PMID- 31785755
OWN - NLM
STAT- MEDLINE
DCOM- 20200615
LR  - 20200615
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 35
IP  - 12
DP  - 2019 Dec
TI  - Outcome Trends After Hip Arthroscopy for Femoroacetabular Impingement: When Do 
      Patients Improve?
PG  - 3261-3270
LID - S0749-8063(19)30577-8 [pii]
LID - 10.1016/j.arthro.2019.06.020 [doi]
AB  - PURPOSE: To determine when patients reach critical thresholds of clinical 
      improvement after hip arthroscopy for femoroacetabular impingement (FAI) using 
      previously defined cutoffs for the minimal clinically important difference (MCID) 
      and patient acceptable symptomatic state (PASS) and to identify risk factors for 
      prolonged recovery. METHODS: Consecutive patients with a diagnosis of FAI who 
      underwent unilateral hip arthroscopy between January 2010 and January 2015 with 
      at least 2 years of clinical follow-up were studied. The modified Harris Hip 
      Score was collected prospectively at 6 consecutive time points. The number of 
      patients reaching the MCID and PASS at each time point was determined. RESULTS: 
      During the study period, 340 consecutive hip arthroscopies were performed in 316 
      patients with a mean final follow-up period of 50 months (range, 29-84 months). 
      The mean modified Harris Hip Score and percentage of patients reaching the MCID 
      and PASS increased at each time point. At 2 years, 271 patients (93%) surpassed 
      the MCID and 212 patients (73%) achieved the PASS. Female sex, age of 40 years or 
      older, and body mass index of 30 or greater were associated with lower rates of 
      achieving the MCID and PASS at set time points. Patients undergoing labral repair 
      had superior PASS rates at 3 months and beyond than patients undergoing labral 
      debridement alone. Patients who did not achieve the PASS by 3 months were more 
      likely to require reoperation. CONCLUSIONS: Hip arthroscopy for FAI results in 
      increased patient-reported outcome measures at interval follow-up. Most patients 
      reach critical thresholds of minimal and satisfactory clinical improvement. 
      Patients who are female, older, or obese or who undergo labral debridement alone 
      are less likely to reach these milestones at major time intervals. Patients who 
      do not reach the PASS by 3 months are more likely to require reoperation. LEVEL 
      OF EVIDENCE: Level IV, therapeutic case series.
CI  - Copyright (c) 2019 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Wolfson, Theodore S
AU  - Wolfson TS
AD  - New York University Langone Orthopedic Hospital, New York, New York, U.S.A.. 
      Electronic address: theodore.wolfson@nyulangone.org.
FAU - Ryan, Michael K
AU  - Ryan MK
AD  - Andrews Sports Medicine & Orthopaedic Center, Birmingham, Alabama, U.S.A.
FAU - Begly, John P
AU  - Begly JP
AD  - Central Vermont Medical Center, Berlin, Vermont, U.S.A.
FAU - Youm, Thomas
AU  - Youm T
AD  - New York University Langone Orthopedic Hospital, New York, New York, U.S.A.
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
MH  - Activities of Daily Living
MH  - Adult
MH  - Age Factors
MH  - *Arthroscopy/methods
MH  - Body Mass Index
MH  - Data Collection
MH  - Debridement
MH  - Female
MH  - Femoracetabular Impingement/*surgery
MH  - Hip Joint/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Obesity/complications
MH  - Patient Reported Outcome Measures
MH  - Reoperation
MH  - Risk Factors
MH  - Second-Look Surgery
MH  - Sex Factors
MH  - Young Adult
EDAT- 2019/12/02 06:00
MHDA- 2020/06/17 06:00
CRDT- 2019/12/02 06:00
PHST- 2018/11/25 00:00 [received]
PHST- 2019/06/09 00:00 [revised]
PHST- 2019/06/13 00:00 [accepted]
PHST- 2019/12/02 06:00 [entrez]
PHST- 2019/12/02 06:00 [pubmed]
PHST- 2020/06/17 06:00 [medline]
AID - S0749-8063(19)30577-8 [pii]
AID - 10.1016/j.arthro.2019.06.020 [doi]
PST - ppublish
SO  - Arthroscopy. 2019 Dec;35(12):3261-3270. doi: 10.1016/j.arthro.2019.06.020.