PMID- 28605002
OWN - NLM
STAT- MEDLINE
DCOM- 20190819
LR  - 20190819
IS  - 1724-6067 (Electronic)
IS  - 1120-7000 (Linking)
VI  - 27
IP  - 6
DP  - 2017 Nov 21
TI  - Short-term outcomes of open hip preservation surgery for symptomatic 
      extraarticular femoroacetabular impingement.
PG  - 599-607
LID - 10.5301/hipint.5000506 [doi]
AB  - INTRODUCTION: The purposes of this study were to describe: (i) short-term 
      disease-specific patient-reported outcome scores (PROMs); and (ii) factors 
      associated with reoperation or treatment failure in patients undergoing open hip 
      preservation surgery for symptomatic extraarticular FAI. METHODS: Patients 
      undergoing open hip preservation surgery for symptomatic extraarticular FAI were 
      identified from a prospective, single-centre hip preservation registry (n = 51 
      patients; median clinical follow-up 24 [range 11-49] months). Hip-specific PROMs 
      were assessed preoperatively, 6 months, and each year subsequently. Patients 
      undergoing reoperation or treatment failure (<10 point improvement in iHOT-33 
      postoperatively) over the study period were identified. Preoperative associated 
      factors were explored on a univariate basis. RESULTS: International Hip Outcome 
      Tool-33 (iHOT-33) improved from 33 (standard deviation [SD] 18) to 62 (26) at 
      most recent follow-up and 76% of patients improved by minimum clinically 
      important difference (MCID). Harris Hip Score improved from 53 (15) to 75 (17) at 
      most recent follow-up and 79% of patients improved by MCID. Hip Outcome Score 
      (HOS) Sport improved from 45 (26) to 66 (28) at most recent follow-up and 60% of 
      patients improved by MCID. Continued improvements in mean follow-up scores were 
      seen from 1 year to 2 years. Overall, 7 patients underwent reoperation and 9 
      patients failed to improve by MCID. Preoperative HOS Sport was higher in patients 
      experiencing reoperation or treatment failure (58 [SD 19] vs. 40 [SD 27] 
      respectively; p = 0.03). No other associated demographic, physical examination, 
      or radiographic factors were found. CONCLUSIONS: Open treatment of extraarticular 
      FAI results in short-term improvements in hip-specific PROMs in most patients. 
      Higher HOS Sport scores were associated with reoperation or treatment failure. 
      Longer-term follow-up is necessary to define maximum improvements in this 
      challenging patient population.
FAU - Ricciardi, Benjamin F
AU  - Ricciardi BF
AD  - Center for Hip Pain and Preservation, Hospital for Special Surgery, New York - 
      USA.
FAU - Fields, Kara G
AU  - Fields KG
AD  - Healthcare Research Institute, Hospital for Special Surgery, New York - USA.
FAU - Wentzel, Catherine
AU  - Wentzel C
AD  - Center for Hip Pain and Preservation, Hospital for Special Surgery, New York - 
      USA.
FAU - Kelly, Bryan T
AU  - Kelly BT
AD  - Center for Hip Pain and Preservation, Hospital for Special Surgery, New York - 
      USA.
FAU - Sink, Ernest L
AU  - Sink EL
AD  - Center for Hip Pain and Preservation, Hospital for Special Surgery, New York - 
      USA.
LA  - eng
PT  - Journal Article
DEP - 20170607
PL  - United States
TA  - Hip Int
JT  - Hip international : the journal of clinical and experimental research on hip 
      pathology and therapy
JID - 9200413
MH  - Adult
MH  - Female
MH  - Femoracetabular Impingement/diagnosis/physiopathology/*surgery
MH  - Follow-Up Studies
MH  - Hip Joint/diagnostic imaging/physiopathology/*surgery
MH  - Humans
MH  - Imaging, Three-Dimensional
MH  - Male
MH  - Orthopedic Procedures/*methods
MH  - *Patient Reported Outcome Measures
MH  - Postoperative Period
MH  - Range of Motion, Articular/*physiology
MH  - Retrospective Studies
MH  - Time Factors
MH  - Tomography, X-Ray Computed
EDAT- 2017/06/13 06:00
MHDA- 2019/08/20 06:00
CRDT- 2017/06/13 06:00
PHST- 2017/02/20 00:00 [accepted]
PHST- 2017/06/13 06:00 [pubmed]
PHST- 2019/08/20 06:00 [medline]
PHST- 2017/06/13 06:00 [entrez]
AID - 9EF99C08-8621-4752-86F2-221312E19E9E [pii]
AID - 10.5301/hipint.5000506 [doi]
PST - ppublish
SO  - Hip Int. 2017 Nov 21;27(6):599-607. doi: 10.5301/hipint.5000506. Epub 2017 Jun 7.