PMID- 30074842
OWN - NLM
STAT- MEDLINE
DCOM- 20191021
LR  - 20191022
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 46
IP  - 11
DP  - 2018 Sep
TI  - Does Iliopsoas Lengthening Adversely Affect Clinical Outcomes After Hip 
      Arthroscopy? A Multicenter Comparative Study.
PG  - 2624-2631
LID - 10.1177/0363546518785966 [doi]
AB  - BACKGROUND: Iliopsoas fractional lengthening (IFL) continues to be a 
      controversial procedure in hip arthroscopy. HYPOTHESIS: Patients who underwent 
      arthroscopic surgery for femoroacetabular impingement (FAI) and a labral tear 
      either with or without IFL would experience favorable outcomes, and there would 
      be no difference in postoperative patient-reported outcomes (PROs) between the 2 
      groups at minimum 2-year follow-up. STUDY DESIGN: Cohort study; Level of 
      evidence, 3. METHODS: Data from July 2009 and April 2015 were retrospectively 
      reviewed. Patients were eligible if they had hip arthroscopy for both FAI and 
      labral tear treatment with IFL and without IFL. IFL was indicated for painful 
      internal snapping. Minimum postoperative follow-up was set to 2 years. The 
      authors calculated the modified Harris Hip Score, International Hip Outcome 
      Tool-12, Hip Outcome Score-Activity of Daily Living Score, Hip Outcome 
      Score-Sports Specific Subscale, Non-Arthritic Hip Score, visual analog scale for 
      pain, patient satisfaction, minimal clinically important difference (MCID), and 
      the percentage of patients who achieved patient acceptable symptomatic state 
      (PASS). Revision surgeries and conversions to total hip arthroplasty (THA) were 
      documented. RESULTS: 351 hips (307 patients) met the necessary inclusion criteria 
      in the IFL cohort, with a mean +/- SD follow-up time of 42.5 +/- 18.1 months. For the 
      control cohort, 392 hips (354 patients) were included, with a mean +/- SD follow-up 
      time of 43.9 +/- 19.6 months. Both groups showed significant postoperative 
      improvement in 2-year follow-up PROs. The group with iliopsoas lengthening showed 
      comparable results to the control group with respect to PRO improvement, MCID, 
      PASS, and rates of revision or THA conversion. CONCLUSION: This comparative 
      cohort study demonstrated that treatment of painful internal snapping syndrome 
      with arthroscopic IFL, in the setting of FAI and a labral tear, is a safe 
      procedure with good short- to mid-term follow-up results and associated 
      improvement in PROs. Patients who underwent IFL showed similar outcomes compared 
      with a control group treated for FAI and labral tear without IFL. In 
      appropriately selected patients, arthroscopic IFL did not adversely affect 
      clinical outcomes compared with patients who did not need IFL.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute, Westmont, Illinois, USA.
FAU - Krych, Aaron J
AU  - Krych AJ
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Levy, Bruce A
AU  - Levy BA
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
FAU - Hartigan, David E
AU  - Hartigan DE
AD  - American Hip Institute, Westmont, Illinois, USA.
AD  - Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Phoenix, 
      Arizona, USA.
FAU - Laseter, Joseph R
AU  - Laseter JR
AD  - American Hip Institute, Westmont, Illinois, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute, Westmont, Illinois, USA.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
DEP - 20180803
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Activities of Daily Living
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Arthroplasty, Replacement, Hip
MH  - Arthroscopy/*methods/*statistics & numerical data
MH  - Child
MH  - Cohort Studies
MH  - Female
MH  - Femoracetabular Impingement/*surgery
MH  - Follow-Up Studies
MH  - Hip/surgery
MH  - Hip Joint/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Muscle, Skeletal/surgery
MH  - Patient Reported Outcome Measures
MH  - Patient Satisfaction
MH  - Postoperative Period
MH  - Reoperation
MH  - Retrospective Studies
MH  - Visual Analog Scale
MH  - Young Adult
OTO - NOTNLM
OT  - femoroacetabular impingement
OT  - hip arthroscopy
OT  - iliopsoas fractional lengthening
EDAT- 2018/08/04 06:00
MHDA- 2019/10/23 06:00
CRDT- 2018/08/04 06:00
PHST- 2018/08/04 06:00 [pubmed]
PHST- 2019/10/23 06:00 [medline]
PHST- 2018/08/04 06:00 [entrez]
AID - 10.1177/0363546518785966 [doi]
PST - ppublish
SO  - Am J Sports Med. 2018 Sep;46(11):2624-2631. doi: 10.1177/0363546518785966. Epub 
      2018 Aug 3.