Scholarlink

Purpose <p>The influence of pelvic incidence (PI) on outcomes after hip arthroscopy for femoroacetabular impingement remains uncertain. This study evaluated whether PI was associated with one-year outcomes, pain, satisfaction, and willingness to repeat surgery.</p> Methods <p>This retrospective multicentre cohort included 200 consecutive hips treated with hip arthroscopy for symptomatic femoroacetabular impingement and available standing EOS imaging. Hips were classified as low PI (≤ 40°), normal PI (40° &lt; PI &lt; 65°), or high PI (≥ 65°). Outcome analyses included 178 hips with available one-year Non-Arthritic Hip Score. Multivariable models adjusted for baseline outcome scores and prespecified covariates.</p> Results <p>Baseline characteristics did not differ significantly between PI groups. At one year, high PI was associated with lower Non-Arthritic Hip Score, modified Harris Hip Score, and International Hip Outcome Tool-12 scores, greater residual hip and low-back pain, lower satisfaction, and reduced willingness to repeat surgery. Improvement from baseline in Non-Arthritic Hip Score and International Hip Outcome Tool-12 did not differ significantly between groups. After adjustment, high PI remained associated with lower hip-specific scores, greater residual hip and low-back pain, lower global and activity-related satisfaction, lower odds of International Hip Outcome Tool-12 minimal clinically important difference achievement, and lower odds of answering “absolutely yes” to repeat surgery. Low PI was not significantly associated with adjusted outcomes.</p> Conclusion <p>High PI was associated with inferior one-year postoperative status after hip arthroscopy for femoroacetabular impingement. However, most patients achieved clinically meaningful improvement, suggesting that high PI should guide counselling and risk stratification rather than contraindicate arthroscopy.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

High pelvic incidence is associated with inferior one-year outcomes after hip arthroscopy for femoroacetabular impingement: a multicentre study with spinopelvic analysis

  • 期刊论文

  • 发表日期：

    2026年7月21日

查看全文
  • Rémy Coulomb,
  • Youssef Jamaleddine,
  • Daniel Donici,
  • Mathieu Thaunat,
  • Nicolas Tardy,
  • Jean-emmanuel Gédouin,
  • Olivier May,
  • Nicolas Bonin,
  • Nicolas Krantz,
  • Pascal Kouyoumdjian

摘要

Purpose

The influence of pelvic incidence (PI) on outcomes after hip arthroscopy for femoroacetabular impingement remains uncertain. This study evaluated whether PI was associated with one-year outcomes, pain, satisfaction, and willingness to repeat surgery.

Methods

This retrospective multicentre cohort included 200 consecutive hips treated with hip arthroscopy for symptomatic femoroacetabular impingement and available standing EOS imaging. Hips were classified as low PI (≤ 40°), normal PI (40° < PI < 65°), or high PI (≥ 65°). Outcome analyses included 178 hips with available one-year Non-Arthritic Hip Score. Multivariable models adjusted for baseline outcome scores and prespecified covariates.

Results

Baseline characteristics did not differ significantly between PI groups. At one year, high PI was associated with lower Non-Arthritic Hip Score, modified Harris Hip Score, and International Hip Outcome Tool-12 scores, greater residual hip and low-back pain, lower satisfaction, and reduced willingness to repeat surgery. Improvement from baseline in Non-Arthritic Hip Score and International Hip Outcome Tool-12 did not differ significantly between groups. After adjustment, high PI remained associated with lower hip-specific scores, greater residual hip and low-back pain, lower global and activity-related satisfaction, lower odds of International Hip Outcome Tool-12 minimal clinically important difference achievement, and lower odds of answering “absolutely yes” to repeat surgery. Low PI was not significantly associated with adjusted outcomes.

Conclusion

High PI was associated with inferior one-year postoperative status after hip arthroscopy for femoroacetabular impingement. However, most patients achieved clinically meaningful improvement, suggesting that high PI should guide counselling and risk stratification rather than contraindicate arthroscopy.