PMID- 30611371
OWN - NLM
STAT- MEDLINE
DCOM- 20200120
LR  - 20200120
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 35
IP  - 1
DP  - 2019 Jan
TI  - The Effect of Complete Tearing of the Ligamentum Teres in Patients Undergoing 
      Primary Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears: A 
      Match-Controlled Study.
PG  - 80-88
LID - S0749-8063(18)30662-5 [pii]
LID - 10.1016/j.arthro.2018.07.042 [doi]
AB  - PURPOSE: To compare the patient-reported outcomes scores (PROs) of patients with 
      femoroacetabular impingement (FAI), labral tears, and complete ligamentum teres 
      (LT) tears to a matched-pair control group with intact LTs, as well as to report 
      the relative risk of total hip arthroplasty (THA) conversion. METHODS: Data 
      between February 2008 and April 2015 were retrospectively reviewed. Patients 
      undergoing hip arthroscopy included those who had complete LT tear, labral tears, 
      FAI, and minimum 2-year follow-up with modified Harris Hip Score (mHHS), 
      Non-arthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale 
      (HOS-SSS), International Hip Outcome Tool-12 (iHOT-12), and visual analog scale 
      (VAS). Patients were excluded for Tonnis osteoarthritis grade >1, previous hip 
      conditions or surgeries, and Worker's Compensation claims. Patients with full LT 
      tears were matched in a 1:3 ratio with patients without LT tears based on age at 
      surgery +/- 5 years, sex, body mass index +/- 5, capsular treatment, and acetabular 
      Outerbridge grade. Revision surgeries and conversions to THA were documented. 
      Relative risk for conversion to THA was determined (P = .05). RESULTS: Eighteen 
      patients (18 hips) had minimum 2-year follow-up and were eligible for matching; 
      as described, each study group patient was matched to 3 control patients, 
      resulting in a size of 18 to 54 patients. PROs showed significant improvement in 
      the complete LT tear group with the exception of the HOS-SSS measure. In the 
      intact LT control group, all PROs significantly improved, with no exception. 
      Based on relative risk, patients with complete LT tears were 3 times more likely 
      to require THA than a matched control group. CONCLUSIONS: After hip arthroscopy, 
      patients with FAI and complete LT tears reported significant improvement in PROs. 
      Among hips that did not require THA, functional scores were comparable to a 
      matched control group. However, patients with complete LT tears were 3 times more 
      likely to require an eventual THA than the matched control group. We conclude 
      that patients with complete LT tears should be considered an at-risk population, 
      and that indications and treatment may be refined to incorporate the clinical 
      significance of complete LT tears. LEVEL OF EVIDENCE: Level III, comparative 
      trial, case-control.
CI  - Copyright (c) 2019 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute, Hinsdale, Illinois, U.S.A.
FAU - Laseter, Joseph R
AU  - Laseter JR
AD  - American Hip Institute, Hinsdale, Illinois, U.S.A.
FAU - Perets, Itay
AU  - Perets I
AD  - American Hip Institute, Hinsdale, Illinois, U.S.A.; Hadassah Hebrew University 
      Hospital, Jerusalem, Israel.
FAU - Ortiz-Declet, Victor
AU  - Ortiz-Declet V
AD  - American Hip Institute, Hinsdale, Illinois, U.S.A.; Gotham City Orthopedics, New 
      York, New York, U.S.A.
FAU - Chen, Austin W
AU  - Chen AW
AD  - American Hip Institute, Hinsdale, Illinois, U.S.A.; Boulder Centre for 
      Orthopedics, Boulder, Colorado, U.S.A.
FAU - Lall, Ajay C
AU  - Lall AC
AD  - American Hip Institute, Hinsdale, Illinois, U.S.A.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute, Hinsdale, Illinois, U.S.A.; Hinsdale Orthopaedics, 
      Hinsdale, Illinois, U.S.A.. Electronic address: DrDomb@AmericanHipInstitute.org.
LA  - eng
PT  - Journal Article
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
CIN - Arthroscopy. 2019 Jan;35(1):89-90. PMID: 30611372
MH  - Adolescent
MH  - Adult
MH  - Arthroplasty, Replacement, Hip/methods
MH  - Arthroscopy/*methods
MH  - Case-Control Studies
MH  - Female
MH  - Femoracetabular Impingement/diagnosis/etiology/*surgery
MH  - Hip Joint/diagnostic imaging/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Reported Outcome Measures
MH  - Reoperation
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Round Ligaments/diagnostic imaging/*injuries/surgery
MH  - Rupture
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2019/01/07 06:00
MHDA- 2020/01/21 06:00
CRDT- 2019/01/07 06:00
PHST- 2018/01/29 00:00 [received]
PHST- 2018/07/24 00:00 [revised]
PHST- 2018/07/30 00:00 [accepted]
PHST- 2019/01/07 06:00 [entrez]
PHST- 2019/01/07 06:00 [pubmed]
PHST- 2020/01/21 06:00 [medline]
AID - S0749-8063(18)30662-5 [pii]
AID - 10.1016/j.arthro.2018.07.042 [doi]
PST - ppublish
SO  - Arthroscopy. 2019 Jan;35(1):80-88. doi: 10.1016/j.arthro.2018.07.042.