PMID- 26821960
OWN - NLM
STAT- MEDLINE
DCOM- 20170913
LR  - 20181202
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 32
IP  - 5
DP  - 2016 May
TI  - Outcomes of Revision Hip Arthroscopy: 2-Year Clinical Follow-up.
PG  - 788-97
LID - S0749-8063(15)00891-9 [pii]
LID - 10.1016/j.arthro.2015.11.016 [doi]
AB  - PURPOSE: To evaluate clinical outcomes, pain, and patient satisfaction following 
      revision hip arthroscopy with a minimum 2-year follow-up. METHODS: From April 
      2008 to October 2011, data were prospectively collected on all patients 
      undergoing revision hip arthroscopy. All patients were assessed pre- and 
      postoperatively with 4 patient-reported outcome (PRO) measures: the modified 
      Harris hip score (mHHS), nonarthritic hip score (NAHS), hip outcome 
      score-activities of daily living (HOS-ADL), and hip outcome score-sport-specific 
      subscales (HOS-SSS). Pain was estimated on the visual analog scale (VAS). Patient 
      satisfaction was measured on a scale from 0 to 10. The number of patients who 
      underwent subsequent revision arthroscopy or total hip arthroplasty during the 
      study period is also reported. RESULTS: Eighty-seven patients underwent revision 
      hip arthroscopy during the study period. Seventy (80.5%) patients were included 
      in our study. Average follow-up time was 28 months (range, 20 to 47.4 months). In 
      terms of residual femoroacetabular impingement morphology, 45.7% of patients had 
      preoperative alpha angles >/= 55 degrees , and 7.14% of patients had a lateral center-edge 
      angle >/= 40 degrees . The score improvement from preoperative to 2-year follow-up was 
      57.84 to 73.65 for mHHS, 62.79 to 83.04 for HOS-ADL, 37.33 to 54.93 for HOS-SSS, 
      and 55.65 to 70.79 for NAHS. VAS decreased from 6.72 to 4.08. All scores 
      demonstrated statistically significant improvement (P < .001). Overall patient 
      satisfaction was 7.67. Our success rate was 74.58%. Ten (14.29%) patients 
      underwent total hip arthroplasty during the study period. Our hip survivorship 
      was 85.7%. Five (7.14%) patients underwent secondary revision hip arthroscopy 
      during the study period. We found an overall minor complication rate of 10%. 
      CONCLUSIONS: Revision hip arthroscopy for all procedures performed on aggregate 
      has improved clinical outcomes for all PROs, high survivorship, and high patient 
      satisfaction scores at short-term follow-up. Patients should be counseled 
      regarding the potential progression of degenerative change leading to 
      arthroplasty and the potential for revision surgery. LEVEL OF EVIDENCE: Level IV 
      retrospective case series.
CI  - Copyright (c) 2016 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Gupta, Asheesh
AU  - Gupta A
AD  - American Hip Institute, Westmont, Illinois, U.S.A.
FAU - Redmond, John M
AU  - Redmond JM
AD  - American Hip Institute, Westmont, Illinois, U.S.A.
FAU - Stake, Christine E
AU  - Stake CE
AD  - American Hip Institute, Westmont, Illinois, U.S.A.
FAU - Dunne, Kevin F
AU  - Dunne KF
AD  - American Hip Institute, Westmont, Illinois, U.S.A.
FAU - Hammarstedt, Jon E
AU  - Hammarstedt JE
AD  - American Hip Institute, Westmont, Illinois, U.S.A.; University of Illinois at 
      Chicago, Chicago, Illinois, U.S.A.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute, Westmont, Illinois, U.S.A.; Hinsdale Orthopaedics, 
      Hinsdale, Illinois, U.S.A.. Electronic address: DrDomb@americanhipinstitute.org.
LA  - eng
PT  - Journal Article
DEP - 20160125
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Arthroscopy
MH  - Female
MH  - Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Satisfaction
MH  - *Reoperation
MH  - Retrospective Studies
MH  - Visual Analog Scale
MH  - Young Adult
EDAT- 2016/01/30 06:00
MHDA- 2017/09/14 06:00
CRDT- 2016/01/30 06:00
PHST- 2014/10/20 00:00 [received]
PHST- 2015/08/17 00:00 [revised]
PHST- 2015/11/05 00:00 [accepted]
PHST- 2016/01/30 06:00 [entrez]
PHST- 2016/01/30 06:00 [pubmed]
PHST- 2017/09/14 06:00 [medline]
AID - S0749-8063(15)00891-9 [pii]
AID - 10.1016/j.arthro.2015.11.016 [doi]
PST - ppublish
SO  - Arthroscopy. 2016 May;32(5):788-97. doi: 10.1016/j.arthro.2015.11.016. Epub 2016 
      Jan 25.