PMID- 29065275
OWN - NLM
STAT- MEDLINE
DCOM- 20190515
LR  - 20190515
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 46
IP  - 2
DP  - 2018 Feb
TI  - Multicenter Analysis of Midterm Clinical Outcomes of Arthroscopic Labral Repair 
      in the Hip: Minimum 5-Year Follow-up.
PG  - 280-287
LID - 10.1177/0363546517734180 [doi]
AB  - BACKGROUND: The technique of hip arthroscopic surgery is advancing and becoming 
      more commonly performed. However, most current reported results are limited to 
      short-term follow-up, and therefore, the durability of the procedure is largely 
      unknown. PURPOSE: To perform a multicenter analysis of mid-term clinical outcomes 
      of arthroscopic hip labral repair and determine the risk factors for patient 
      outcomes. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: 
      Prospectively collected data of primary hip arthroscopic labral repair performed 
      at 4 high-volume centers between 2008 and 2011 were reviewed retrospectively. 
      Patients were assessed preoperatively and postoperatively with the visual analog 
      scale (VAS), modified Harris Hip Score (mHHS), and Hip Outcome 
      Score-Sports-Specific Subscale (HOS-SSS) at a minimum of 5 years' follow-up. 
      Factors including age, body mass index (BMI), Tonnis grade, and cartilage grade 
      were analyzed in relation to outcome scores, and revision rates were determined. 
      Failure was defined as subsequent ipsilateral hip surgery, including revision 
      arthroscopic surgery and open hip surgery. RESULTS: A total of 303 patients (101 
      male, 202 female) with a mean age of 32.0 years (range, 10.7-58.9 years) were 
      followed for a mean of 5.7 years (range, 5.0-7.9 years). Patients achieved mean 
      improvements in VAS of 3.5 points, mHHS of 20.1 points, and HOS-SSS of 29.3 
      points. Thirty-seven patients (12.2%) underwent revision arthroscopic surgery, 
      and 12 (4.0%) underwent periacetabular osteotomy, resurfacing, or total hip 
      arthroplasty during the study period. Patients with a BMI >30 kg/m(2) had a mean 
      mHHS score 9.5 points lower and a mean HOS-SSS score 15.9 points lower than those 
      with a BMI </=30 kg/m(2) ( P < .01). Patients aged >35 years at surgery had a mean 
      mHHS score 4.5 points lower and a HOS-SSS score 6.7 points lower than those aged 
      </=35 years ( P = .03). Patients with Tonnis grade 2 radiographs demonstrated a 
      12.5-point worse mHHS score ( P = .02) and a 23.0-point worse HOS-SSS score ( P < 
      .01) when compared with patients with Tonnis grade 0. CONCLUSION: Patients 
      demonstrated significant improvements in VAS, mHHS, and HOS-SSS scores after 
      arthroscopic labral repair. However, those with Tonnis grade 2 changes 
      preoperatively, BMI >30 kg/m(2), and age >35 years at the time of surgery 
      demonstrated significantly decreased mHHS and HOS-SSS scores at final follow-up.
FAU - Hevesi, Mario
AU  - Hevesi M
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Krych, Aaron J
AU  - Krych AJ
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Johnson, Nick R
AU  - Johnson NR
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Redmond, John M
AU  - Redmond JM
AD  - Southeast Orthopedic Specialists, Jacksonville, Florida, USA.
FAU - Hartigan, David E
AU  - Hartigan DE
AD  - Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Phoenix, 
      Arizona, USA.
FAU - Levy, Bruce A
AU  - Levy BA
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute, Westmont, Illinois, USA.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20171024
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Arthroplasty, Replacement, Hip
MH  - *Arthroscopy/rehabilitation
MH  - Body Mass Index
MH  - Child
MH  - Female
MH  - Follow-Up Studies
MH  - Hip/surgery
MH  - Hip Joint/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Osteotomy
MH  - Pain Measurement
MH  - Postoperative Period
MH  - Radiography
MH  - Reoperation
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Visual Analog Scale
MH  - Young Adult
OTO - NOTNLM
OT  - HOS-SSS
OT  - VAS
OT  - clinical outcomes
OT  - hip arthroscopic surgery
OT  - labral repair
OT  - mHHS
OT  - midterm
EDAT- 2017/10/25 06:00
MHDA- 2019/05/16 06:00
CRDT- 2017/10/25 06:00
PHST- 2017/10/25 06:00 [pubmed]
PHST- 2019/05/16 06:00 [medline]
PHST- 2017/10/25 06:00 [entrez]
AID - 10.1177/0363546517734180 [doi]
PST - ppublish
SO  - Am J Sports Med. 2018 Feb;46(2):280-287. doi: 10.1177/0363546517734180. Epub 2017 
      Oct 24.