PMID- 25632056
OWN - NLM
STAT- MEDLINE
DCOM- 20160725
LR  - 20220409
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 44
IP  - 1
DP  - 2016 Jan
TI  - Does Primary Hip Arthroscopy Result in Improved Clinical Outcomes?: 2-Year 
      Clinical Follow-up on a Mixed Group of 738 Consecutive Primary Hip Arthroscopies 
      Performed at a High-Volume Referral Center.
PG  - 74-82
LID - 10.1177/0363546514562563 [doi]
AB  - BACKGROUND: Hip arthroscopy has gained increasing popularity over the past 
      decade. The need to develop metrics to evaluate success and complications in 
      primary hip arthroscopy is an important goal. PURPOSE: To evaluate 2-year 
      patient-related outcome (PRO) scores and patient satisfaction scores for a single 
      surgeon at a high-volume referral center for all primary hip arthroscopy 
      procedures performed. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: 
      During the study period between April 2008 and October 2011, data were collected 
      on all patients who underwent primary hip arthroscopy. All patients were assessed 
      pre- and postoperatively with 4 PRO measures: the modified Harris Hip Score 
      (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Activities of Daily 
      Living (HOS-ADL), and Hip Outcome Score-Sport-Specific Subscale (HOS-SSS). Pain 
      was estimated on the visual analog scale (VAS), and satisfaction was measured on 
      a scale from 0 to 10. The number of patients who underwent revision arthroscopy, 
      total hip arthroplasty (THA), or a resurfacing procedure during the study period 
      was also reported. RESULTS: A total of 595 patients were included in the study. 
      The score improvement from preoperative to 2-year follow-up was 61.29 to 82.02 
      for mHHS, 62.79 to 83.05 for HOS-ADL, 40.96 to 70.07 for HOS-SSS, 57.97 to 80.41 
      for NAHS, and 5.86 to 2.97 for VAS. All scores were statistically significantly 
      different (P < .0001). Overall patient satisfaction was 7.86 +/- 2.3 (range, 1-10). 
      Forty-seven (7.7%) patients underwent revision hip arthroscopy, and 54 (9.1%) 
      patients underwent either THA or the hip resurfacing procedure during the study 
      period. The multivariate regression analysis showed that increased age at time of 
      surgery was a significant risk factor for conversion to THA, revision 
      arthroscopy, and change in NAHS <10 points. Acute injury, acetabuloplasty, 
      iliopsoas release, and patient sex were significant for 2 of these 3 types of 
      failure. CONCLUSION: Primary hip arthroscopy for all procedures performed in 
      aggregate had excellent clinical outcomes and patient satisfaction scores at 
      short-term follow-up in this study. More studies must be conducted to determine 
      the definition of a successful outcome. There was a 6.1% minor complication rate, 
      which was consistent with previous studies. Patients should be counseled 
      regarding the potential progression of degenerative change leading to 
      arthroplasty as well as the potential for revision surgery.
CI  - (c) 2015 The Author(s).
FAU - Gupta, Asheesh
AU  - Gupta A
AD  - American Hip Institute, Westmont, Illinois, USA.
FAU - Redmond, John M
AU  - Redmond JM
AD  - American Hip Institute, Westmont, Illinois, USA.
FAU - Stake, Christine E
AU  - Stake CE
AD  - American Hip Institute, Westmont, Illinois, USA.
FAU - Dunne, Kevin F
AU  - Dunne KF
AD  - American Hip Institute, Westmont, Illinois, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute, Westmont, Illinois, USA Hinsdale Orthopaedics, Westmont, 
      Illinois, USA Loyola University Chicago Stritch School of Medicine, Westmont, 
      Illinois, USA DrDomb@americanhipinstitute.org.
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
DEP - 20150128
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Acetabuloplasty/methods
MH  - Activities of Daily Living
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Arthroplasty, Replacement, Hip/methods
MH  - Arthroscopy/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Health Facility Size
MH  - Hip Joint/*surgery
MH  - Humans
MH  - Joint Diseases/*surgery
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement/methods
MH  - *Patient Satisfaction
MH  - Physical Examination/methods
MH  - Range of Motion, Articular/physiology
MH  - Referral and Consultation
MH  - Reoperation/statistics & numerical data
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - FAI
OT  - high-volume referral center
OT  - hip arthroscopy
OT  - labral tears
OT  - outcomes
EDAT- 2015/01/30 06:00
MHDA- 2016/07/28 06:00
CRDT- 2015/01/30 06:00
PHST- 2015/01/30 06:00 [entrez]
PHST- 2015/01/30 06:00 [pubmed]
PHST- 2016/07/28 06:00 [medline]
AID - 0363546514562563 [pii]
AID - 10.1177/0363546514562563 [doi]
PST - ppublish
SO  - Am J Sports Med. 2016 Jan;44(1):74-82. doi: 10.1177/0363546514562563. Epub 2015 
      Jan 28.