Functional Outcomes,Complications,and Failure Rates in Workers’ Compensation Patients Following Hip Arthroscopic Repair: A Systematic Review

Abstract

Background:

Studies on the feasibility of hip arthroscopy in workers’ compensation (WC) patients have been largely inconsistent or limited by study design, necessitating the need for a systematic review.

Purpose:

We sought to systematically compare clinically significant differences between WC patients and their counterparts in relation to (1) functional outcomes, (2) complications, and (3) failure rates after hip arthroscopy.

Methods:

We searched MEDLINE, EMBASE, and PubMed databases for studies published between January 1996 and February 2021. In combination with “AND” or “OR” Boolean operators, the following keywords were implemented: “hip arthroscopy,” “workers’ compensation,” “outcomes,” “complications,” “revision,” and “failure rates.” Two reviewers screened eligible studies, evaluated methodological quality, and abstracted data.

Results:

In the 13 studies pooled, comprising 1874 patients, 276 (14.7%) patients received WC benefits. Twelve studies utilized functional outcomes, 2 studies assessed pain, and 3 studies evaluated satisfaction. Despite scoring lower in these measures preoperatively, WC patients demonstrated significant improvements after hip arthroscopy. Three studies linked compensation with marginally inferior functional scores, but this association was not significant at longer follow-up. Seven studies examined complication incidence, and 6 studies addressed failure rates, with all reporting no significant differences in rates of complications, secondary arthroscopies, or conversion to total hip arthroplasty.

Conclusions:

The findings of this systematic review suggest that hip arthroscopy offers clinically significant benefits, regardless of WC status. Postoperative results in WC patients, including functional scores, pain, satisfaction, complications, and failure rates, were favorable, and the degree of improvement was at least comparable with their counterparts. Further studies should consider prospective study designs with larger cohorts and extended follow-up.

Keywords

hip arthroscopy workers’ compensation functional outcomes complications failure rates

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References

Barrett

Rook

Nash

Coggin

MRH

. The effect of workers’ compensation on clinical outcomes of arthroscopic-assisted autogenous patellar tendon anterior cruciate ligament reconstruction in an acute population. Arthroscopy. 2001;17(2):132–137. https://doi.org/10.1053/jars.2001.21785.

Beck

Leunig

Parvizi

Boutier

Wyss

Ganz

. Anterior femoroacetabular impingement: part II. Midterm results of surgical treatment. Clin Orthop Relat Res. 2004;418:67–73.

Bogunovic

Gottlieb

Pashos

Baca

Clohisy

. Why do hip arthroscopy procedures fail? Clin Orthop Relat Res. 2013;471:2523–2529. https://doi.org/10.1007/s11999-013-3015-6.

Bozic

Chan

Valone

Feeley

Vail

. Trends in hip arthroscopy utilization in the United States. J Arthroplasty. 2013;28:140–143. https://doi.org/10.1016/j.arth.2013.02.039.

Burman

. Arthroscopy or the direct visualization of joints. J Bone Jt Surg. 1931;13:669–695.

Byrd

JWT

Jones

. Prospective analysis of hip arthroscopy with 10-year follow-up. Clin Orthop Relat Res. 2010;468(3):741–746. https://doi.org/10.1007/s11999-009-0841-7.

Byrd

JWT

Jones

. Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy. 2000;16(6):578–587. https://doi.org/10.1053/jars.2000.7683.

Chahal

Van Thiel

Mather

, et al. The patient acceptable symptomatic state for the modified Harris Hip Score and Hip Outcome Score among patients undergoing surgical treatment for femoroacetabular impingement. Am J Sports Med. 2015;43:1844–1849. https://doi.org/10.1177/0363546515587739.

Cumpston

Page

Chandler

, et al. Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions. Cochrane Database Syst Rev. 2019;10:ED00042. https://doi.org/10.1002/14651858.ED000142.

10.

Cvetanovich

Weber

Kuhns

, et al. Hip arthroscopic surgery for femoroacetabular impingement with capsular management: factors associated with achieving clinically significant outcomes. Am J Sports Med. 2018;46(2):288–296. https://doi.org/10.1177/0363546517739824.

