PMID- 32076628 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220412 IS - 2325-9671 (Print) IS - 2325-9671 (Electronic) IS - 2325-9671 (Linking) VI - 8 IP - 2 DP - 2020 Feb TI - Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip. PG - 2325967119900767 LID - 10.1177/2325967119900767 [doi] LID - 2325967119900767 AB - BACKGROUND: Labral reconstruction has been advocated as an alternative to debridement for the treatment of irreparable labral tears, showing favorable short-term results. However, literature is scarce regarding outcomes and return to sport in the nonelite athletic population. PURPOSE: To report minimum 1-year clinical outcomes and the rate of return to sport in athletic patients who underwent primary hip arthroscopy with labral reconstruction in the setting of femoroacetabular impingement syndrome and irreparable labral tears. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Data were prospectively collected and retrospectively analyzed for patients who underwent an arthroscopic labral reconstruction between August 2012 and December 2017. Patients were included if they identified as an athlete (high school, college, recreational, or amateur); had follow-up on the following patient-reported outcomes (PROs): modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sport Specific Subscale (HOS-SSS), and visual analog scale (VAS); and completed a return-to-sport survey at 1 year postoperatively. Patients were excluded if they underwent any previous ipsilateral hip surgery, had dysplasia, or had prior hip conditions. The proportions of patients who achieved the minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) for mHHS and HOS-SSS were calculated. Statistical significance was set at P = .05. RESULTS: There were 32 (14 females) athletes who underwent primary arthroscopic labral reconstruction during the study period. The mean age and body mass index of the group were 40.3 years (range, 15.5-58.7 years) and 27.9 kg/m(2) (range, 19.6-40.1 kg/m(2)), respectively. The mean follow-up was 26.4 months (range, 12-64.2 months). All patients demonstrated significant improvement in mHHS, NAHS, HOS-SSS, and VAS (P < .001) at latest follow-up. Additionally, 84.4% achieved MCID and 81.3% achieved PASS for mHHS, and 87.5% achieved MCID and 75% achieved PASS for HOS-SSS. VAS pain scores decreased from 4.4 to 1.8, and the satisfaction with surgery was 7.9 out of 10. The rate of return to sport was 78%. CONCLUSION: At minimum 1-year follow-up, primary arthroscopic labral reconstruction, in the setting of femoroacetabular impingement syndrome and irreparable labral tears, was associated with significant improvement in PROs in athletic populations. Return to sport within 1 year of surgery was 78%. CI - (c) The Author(s) 2020. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Chen, Sarah L AU - Chen SL AD - Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA. FAU - Yelton, Mitchell J AU - Yelton MJ AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Rosinsky, Philip J AU - Rosinsky PJ AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Walker-Santiago, Rafael AU - Walker-Santiago R AD - Missouri Orthopedic Institute, Columbia, Missouri, USA. FAU - Shapira, Jacob AU - Shapira J AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Lall, Ajay C AU - Lall AC AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. AD - American Hip Institute, Des Plaines, Illinois, USA. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. AD - American Hip Institute, Des Plaines, Illinois, USA. LA - eng PT - Journal Article DEP - 20200205 PL - United States TA - Orthop J Sports Med JT - Orthopaedic journal of sports medicine JID - 101620522 PMC - PMC7003179 OTO - NOTNLM OT - femoroacetabular impingement OT - labral reconstruction OT - labral tear OT - return to sport COIS- One or more of the authors has declared the following potential conflict of interest or source of funding: D.R.M. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew. P.J.R. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew. R.W.-S. has received educational support from DePuy and Encore Medical and hospitality payments from Acumed, Arthrex, Globus Medical, Stryker, and Smith & Nephew. J.S. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew. A.C.L. has received research support from Arthrex and Stryker, educational support from Medwest and Smith & Nephew, consulting fees from Arthrex and Graymont Medical, and hospitality payments from Smith & Nephew, Stryker, and Zimmer Biomet. B.G.D. has ownership interests in Hinsdale Orthopaedics, the American Hip Institute, SCD#3, North Shore Surgical Suites, and Munster Specialty Surgery Center; has received research support from Arthrex, ATI, the Kauffman Foundation, and Pacira Pharmaceuticals; has received consulting fees from Adventist Hinsdale Hospital, Arthrex, MAKO Surgical, Medacta, Pacira Pharmaceuticals, and Stryker; has received educational support from Arthrex, Breg, and Medwest; has received speaking fees from Arthrex and Pacira Pharmaceuticals; and receives royalties from Arthrex, DJO Global, MAKO Surgical, Stryker, and Orthomerica. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. EDAT- 2020/02/23 06:00 MHDA- 2020/02/23 06:01 PMCR- 2020/02/05 CRDT- 2020/02/21 06:00 PHST- 2019/10/08 00:00 [received] PHST- 2019/10/18 00:00 [accepted] PHST- 2020/02/21 06:00 [entrez] PHST- 2020/02/23 06:00 [pubmed] PHST- 2020/02/23 06:01 [medline] PHST- 2020/02/05 00:00 [pmc-release] AID - 10.1177_2325967119900767 [pii] AID - 10.1177/2325967119900767 [doi] PST - epublish SO - Orthop J Sports Med. 2020 Feb 5;8(2):2325967119900767. doi: 10.1177/2325967119900767. eCollection 2020 Feb.