Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticlePreoperative Depression Is Negatively Associated With Function and Predicts Poorer Outcomes After Hip Arthroscopy for Femoroacetabular Impingement
Section snippets
Methods
Institutional review board approval was obtained for this retrospective review of consecutive subjects who underwent hip arthroscopy by a single fellowship-trained orthopaedic surgeon (T.J.E.), with a minimum of 1-year follow-up. Subjects with FAI syndrome (defined by the Warwick Agreement as a triad of symptoms, clinical signs, and imaging findings consistent with cam and/or pincer morphology) who had completed a minimum 3-month course of nonsurgical treatment (which included rest, activity
Results
We analyzed 77 patients. There were 21 male patients (27.3%) and 56 female patients (72.7%). The mean age was 35.2 ± 12.5 years. Of the subjects, 58 (75.3%) reported minimal depressive symptoms, whereas the remaining patients reported mild (11.7%), moderate (6.5%), or severe (6.5%) depressive symptoms as measured on the BDI-II.
Discussion
Patients with minimal or mild depressive symptoms have statistically and clinically better preoperative and postoperative PROs, are more likely to obtain SCB from surgery, and are more likely to reach a PASS after surgery than patients with moderate to severe depressive symptoms. There is a mild to moderate negative correlation between depressive symptoms and PROs at preoperative and postoperative time points. These findings confirm our hypotheses that (1) fewer than 50% of patients with FAI
Conclusions
Most patients undergoing hip arthroscopy for FAI have minimal depressive symptoms with the overall prevalence higher than the general population. Patients with minimal or mild depressive symptoms have statistically and clinically better preoperative and postoperative PROs, are more likely to obtain SCB from surgery, and are more likely to reach a PASS after surgery than patients with moderate to severe depressive symptoms.
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See commentary on page 2375
The authors report the following potential conflict of interest or source of funding: J.D.H. receives support from AAOS, American Orthopaedic Society for Sports Medicine, Arthroscopy Association of North America. Board or committee member. Arthroscopy, Frontiers in Surgery. Editorial or governing board. NIA Magellan. Paid consultant. Smith & Nephew. Paid consultant, paid presenter or speaker. Ossur. Paid speaker. SLACK Incorporated. Publishing royalties, financial or material support. T.J.E. receives support from Medacta. Paid consultant. Acute Innovations. IP royalties. Full ICMJE author disclosure forms are available for this article online, as supplementary material.