11.

de Moraes

Godin

Tamaoki

MJS

Faloppa

Bhandari

Belloti

. Workers’ compensation status: does it affect orthopaedic surgery outcomes? A meta-analysis. PLoS ONE. 2012;7(12):e50251. https://doi.org/10.1371/journal.pone.0050251.

12.

Domb

Stake

Lindner

El-Bitar

Jackson

. Revision hip preservation surgery with hip arthroscopy: clinical outcomes. Arthroscopy. 2014;30(5):581–587. https://doi.org/10.1016/j.arthro.2014.02.005.

13.

Farjo

Glick

Sampson

. Hip arthroscopy for acetabular labral tears. Arthroscopy. 1999;15(2):132–137. https://doi.org/10.1053/ar.1999.v15.015013.

14.

Gigi

Rath

Sharfman

Shimonovich

Ronen

Amar

. Hip arthroscopy for femoral-acetabular impingement: do active claims affect outcomes? Arthroscopy. 2016;32(4):595–600. https://doi.org/10.1016/j.arthro.2015.10.005.

15.

Griffin

Dickenson

Wall

PDH

, et al. Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial. Lancet. 2018;391(10136):2225–2235. https://doi.org/10.1016/S0140-6736(18)31202-9.

16.

Harris

Mulford

Solomon

Van Gelder

Young

. Association between compensation status and outcome after surgery: a meta-analysis. JAMA. 2005;293(13):1644–1652. https://doi.org/10.1001/jama.293.13.1644.

17.

Horner

Ekhtiari

Simunovic

Safran

Philippon

Ayeni

. Hip arthroscopy in patients age 40 or older: a systematic review. Arthroscopy. 2017;33(2):464–475.e3. https://doi.org/10.1016/j.arthro.2016.06.044.

18.

Kamath

Componovo

Baldwin

Israelite

Nelson

. Hip arthroscopy for labral tears: review of clinical outcomes with 4.8-year mean follow-up. Am J Sports Med. 2009;37(9):1721–1727. https://doi.org/10.1177/0363546509333078.

19.

Kemp

Collins

Roos

Crossley

. Psychometric properties of patient-reported outcome measures for hip arthroscopic surgery. Am J Sports Med. 2013;41:2065–2073. https://doi.org/10.1177/0363546513494173.

20.

Khanduja

Villar

. Arthroscopic surgery of the hip. J Bone Joint Surg Br. 2006;88(12):1557–1566. https://doi.org/10.1302/0301-620X.88B12.18584.

21.

Kuroda

Saito

Çinar

Norrish

Khanduja

. Patient-related risk factors associated with less favourable outcomes following hip arthroscopy: a scoping review. Bone Joint J. 2020;102:822–831. https://doi.org/10.1302/0301-620X.102B7.BJJ-2020-0031.R1.

22.

Lee

Cvetanovich

Mascarenhas

, et al. Ability to return to work without restrictions in workers compensation patients undergoing hip arthroscopy. J Hip Preserv Surg. 2017;4(1):30–38. https://doi.org/10.1093/jhps/hnw037.

23.

Malviya

Paliobeis

Villar

. Do professional athletes perform better than recreational athletes after arthroscopy for femoroacetabular impingement? Clin Orthop Relat Res. 2013;471(8):2477–2483. https://doi.org/10.1007/s11999-013-2787-z.

24.

Matsuda

Carlisle

Arthurs

Wierks

Philippon

. Comparative systematic review of the open dislocation, mini-open, and arthroscopic surgeries for femoroacetabular impingement. Arthroscopy. 2011;27(2):252–269. https://doi.org/10.1016/j.arthro.2010.09.011.

25.

Minkara

Westermann

Rosneck

Lynch

. Systematic review and meta-analysis of outcomes after hip arthroscopy in femoroacetabular impingement. Am J Sports Med. 2019;47(2):488–500. https://doi.org/10.1177/0363546517749475.

26.

