PMID- 31145663 OWN - NLM STAT- MEDLINE DCOM- 20200420 LR - 20200420 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 47 IP - 7 DP - 2019 Jun TI - Survivorship and Outcome of Hip Arthroscopy for Femoroacetabular Impingement Syndrome Performed With Modern Surgical Techniques. PG - 1662-1669 LID - 10.1177/0363546519843936 [doi] AB - BACKGROUND: Hip arthroscopy for femoroacetabular impingement syndrome (FAIS) is a rapidly growing field in sports surgery; however, factors associated with poor outcomes and identification of predictor models of inferior clinical outcomes is unclear. PURPOSE: To analyze predictors of clinical failure and inferior clinical outcomes among patients undergoing hip arthroscopy for treatment of FAIS. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: Data were collected and analyzed from consecutive patients who underwent primary hip arthroscopy with routine capsular closure for the treatment of FAIS from a single fellowship-trained surgeon between January 2012 and November 2015. Baseline data, postoperative patient-reported outcomes, and rates of clinical failure and inferior clinical outcomes were recorded at 2 years postoperatively. Clinical failure was defined by revision hip arthroscopy or conversion to total hip arthroplasty. Inferior clinical outcome was defined as not reaching the minimal clinically important difference (MCID) or patient acceptable symptomatic state for Hip Outcome Score-Activities of Daily Living. A multivariate logistic regression analysis was used to identify significant predictors of clinical failure and inferior clinical outcome. RESULTS: Out of 1161 eligible patients, 935 (80.5%) completed 2-year postoperative patient-reported outcomes. The mean +/- SD age and body mass index were 33.3 +/- 12.3 years and 25.4 +/- 8.2 kg/m(2), respectively. The overall clinical failure rate was 3.6% (n = 34), including 23 cases (2.5%) of revision hip arthroscopy and 11 cases (1.2%) of conversion to total hip arthroplasty. Predictors of clinical failure were lower preoperative International Hip Outcome Tool score ( P = .016), chronic preoperative pain ( P = .001), and chondromalacia in the affected hip ( P = .04). The inferior clinical outcome group, consisting of those who failed to reach the MCID for Hip Outcome Score-Activities of Daily Living, included 256 patients (27.4%). Predictors of inferior clinical outcomes were Tonnis grade >1 ( P = .01), workers' compensation ( P < .001), and increased body mass index ( P = .02). CONCLUSION: This study demonstrates that 73% of all patients treated for symptomatic FAIS with primary hip arthroscopy and routine capsular closure achieved the MCID. Clinical failure is predicted by a number of modifiable and nonmodifiable factors, including chronic preoperative pain and presence of chondromalacia. The current study updates the midterm failure rates and outcomes achievable with hip arthroscopy for FAIS. FAU - Nho, Shane J AU - Nho SJ AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA. FAU - Beck, Edward C AU - Beck EC AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA. FAU - Nwachukwu, Benedict U AU - Nwachukwu BU AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA. FAU - Cvetanovich, Gregory L AU - Cvetanovich GL AD - Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. FAU - Neal, William H AU - Neal WH AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA. FAU - Harris, Joshua D AU - Harris JD AD - Department of Orthopedic Surgery, Houston Methodist University, Houston, Texas, USA. FAU - Weber, Alexander E AU - Weber AE AD - Department of Orthopedic Surgery, University of Southern California, Los Angeles, California, USA. FAU - Mather, Richard C AU - Mather RC AD - Department of Orthopedic Surgery, Duke University, Durham, North Carolina, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't 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 - Adult MH - Arthroplasty, Replacement, Hip/statistics & numerical data MH - Arthroscopy/*methods MH - Body Mass Index MH - Case-Control Studies MH - Female MH - Femoracetabular Impingement/*surgery MH - Hip Joint/*surgery MH - Humans MH - Male MH - Middle Aged MH - Minimal Clinically Important Difference MH - Patient Reported Outcome Measures MH - Postoperative Period MH - Sports MH - Survivorship MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - FAI OT - complications OT - failure OT - femoroacetabular impingement OT - hip arthroscopy OT - outcomes OT - survivorship EDAT- 2019/05/31 06:00 MHDA- 2020/04/21 06:00 CRDT- 2019/05/31 06:00 PHST- 2019/05/31 06:00 [entrez] PHST- 2019/05/31 06:00 [pubmed] PHST- 2020/04/21 06:00 [medline] AID - 10.1177/0363546519843936 [doi] PST - ppublish SO - Am J Sports Med. 2019 Jun;47(7):1662-1669. doi: 10.1177/0363546519843936.