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 Transcription

Video Summary

In this video, the speaker acknowledges their co-authors and discusses factors that can lead to failure of arthroscopic hip conditions. Previous studies have identified risk factors such as osteoarthritis and unaddressed cam deformity. More recently, infection and certain patient factors like opioid use, smoking, obesity, and psychiatric comorbidity have been implicated. The speaker conducted a study using a large insurance claims database to evaluate predictive factors for hip arthroscopy failure. They found that psychiatric comorbidities were the only factors predicting both revision hip scope and total hip replacement. Younger age and psychiatric diagnoses were independent predictors of revision scope, while older age and the presence of arthritis were predictors of total hip replacement. Preoperative opioid use, obesity, smoking, and female gender did not predict failure. The speaker highlights the high failure rate of 18% compared to previous studies and suggests a limited role for arthroscopy in patients with osteoarthritis. They also discuss the importance of considering mental health in predicting hip pain and potential alternative treatments for patients with depression and anxiety.

Asset Caption

Concurrent Scientific Session VI: Paper Presentations - Hip 5.3.2019

Keywords

arthroscopic hip conditions

failure factors

risk factors

osteoarthritis

cam deformity