While I agree that HN URLs are are very non-descriptive, one problem of the proposed solution might be submissions that get their titles edited by mods later?
/item/1234/original-submission
/item/1234/edited-title
/item/1234/arbitrary-string
/item/1234/
This could also be done with the current query string approach, e.g. /item?id=1234&title=original-submission
/item?id=1234&title=edited-title
/item?id=1234&title=arbitrary-string
/item?id=1234
OP's suggestion of having the title be part of the ID would be quite inelegant, but possible if the real ID is only the digits up to the first hyphen.Ideally, the title would be completely ignored, but other titles would redirect to an URL with the current title.
It's a matter of aesthetics.
&title=get%20a%20load%20of%20this%20guy