American Hip Institute

2014 - Domb et al. Effect of Femoral Anteversion on Clinical Outcomes After Hip Arthroscopy. Arthroscopy.

Purpose: To compare the clinical outcomes after hip arthroscopy of patients with femoral retroversion, normal femoral version, and excessive femoral anteversion.

Methods: Patients who underwent primary hip arthroscopy from August 2008 to April 2011 and underwent femoral anteversion measurement by magnetic resonance imaging/magnetic resonance arthrogram were included. The patients were divided into 3 groups: retroversion, normal version, and excessive anteversion. The normal-version group was considered to have a value within 1 SD of the mean femoral version value. Four patient-reported outcome scores and the visual analog pain score were prospectively collected with analysis performed retrospectively.

Results: Two hundred seventy-eight patients met the inclusion criteria. Among these patients, mean anteversion was 8.2  9.3, creating a retroversion group defined as 2 or less and an anteversion group defined as 18 or greater. There were 25 patients in the retroversion group, 219 in the normal-version group, and 34 in the excessive-anteversion group. Most labral tears were noted in the 12- to 2-o’clock range, with the main difference at the anterior 3-o’clock position, where the excessive-anteversion group showed a lower incidence of tearing (30%) than the retroversion group (73%) and normal-anteversion group (78%). Postoperatively, there was a statistically significant improvement from preoperative scores in all 3 groups and for all scores (P < .001). When the postoperative scores were compared for the 3 groups, although all scores were higher in the retroversion group than in the other 2 groups, this was not statistically significant and there were no significant differences in scores among the 3 groups (modified Harris Hip Score, P ¼ .104; Non-Arthritic Hip Score, P ¼ .177; Hip Outcome ScoreeActivities of Daily Living, P ¼ .152; Hip Outcome ScoreeSport- Specific Subscale, P ¼ .276; visual analog scale score, P ¼ .508).

Conclusions: On the basis of patient-reported outcome scores without accounting for diagnoses and treatments, the amount of femoral anteversion does not appear to affect the clinical outcomes after hip arthroscopy.

Level of Evidence: Level III, retrospective comparative study.

 Click here to download the complete publication