PMID- 31395395
OWN - NLM
STAT- MEDLINE
DCOM- 20200615
LR  - 20200615
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 35
IP  - 11
DP  - 2019 Nov
TI  - Preoperative Predictors of Achieving Clinically Significant Athletic Functional 
      Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year 
      Follow-Up.
PG  - 3049-3056.e1
LID - S0749-8063(19)30437-2 [pii]
LID - 10.1016/j.arthro.2019.05.022 [doi]
AB  - PURPOSE: To identify predictors of achieving clinically significant sport 
      function in athletic patients undergoing hip arthroscopy for femoroacetabular 
      impingement syndrome (FAIS). METHODS: Data were analyzed for all patients who 
      treated for FAIS between 2012 to 2016 and reported being athletes, including 
      recreational and competitive athletes. All patients had a minimum of 2-year 
      follow-up with patient-reported athletic function in the form of the Hip Outcome 
      Score-Sport Specific (HOS-SS), visual analog score-pain, and patient 
      satisfaction. Achieving clinically significant sports function was defined as 
      either reaching the minimally clinical important difference (MCID) or the patient 
      acceptable symptomatic state (PASS) for HOS-SS at 2-year follow-up. An 
      exploratory factor analysis was used to determine specific domains for the 
      predictor variables and to reduce the redundancy in these variables. A logistic 
      regression analysis was used to identify significant predictors of achieving 
      clinically significant sports function [corrected]. RESULTS: Of 780 qualifying 
      patients, 626 completed the 2-year minimum follow-up (80%), with a mean age and 
      body mass index of 31.6 +/- 11.9 years and 24.6 +/- 8.6, respectively. A total of 500 
      patients (86.5%) achieved high functional status, with 77.9% achieving MCID 
      HOS-SS and 68.7% achieving PASS HOS-SS. Logistic regression analysis identified 
      increased the alpha angle (odds ratio [OR] 0.976; P = .027), preoperative pain 
      duration (OR 0.729; P = .011), and body mass index (BMI) (OR 0.919; P = .018), as 
      well as the presence of femoral chondral defects (OR 0.769; P = .013), as 
      negative predictors for achieving MCID. Negative predictors for achieving PASS 
      HOS-SS included the presence of a preoperative limp (OR 0.384; P = .013), anxiety 
      or depression (OR 0.561; P = .041), and increased BMI (OR 0.945; P = .018) and 
      preoperative pain duration (OR 0.987; P < .001). CONCLUSIONS: Several predictors 
      of achieving clinically significant sport function performance exist, including a 
      history of anxiety or depression, BMI, preoperative alpha angle, limp, femoral 
      chondral damage, *and preoperative symptom duration. Our results suggest there 
      are both modifiable and nonmodifiable preoperative factors that have the 
      potential to predict achieving high athletic function after hip arthroscopy for 
      FAIS. LEVEL OF EVIDENCE: IV, Case Series.
CI  - Copyright (c) 2019 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Stone, Austin V
AU  - Stone AV
AD  - Department of Orthopaedic Surgery, University of Kentucky, Lexington, Kentucky, 
      U.S.A.
FAU - Beck, Edward C
AU  - Beck EC
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Malloy, Philip
AU  - Malloy P
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Chahla, Jorge
AU  - Chahla J
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Nwachukwu, Benedict U
AU  - Nwachukwu BU
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Neal, William H
AU  - Neal WH
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.. Electronic address: shane.nho@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20190805
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 Nov;35(11):3057-3059. PMID: 31699256
EIN - Arthroscopy. 2020 Mar;36(3):923. PMID: 32139070
MH  - *Activities of Daily Living
MH  - Adult
MH  - Arthroscopy/*methods
MH  - Female
MH  - Femoracetabular Impingement/physiopathology/*surgery
MH  - Follow-Up Studies
MH  - Hip Joint/physiopathology/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Reported Outcome Measures
MH  - *Patient Satisfaction
MH  - Preoperative Period
MH  - Prognosis
MH  - *Sports
MH  - Time Factors
MH  - Young Adult
EDAT- 2019/08/10 06:00
MHDA- 2020/06/17 06:00
CRDT- 2019/08/10 06:00
PHST- 2019/01/21 00:00 [received]
PHST- 2019/05/09 00:00 [revised]
PHST- 2019/05/10 00:00 [accepted]
PHST- 2019/08/10 06:00 [pubmed]
PHST- 2020/06/17 06:00 [medline]
PHST- 2019/08/10 06:00 [entrez]
AID - S0749-8063(19)30437-2 [pii]
AID - 10.1016/j.arthro.2019.05.022 [doi]
PST - ppublish
SO  - Arthroscopy. 2019 Nov;35(11):3049-3056.e1. doi: 10.1016/j.arthro.2019.05.022. 
      Epub 2019 Aug 5.