PMID- 30789786
OWN - NLM
STAT- MEDLINE
DCOM- 20200304
LR  - 20200304
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 47
IP  - 4
DP  - 2019 Mar
TI  - Arthroscopic Labral Treatment in Adolescents: Clinical Outcomes With Minimum 
      5-Year Follow-up.
PG  - 870-875
LID - 10.1177/0363546519825627 [doi]
AB  - BACKGROUND: The success of hip arthroscopy has led to increased application in 
      younger populations. However, hip arthroscopy remains a challenging procedure, 
      and its safety and efficacy in the adolescent population have been controversial. 
      Most existing literature on outcomes in such patients contains only short-term 
      follow-up, and a paucity of evidence is available regarding long-term outcomes in 
      adolescents. PURPOSE: To report on clinical outcomes at a minimum 5-year 
      follow-up in patients younger than 18 years who underwent arthroscopic treatment 
      of labral tears. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Data 
      were prospectively collected and retrospectively reviewed on all patients younger 
      than 18 years who underwent hip arthroscopy in a tertiary hip preservation 
      setting at a single institution. Patients were excluded if they had previous 
      ipsilateral hip conditions or surgery. All patients underwent either labral 
      repair or debridement for treatment of a labral tear. Patient-reported outcome 
      measures were recorded at 3 months and at 1, 2, or a minimum of 5 years. These 
      included the modified Harris Hip Score (mHHS), Nonarthritic Hip Score, Hip 
      Outcome Score-Sports Specific Subscale (HOS-SSS), visual analog scale, and 
      patient satisfaction. Additionally, the abbreviated International Hip Outcome 
      Tool and Short Form Health Survey were collected at latest follow-up. RESULTS: 
      The study included 44 hips in 32 patients that underwent arthroscopic labral 
      repair (86.4%) or labral debridement (13.6%) between April 2008 and April 2011, 
      with latest follow-up at a mean of 69.2 months (range, 60.0-89.9 months) 
      postoperatively. The average age at surgery was 16.3 years (range, 14.2-17.9 
      years), and 39 hips from female patients. Statistically significant improvements 
      were seen in all patient-reported outcome measures from preoperative to minimum 
      5-year follow-up. Improvements were noted at 1-year follow-up and maintained at 
      minimum 5-year follow-up. At the latest follow-up, the Patient Acceptable 
      Symptomatic State was achieved in 95.5% of patients for the mHHS and 72.7% for 
      the HOS-SSS. Two patients subsequently underwent secondary arthroscopy on the 
      ipsilateral hip; however, the survivorship of all hips was 100%. CONCLUSION: Hip 
      arthroscopy for the treatment of labral tears in adolescents remains a 
      technically challenging procedure that should be approached with appropriate 
      caution. The results of the present study on a population treated in a 
      specialized hip preservation center demonstrate that hip arthroscopy is a safe 
      procedure with stable improvement in patient-reported outcome measures at 5 
      years.
FAU - Litrenta, Jody M
AU  - Litrenta JM
AD  - New York University Orthopaedic Surgery Associates, New York, New York, USA.
FAU - Mu, Brian H
AU  - Mu BH
AD  - Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, 
      USA.
FAU - Chen, Austin W
AU  - Chen AW
AD  - Boulder Center for Orthopedics, Boulder, Colorado, USA.
FAU - Perets, Itay
AU  - Perets I
AD  - Hadassah Hebrew University Hospital, Jerusalem, Israel.
FAU - Ortiz-Declet, Victor
AU  - Ortiz-Declet V
AD  - Sovereign Medical Group, Glen Rock, New Jersey, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute, Westmont, Illinois, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190221
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Adolescent
MH  - *Arthroscopy/adverse effects
MH  - Debridement
MH  - Female
MH  - Follow-Up Studies
MH  - Hip Injuries/*surgery
MH  - Humans
MH  - Male
MH  - Patient Reported Outcome Measures
MH  - Patient Satisfaction
MH  - Postoperative Complications
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Visual Analog Scale
OTO - NOTNLM
OT  - adolescents
OT  - hip
OT  - hip arthroscopy
OT  - midterm outcome scores
EDAT- 2019/02/23 06:00
MHDA- 2020/03/05 06:00
CRDT- 2019/02/22 06:00
PHST- 2019/02/23 06:00 [pubmed]
PHST- 2020/03/05 06:00 [medline]
PHST- 2019/02/22 06:00 [entrez]
AID - 10.1177/0363546519825627 [doi]
PST - ppublish
SO  - Am J Sports Med. 2019 Mar;47(4):870-875. doi: 10.1177/0363546519825627. Epub 2019 
      Feb 21.