PMID- 28302429 OWN - NLM STAT- MEDLINE DCOM- 20180105 LR - 20181202 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) VI - 33 IP - 5 DP - 2017 May TI - Does Bony Regrowth Occur After Arthroscopic Femoroplasty in a Group of Young Adolescents? PG - 988-995 LID - S0749-8063(17)30097-X [pii] LID - 10.1016/j.arthro.2017.01.023 [doi] AB - PURPOSE: To evaluate femoral head-neck bone regrowth and PROs in skeletally immature patients that underwent arthroscopic femoroplasties over a minimum 2-year period. METHODS: Eleven skeletally immature hips (10 patients) with open femoral head physes underwent femoroplasty between October 2008 and November 2013. Inclusion criteria were minimum 2-year follow-up with patient-reported outcomes (PROs) and radiographs preoperatively, at 2 weeks, and at a minimum of 2 years postoperatively. Exclusion criteria were >16 years of age, preoperative Tonnis grade >1 and previous hip conditions. Preoperative radiographs were used to assess skeletal immaturity, which was indicated by a Risser score 1 mm. Alpha angles were measured preoperatively, at 2 weeks, and at a minimum of 2 years postoperatively. PROs, including the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), and visual analog scale (VAS) score, were measured preoperatively and at the latest follow-up. RESULTS: Mean age at surgery was 14.7 years (range: 13.2-15.9). Mean follow-up was 35.7 months (range: 23.3-61.4). All hips tested positive for anterior impingement preoperatively. The mean preoperative alpha angle was 61.8 degrees , which decreased to 41.5 degrees postoperatively (P < .0001) and was 40.7 degrees at a minimum of 2 years postoperatively. No bony regrowth was documented at the latest follow-up. Mean improvements in scores were as follows: mHHS = 58.5 to 79.8 (P < .0001), NAHS = 56.8 to 87.1 (P = .008), HOS-SSS = 34.3 to 78.3 (P = .004), and VAS score = 7.5 to 1.3 (P < .0001). Mean patient satisfaction was 8.7 +/- 1.7. One hip (9.0%) required revision arthroscopy at 31.1 months. No postoperative complications were reported. CONCLUSIONS: Bony regrowth of the femoral head-neck region did not occur in this study of skeletally immature females who underwent arthroscopic femoroplasty. In this group of patients, hip arthroscopic treatment of FAI and labral tears is a safe and favorable intervention because of its high patient satisfaction and outcome scores and absence of postoperative complications. LEVEL OF EVIDENCE: Level IV, prognostic study. CI - Copyright (c) 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Perets, Itay AU - Perets I AD - Hinsdale Orthopaedics, American Hip Institute, Westmont, Illinois, U.S.A. FAU - Gupta, Asheesh AU - Gupta A AD - Hinsdale Orthopaedics, American Hip Institute, Westmont, Illinois, U.S.A. FAU - Chaharbakhshi, Edwin O AU - Chaharbakhshi EO AD - Hinsdale Orthopaedics, American Hip Institute, Westmont, Illinois, U.S.A. FAU - Ashberg, Lyall AU - Ashberg L AD - Hinsdale Orthopaedics, American Hip Institute, Westmont, Illinois, U.S.A. FAU - Hartigan, David E AU - Hartigan DE AD - Hinsdale Orthopaedics, American Hip Institute, Westmont, Illinois, U.S.A. FAU - Close, Mary R AU - Close MR AD - Hinsdale Orthopaedics, American Hip Institute, Westmont, Illinois, U.S.A. FAU - Domb, Benjamin G AU - Domb BG AD - Hinsdale Orthopaedics, American Hip Institute, Westmont, Illinois, U.S.A.. Electronic address: DrDomb@americanhipinstitute.org. LA - eng PT - Journal Article DEP - 20170313 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 - Arthroscopy MH - Female MH - Femur Head/diagnostic imaging/*surgery MH - Follow-Up Studies MH - *Fracture Healing MH - Hip Joint/diagnostic imaging/*surgery MH - Humans MH - Patient Satisfaction MH - Postoperative Complications/diagnostic imaging MH - Sports MH - Treatment Outcome EDAT- 2017/03/18 06:00 MHDA- 2018/01/06 06:00 CRDT- 2017/03/18 06:00 PHST- 2016/06/08 00:00 [received] PHST- 2016/12/06 00:00 [revised] PHST- 2017/01/04 00:00 [accepted] PHST- 2017/03/18 06:00 [pubmed] PHST- 2018/01/06 06:00 [medline] PHST- 2017/03/18 06:00 [entrez] AID - S0749-8063(17)30097-X [pii] AID - 10.1016/j.arthro.2017.01.023 [doi] PST - ppublish SO - Arthroscopy. 2017 May;33(5):988-995. doi: 10.1016/j.arthro.2017.01.023. Epub 2017 Mar 13.