PMID- 28063762
OWN - NLM
STAT- MEDLINE
DCOM- 20170905
LR  - 20220409
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 33
IP  - 4
DP  - 2017 Apr
TI  - Isolated Acetabuloplasty and Labral Repair for Combined-Type Femoroacetabular 
      Impingement: Are We Doing Too Much?
PG  - 773-779
LID - S0749-8063(16)30894-5 [pii]
LID - 10.1016/j.arthro.2016.10.022 [doi]
AB  - PURPOSE: To evaluate patient outcomes after isolated arthroscopic volumetric 
      acetabular osteoplasty and labral repair for the treatment of patients with 
      combined femoroacetabular impingement (FAI) lesions. METHODS: A review of a 
      prospectively collected registry identified 86 patients (106 hips) with an 
      average age of 38.1 years (range, 17-59 years) with combined-type FAI that 
      underwent isolated acetabular osteoplasty and labral repair. Preoperative 
      alpha-angle, degree of radiographic degenerative changes, and presence of a crossover 
      sign were recorded. Clinical outcomes were assessed with the modified Harris Hip 
      Score (mHHS), International Hip Outcome Tool-12 (iHOT-12), Hip Outcome Score 
      Sport-Specific Subscale (HOS-SSS), and patient satisfaction score (out of 10) at 
      a minimum 2-year follow-up. RESULTS: Clinical follow-up was obtained at a mean 
      follow-up of 37.2 months (range, 27.9-79.2 months). Patients with Tonnis grade 0 
      and I findings had significantly higher mHHS (83.5 vs 71.5, P = .01), HOS-SSS 
      (81.3 vs 59.9, P = .02), and iHOT-12 scores (71.1 vs 58.8, P = .04) compared to 
      patients with Tonnis grade II changes. However, patient satisfaction scores (8.0 
      vs 7.2, P = .45) were no different. No significant difference was noted between 
      unilateral and bilateral hip patient outcome scores. Patient age and preoperative 
      alpha-angles did not correlate with any outcome scores (all R(2) <0.05). There were 
      no cases of revision surgery or progression to arthroplasty. CONCLUSIONS: 
      Isolated acetabular decompression may adequately address the underlying 
      impingement in combined-type FAI while avoiding the risks associated with 
      femoral-sided decompression. Good to excellent patient-reported outcomes and 
      satisfaction scores were noted with significantly higher scores in patients with 
      minimal arthritic change. Patient age and preoperative alpha-angle had less effect on 
      postoperative outcomes. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
CI  - Copyright (c) 2016 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Tjong, Vehniah K
AU  - Tjong VK
AD  - Northwestern University, Feinberg School of Medicine, Chicago, Illinois, U.S.A.. 
      Electronic address: vehniah.tjong@northwestern.edu.
FAU - Gombera, Mustafa M
AU  - Gombera MM
AD  - Northwestern University, Feinberg School of Medicine, Chicago, Illinois, U.S.A.
FAU - Kahlenberg, Cynthia A
AU  - Kahlenberg CA
AD  - Northwestern University, Feinberg School of Medicine, Chicago, Illinois, U.S.A.
FAU - Patel, Ronak M
AU  - Patel RM
AD  - Northwestern University, Feinberg School of Medicine, Chicago, Illinois, U.S.A.
FAU - Han, Brian
AU  - Han B
AD  - Northwestern University, Feinberg School of Medicine, Chicago, Illinois, U.S.A.
FAU - Deshmane, Prashant
AU  - Deshmane P
AD  - Northwestern University, Feinberg School of Medicine, Chicago, Illinois, U.S.A.
FAU - Terry, Michael A
AU  - Terry MA
AD  - Northwestern University, Feinberg School of Medicine, Chicago, Illinois, U.S.A.
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
DEP - 20170104
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
CIN - Arthroscopy. 2017 Apr;33(4):780-782. PMID: 28372702
MH  - Acetabuloplasty/*methods/rehabilitation
MH  - Acetabulum/diagnostic imaging/surgery
MH  - Activities of Daily Living
MH  - Adolescent
MH  - Adult
MH  - Arthroscopy/methods
MH  - Decompression, Surgical/methods
MH  - Female
MH  - Femoracetabular Impingement/diagnostic imaging/rehabilitation/*surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Satisfaction
MH  - Radiography
MH  - Registries
MH  - Reoperation
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2017/01/09 06:00
MHDA- 2017/09/07 06:00
CRDT- 2017/01/09 06:00
PHST- 2016/05/17 00:00 [received]
PHST- 2016/10/07 00:00 [revised]
PHST- 2016/10/24 00:00 [accepted]
PHST- 2017/01/09 06:00 [pubmed]
PHST- 2017/09/07 06:00 [medline]
PHST- 2017/01/09 06:00 [entrez]
AID - S0749-8063(16)30894-5 [pii]
AID - 10.1016/j.arthro.2016.10.022 [doi]
PST - ppublish
SO  - Arthroscopy. 2017 Apr;33(4):773-779. doi: 10.1016/j.arthro.2016.10.022. Epub 2017 
      Jan 4.