PMID- 29865889
OWN - NLM
STAT- MEDLINE
DCOM- 20191015
LR  - 20220409
IS  - 1724-6067 (Electronic)
IS  - 1120-7000 (Linking)
VI  - 28
IP  - 6
DP  - 2018 Nov
TI  - Acetabular microfracture in hip arthroscopy: clinical outcomes with minimum 
      5-year follow-up.
PG  - 649-656
LID - 10.1177/1120700018760263 [doi]
AB  - INTRODUCTION: There is a paucity in the literature regarding mid-term results of 
      microfracture in hip arthroscopy. We aim to assess 5-year outcomes of patients 
      who underwent acetabular microfracture for full-thickness chondral lesions as a 
      part of hip arthroscopy. METHODS: Between August 2008 and September 2011, data 
      were prospectively gathered for patients undergoing acetabular microfracture 
      during hip arthroscopy with minimum 5-year follow-up. All patients were assessed 
      pre- and postoperatively, with modified Harris Hip Score (mHHS), Non-Arthritic 
      Hip Score (NAHS), Hip Outcome Score - Sports Specific Subscale (HOS-SSS), and 
      visual analog scale (VAS). International Hip Outcome Tool (iHOT-12) and 
      satisfaction were collected postoperatively. Exclusion criteria included previous 
      hip conditions, or preoperative Tonnis grade >/=2. RESULTS: Fifty three hips were 
      eligible for this study. Of these, 43 (81.1%) hips in 42 patients had follow-up. 
      The study group had a male majority (65.1%) and an average age of 44.4 +/- 9.5 
      years. There was statistically significant improvement in all patient-reported 
      outcomes (PROs) and VAS at follow-up. Patient satisfaction was 7.6 +/- 2.6. A 
      comparison of 2-year to minimum 5-year follow-up results identified no 
      statistically significant deterioration in PROs, VAS, and patient satisfaction. 
      Survivorship was 72.1% with 12 patients converted to total hip arthroplasty 
      (THA). 4 patients (10.8%) underwent secondary arthroscopy. CONCLUSIONS: In the 
      mid-term, microfracture as a part of hip arthroscopy demonstrated favourable 
      outcomes and 72% survivorship. Careful patient selection is warranted to limit 
      the risk of conversion to THA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - 1 American Hip Institute, Westmont, Illinois, USA.
AD  - 2 Hinsdale Orthopaedics, New York, USA.
FAU - Rybalko, Danil
AU  - Rybalko D
AD  - 3 University of Illinois at Chicago, Chicago, Illinois, USA.
FAU - Mu, Brian
AU  - Mu B
AD  - 1 American Hip Institute, Westmont, Illinois, USA.
FAU - Litrenta, Jody
AU  - Litrenta J
AD  - 4 New York University Hospital for Joint Disease, New York, USA.
FAU - Chen, Austin W
AU  - Chen AW
AD  - 1 American Hip Institute, Westmont, Illinois, USA.
AD  - 5 Boulder Centre for Orthopedics, Boulder, Colorado, USA.
FAU - Perets, Itay
AU  - Perets I
AD  - 1 American Hip Institute, Westmont, Illinois, USA.
AD  - 6 Hadassah Hebrew University Hospital, Jerusalem, Israel.
LA  - eng
PT  - Journal Article
DEP - 20180605
PL  - United States
TA  - Hip Int
JT  - Hip international : the journal of clinical and experimental research on hip 
      pathology and therapy
JID - 9200413
SB  - IM
MH  - Acetabulum/injuries/*surgery
MH  - Adult
MH  - Aged
MH  - *Arthroscopy
MH  - Cartilage Diseases/*surgery
MH  - Female
MH  - Follow-Up Studies
MH  - Fractures, Stress/*etiology/surgery
MH  - Hip Joint/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Reported Outcome Measures
MH  - Patient Satisfaction
MH  - Treatment Outcome
MH  - Visual Analog Scale
OTO - NOTNLM
OT  - Hip arthroscopy
OT  - microfracture
OT  - mid-term outcomes
EDAT- 2018/06/06 06:00
MHDA- 2019/10/16 06:00
CRDT- 2018/06/06 06:00
PHST- 2018/06/06 06:00 [pubmed]
PHST- 2019/10/16 06:00 [medline]
PHST- 2018/06/06 06:00 [entrez]
AID - 10.1177/1120700018760263 [doi]
PST - ppublish
SO  - Hip Int. 2018 Nov;28(6):649-656. doi: 10.1177/1120700018760263. Epub 2018 Jun 5.