PMID- 27011867 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160325 LR - 20220318 IS - 2054-8397 (Print) IS - 2054-8397 (Electronic) IS - 2054-8397 (Linking) VI - 2 IP - 4 DP - 2015 Dec TI - Microfracture in the hip: a matched-control study with average 3-year follow-up. PG - 417-27 LID - 10.1093/jhps/hnv073 [doi] AB - There is a paucity of literature regarding microfracture surgery in the hip. The purpose of this study was to compare outcomes in patients undergoing hip arthroscopy predominantly for labral tears with focal full thickness chondral damage on the acetabulum or femoral head treated with microfracture and a matched control group that did not have focal full thickness chondral damage. A prospective matched-control study was performed examining four patient-reported outcome (PRO) scores: modified Harris Hip Score (mHHS), non-arthritic hip score, Hip Outcome Score-Activities of Daily Living (HOS-ADL), and Hip Outcome Score-Sports Specific Subscale (HOS-SSS) at minimum 2 years post-operatively between 35 patients undergoing microfracture for chondral defects during hip arthroscopy and 70 patients in a control group that did not have chondral defects. The patients were matched based on gender, age within 7 years, Workman's compensation claim, labral treatment and acetabular crossover percentage less than or greater than 20. There was no significant difference (P > 0.05) in PRO scores preoperatively between the groups. Both groups demonstrated significant improvement (P < 0.05) in all post-operative PRO scores at all time points. There was no statistically significant difference (P > 0.05) in post-operative PRO scores between the microfracture and control groups, except for HOS-ADL and the visual analog scale (VAS) score, both of which were superior in the control group (P < 0.05). Patient satisfaction was 6.9 for the microfracture group and 7.7 for the control group (P > 0.05). Arthroscopic microfracture of the hip during treatment of labral tears results in favorable outcomes that are similar to the results arthroscopic treatment of labral tears in patients without full thickness chondral damage. FAU - Lodhia, Parth AU - Lodhia P AD - 1. Department of Orthopaedics, American Hip Institute, Westmont, IL, USA. FAU - Gui, Chengcheng AU - Gui C AD - 1. Department of Orthopaedics, American Hip Institute, Westmont, IL, USA. FAU - Chandrasekaran, Sivashankar AU - Chandrasekaran S AD - 1. Department of Orthopaedics, American Hip Institute, Westmont, IL, USA. FAU - Suarez-Ahedo, Carlos AU - Suarez-Ahedo C AD - 1. Department of Orthopaedics, American Hip Institute, Westmont, IL, USA. FAU - Vemula, S Pavan AU - Vemula SP AD - 1. Department of Orthopaedics, American Hip Institute, Westmont, IL, USA. FAU - Domb, Benjamin G AU - Domb BG AD - 1. Department of Orthopaedics, American Hip Institute, Westmont, IL, USA, ; 2. Hinsdale Orthopaedics, 1010 Executive Ct, Suite 250, Westmont, IL 60559. LA - eng PT - Journal Article DEP - 20151210 PL - England TA - J Hip Preserv Surg JT - Journal of hip preservation surgery JID - 101643347 PMC - PMC4732373 EDAT- 2016/03/25 06:00 MHDA- 2016/03/25 06:01 PMCR- 2015/12/10 CRDT- 2016/03/25 06:00 PHST- 2014/12/19 00:00 [received] PHST- 2015/09/17 00:00 [revised] PHST- 2015/10/25 00:00 [accepted] PHST- 2016/03/25 06:00 [entrez] PHST- 2016/03/25 06:00 [pubmed] PHST- 2016/03/25 06:01 [medline] PHST- 2015/12/10 00:00 [pmc-release] AID - hnv073 [pii] AID - 10.1093/jhps/hnv073 [doi] PST - epublish SO - J Hip Preserv Surg. 2015 Dec 10;2(4):417-27. doi: 10.1093/jhps/hnv073. eCollection 2015 Dec.