001). The magnitude of improvement was similar between the groups for all PRO measures (P ≥ .139). At 10 years, female patients trended toward greater MCID achievement for the Hip Outcome Score-Activities of Daily Living subscale than male patients (72.7% vs 57.3%, P = .061), with otherwise similar MCID achievement rates. Female patients trended toward significantly lower Hip Outcome Score-Sports Subscale PASS achievement (65.4% vs 77.1%, P = .121) with otherwise similar PASS achievement rates between the groups (P ≥ .170).CONCLUSIONS: Female and male patients experienced similar improvement in PROs at 10-year follow-up. MCID and PASS achievement rates were predominantly similar between sexes. Survivorship did not differ between groups. Long-term success can be expected for appropriately indicated patients undergoing HA for FAIS, regardless of sex.LEVEL OF EVIDENCE: Level III, retrospective cohort study.",

author = "Larson, {Jordan H.} and Omair Kazi and Corey Beals and Alexander Alvero and Kaplan, {Daniel J.} and Fenn, {Thomas W.} and Christopher Brusalis and Sachin Allahabadi and Vince Morgan and Nho, {Shane J.}",

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doi = "10.1016/j.arthro.2024.05.035",

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T1 - Female and Male Patients Achieve Similar Improvement, Outcomes, and Survivorship After Hip Arthroscopy With Labral and Capsular Repair for Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-Up

AU - Larson, Jordan H.

AU - Kazi, Omair

AU - Beals, Corey

AU - Alvero, Alexander

AU - Kaplan, Daniel J.

AU - Fenn, Thomas W.

AU - Brusalis, Christopher

AU - Allahabadi, Sachin

AU - Morgan, Vince

AU - Nho, Shane J.

PY - 2025/5

Y1 - 2025/5

N2 - PURPOSE: To evaluate the effect of patient sex on 10-year patient-reported outcomes (PROs) and survivorship after hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS).METHODS: Patients who underwent primary HA for FAIS with minimum 10-year follow-up from January 2012 to December 2013 were retrospectively reviewed. Female patients were propensity-matched to male patients in a 1:1 ratio by age and body mass index. PROs and rates of minimal clinically important difference (MCID) and patient-acceptable symptom state (PASS) achievement were compared between cohorts. Rate of reoperation-free survivorship was compared between sexes.RESULTS: One hundred twenty-two female patients (age: 36.2 ± 12.3 years) were matched to 122 male patients (age: 35.7 ± 11.3 years, P = .594) at an average follow-up of 10.4 ± 0.4 years. There were no differences in any preoperative demographic characteristics between the groups (P ≥ .187). Both groups demonstrated significant improvement in every PRO measure between the preoperative and 10-year postoperative time points (P < .001). The magnitude of improvement was similar between the groups for all PRO measures (P ≥ .139). At 10 years, female patients trended toward greater MCID achievement for the Hip Outcome Score-Activities of Daily Living subscale than male patients (72.7% vs 57.3%, P = .061), with otherwise similar MCID achievement rates. Female patients trended toward significantly lower Hip Outcome Score-Sports Subscale PASS achievement (65.4% vs 77.1%, P = .121) with otherwise similar PASS achievement rates between the groups (P ≥ .170).CONCLUSIONS: Female and male patients experienced similar improvement in PROs at 10-year follow-up. MCID and PASS achievement rates were predominantly similar between sexes. Survivorship did not differ between groups. Long-term success can be expected for appropriately indicated patients undergoing HA for FAIS, regardless of sex.LEVEL OF EVIDENCE: Level III, retrospective cohort study.

AB - PURPOSE: To evaluate the effect of patient sex on 10-year patient-reported outcomes (PROs) and survivorship after hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS).METHODS: Patients who underwent primary HA for FAIS with minimum 10-year follow-up from January 2012 to December 2013 were retrospectively reviewed. Female patients were propensity-matched to male patients in a 1:1 ratio by age and body mass index. PROs and rates of minimal clinically important difference (MCID) and patient-acceptable symptom state (PASS) achievement were compared between cohorts. Rate of reoperation-free survivorship was compared between sexes.RESULTS: One hundred twenty-two female patients (age: 36.2 ± 12.3 years) were matched to 122 male patients (age: 35.7 ± 11.3 years, P = .594) at an average follow-up of 10.4 ± 0.4 years. There were no differences in any preoperative demographic characteristics between the groups (P ≥ .187). Both groups demonstrated significant improvement in every PRO measure between the preoperative and 10-year postoperative time points (P < .001). The magnitude of improvement was similar between the groups for all PRO measures (P ≥ .139). At 10 years, female patients trended toward greater MCID achievement for the Hip Outcome Score-Activities of Daily Living subscale than male patients (72.7% vs 57.3%, P = .061), with otherwise similar MCID achievement rates. Female patients trended toward significantly lower Hip Outcome Score-Sports Subscale PASS achievement (65.4% vs 77.1%, P = .121) with otherwise similar PASS achievement rates between the groups (P ≥ .170).CONCLUSIONS: Female and male patients experienced similar improvement in PROs at 10-year follow-up. MCID and PASS achievement rates were predominantly similar between sexes. Survivorship did not differ between groups. Long-term success can be expected for appropriately indicated patients undergoing HA for FAIS, regardless of sex.LEVEL OF EVIDENCE: Level III, retrospective cohort study.

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Female and Male Patients Achieve Similar Improvement, Outcomes, and Survivorship After Hip Arthroscopy With Labral and Capsular Repair for Femoroacetabular Impingement Syndrome at Minimum 10-Year Follow-Up

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