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EP6.101 Short-Term Clinical and Patient Reported Outcomes for Neuraxial Compared to General Anesthesia for Hip Arthroscopy are Similar
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EP6.101 Short-Term Clinical and Patient Reported Outcomes for Neuraxial Compared to General Anesthesia for Hip Arthroscopy are Similar
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Journal Article
EP6.101 Short-Term Clinical and Patient Reported Outcomes for Neuraxial Compared to General Anesthesia for Hip Arthroscopy are Similar
2025
Overview
Abstract
Background: Hip arthroscopy is a rapidly expanding practice in orthopaedic surgery that is most used to treat femoroacetabular impingement syndrome (FAIS) with associated labral tears. Studies of knee arthroscopy and total knee arthroplasty demonstrate the effectiveness of neuraxial anesthesia with an additional advantage of decreased postoperative pain scores. The first direct comparison of neuraxial and general anesthesia for hip arthroscopy studied the immediate postoperative period and identified improved pain control without major adverse effects in the neuraxial anesthesia group.
Objective: To compare the short-term (3-months to 3 years) clinical and patient reported outcomes in patients who received neuraxial anesthesia versus general anesthesia for hip arthroscopy to treat FAIS.
Methods: Patients undergoing isolated hip arthroscopy to address FAIS from October 2017 to July 2020 with available two year postoperative patient reported outcome data were retrospectively reviewed. Patient reported outcomes were obtained from an IRB approved hip preservation registry. Primary outcomes included surgical complications, revision surgery, and postoperative patient reported outcomes including the International Hip Outcome Tool-12 (iHOT-12), Modified Harris Hip Score (mHHS), Hip Outcome Score Activities of Daily Living (HOS-ADL) and Sport Specific (HOS-SS) subset scores. Demographics and outcome variables were analyzed using t tests or fixed effects modeling where appropriate. Data are currently being collected for hip arthroscopies performed through March 2022.
Results: 58 patients met inclusion criteria consisting of 40 females (69%) and 18 males (31%). 34 patients (59%) had neuraxial anesthesia and 24 patients (41%) underwent general anesthesia. Almost all reported complications were perineal (n=4) or lateral femoral cutaneous nerve (n=7) paresthesias. 4 patients underwent revision hip arthroscopy, 2 underwent subsequent periacetabular osteotomy, and 2 converted to total hip arthroplasty. Anesthesia type had no effect on whether a complication was reported (P=0.938) or a subsequent ipsilateral hip surgery was performed (P=0.688). Patient reported outcome scores increased for all scales over the postoperative period for both anesthesia groups without a significant difference between them at any postoperative interval (P > 0.161).
Conclusions: Patients undergoing neuraxial anesthesia for hip arthroscopy to treat FAIS have similar postoperative clinical and patient reported outcomes to those who undergo general anesthesia for the procedure.
Publisher
Oxford University Press
