Psychiatric Comorbidity Linked to Worse Long-Term Hip Arthroscopy Outcomes

A retrospective cohort study of 243 adults who underwent primary hip arthroscopy for femoroacetabular impingement syndrome between 2010 and 2014 examined the impact of preoperative psychiatric comorbidity at a minimum 10-year follow-up. The study reported that failure (revision arthroscopy or conversion to total hip arthroplasty) occurred more often in patients with psychiatric comorbidity than those without (23.3% vs 5.3%), with anxiety, depression, combined anxiety and depression, and combined psychiatric comorbidity with psychotropic medication use independently associated with increased odds of failure. The study also found that patients with psychiatric comorbidity had shorter failure-free survivorship and smaller improvements in patient-reported outcome scores, though both groups improved significantly overall.

Most relevant for: Patients with preoperative psychiatric comorbidity, including anxiety or depression, being considered for or having undergone hip arthroscopy for femoroacetabular impingement syndrome.

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