{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T07:08:14Z","timestamp":1784185694540,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Workers\u2019 compensation (WC) patients often experience inferior outcomes compared with non-workers\u2019 compensation (non-WC) patients after orthopaedic procedures. Long-term outcomes for contemporary hip arthroscopy in this group remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare patient-reported outcomes (PROs), achievement of clinically significant outcomes, and reoperation-free survival between WC and non-WC patients undergoing hip arthroscopy for labral tear\/femoroacetabular impingement syndrome at a minimum 10-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who underwent hip arthroscopy between January 2012 and February 2015 with \u226510-year follow-up were included. WC patients were propensity-score matched with non-WC patients on age, sex, and body mass index. PROs were assessed preoperatively and at 2-, 5-, and 10-year postoperatively, including Hip Outcome Score\u2013Activities of Daily Living (HOS-ADL), Hip Outcome Score\u2013Sport-specific (HOS-SS), Modified Harris Hip Score (mHHS), 12-item International Hip Outcome Tool (iHOT-12), and visual analog scale (VAS) for pain and satisfaction. Achievement of minimal clinically important difference (MCID), patient acceptable symptom state (PASS), and reoperation rates were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 37 WC hips were matched with 108 non-WC hips. Both cohorts demonstrated significant improvements in all PROs from baseline (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Preoperatively, WC patients had lower HOS-ADL (46.9 vs 63.5;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) and mHHS scores (47.4 vs 57.3;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .004), but similar HOS-SS and VAS-Pain scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2265 .076). At 2 years, WC patients reported lower HOS-ADL, HOS-SS, mHHS, and iHOT-12 scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2264 .047). At 5 years, HOS-ADL and HOS-SS remained lower in WC patients (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2264 .004), whereas other PROs were comparable (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2265 .160). At 10 years, no significant between-group differences persisted (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2265 .057). WC patients achieved higher MCID rates for HOS-ADL (94.7% vs 68.8%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .021) and mHHS (87% vs 62%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .038), with comparable MCID and PASS rates for other PROs. Both cohorts demonstrated similar reoperation-free survivorship (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .383). Overall, 33 WC patients (91.7%) returned to work at a mean time of 8.7 \u00b1 5.2 months postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>At a minimum 10-year follow-up, WC patients demonstrated sustained improvement and outcomes comparable to non-WC patients after primary hip arthroscopy. Although WC status is associated with inferior preoperative and early postoperative outcomes, long-term symptom resolution, functional improvement, and joint preservation can be expected in appropriately selected patients treated with contemporary hip arthroscopy techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465261449801","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T08:49:44Z","timestamp":1780303784000},"page":"2194-2203","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-term Outcomes of Hip Arthroscopy in Workers\u2019 Compensation Patients Compared to Non-workers\u2019 Compensation Patients: A Propensity-Matched Study at Minimum 10-Year Follow-up"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1490-1905","authenticated-orcid":false,"given":"Chandler 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