Misamore

Ziegler

Rushton

. Repair of the rotator cuff: a comparison of results in two populations of patients. J Bone Joint Surg Am. 1995;77(9):1335–1339. https://doi.org/10.2106/00004623-199509000-00007.

27.

Moher

Liberati

Tetzlaff

, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;339:b2535. https://doi.org/10.1371/journal.pmed.1000097.

28.

Mont

Mayerson

Krackow

Hungerford

. Total knee arthroplasty in patients receiving workers’ compensation. J Bone Joint Surg Am. 1998;80(9):1285–1290. https://doi.org/10.2106/00004623-199809000-00006.

29.

Murata

Uchida

Utsunomiya

Hatakeyama

Nakamura

Sakai

. A comparison of clinical outcome between athletes and nonathletes undergoing hip arthroscopy for femoroacetabular impingement. Clin J Sport Med. 2017;27(4):349–356. https://doi.org/10.1097/JSM.0000000000000367.

30.

Nho

Beck

Nwachukwu

, et al. Survivorship and outcome of hip arthroscopy for femoroacetabular impingement syndrome performed with modern surgical techniques. Am J Sports Med. 2019;47(7):1662–1669. https://doi.org/10.1177/0363546519843936.

31.

Nwachukwu

Beck

Kunze

Chahla

Rasio

Nho

. Defining the clinically meaningful outcomes for arthroscopic treatment of femoroacetabular impingement syndrome at minimum 5-year follow-up. Am J Sports Med. 2020;48(4):901–907. https://doi.org/10.1177/0363546520902736.

32.

Palmer

AJR

Ayyar Gupta

Fernquest

, et al. Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial. BMJ. 2019;364:I185. https://doi.org/10.1136/bmj.l185.

33.

Perets

Prat

, et al. Patients undergoing hip arthroscopy with active workers’ compensation claims do not demonstrate inferior outcomes at mid-term. Hip Int. 2019;29(5):543–549. https://doi.org/10.1177/1120700018810537.

34.

Potter

Freedman

Andersen

Bojescul

Kuklo

Murphy

. Correlation of short form-36 and disability status with outcomes of arthroscopic acetabular labral debridement. Am J Sports Med. 2005;33(6):864–870. https://doi.org/10.1177/0363546504270567.

35.

Salvo

Hamoud

Flato

Sgromolo

Mendelsohn

. Outcomes after hip arthroscopy in patients with workers’ compensation claims. Orthopedics. 2015;38(2):e94–e98. https://doi.org/10.3928/01477447-20150204-55.

36.

Schairer

Nwachukwu

McCormick

Lyman

Mayman

. Use of hip arthroscopy and risk of conversion to total hip arthroplasty: a population-based analysis. Arthroscopy. 2016;32(4):587–593. https://doi.org/10.1016/j.arthro.2015.10.002.

37.

Shea

Reeves

Wells

, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include rando-mised or non-randomised studies of healthcare interventions, or both. BMJ. 2017;358:j4008. https://doi.org/10.1136/bmj.j4008.

38.

Slim

Nini

Forestier

Kwiatkowski

Panis

Chipponi

. Methodological index for non-randomized studies (Minors): development and validation of a new instrument. ANZ J Surg. 2003;73(9):712–716. https://doi.org/10.1046/j.1445-2197.2003.02748.x.

39.

Stake

Jackson

Stone

Domb

. Hip arthroscopy for labral tears in workers’ compensation: a matched-pair controlled study. Am J Sports Med. 2013;41(10):2302–2307. https://doi.org/10.1177/0363546513496055.

40.

Stevens

Legay

Glazebrook

Amirault

. The evidence for hip arthroscopy: grading the current indications. Arthroscopy. 2010;26(10):1370–1383. https://doi.org/10.1016/j.arthro.2010.07.016.

41.

Tabaraee

Ahn

Bohl

Elboghdady

Aboushaala

Singh

. The impact of worker’s compensation claims on outcomes and costs following an anterior cervical discectomy and fusion. Spine (Phila Pa 1976). 2015;40(12):948–953. https://doi.org/10.1097/BRS.0000000000000873.

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