PMID- 32337062 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2054-8397 (Print) IS - 2054-8397 (Electronic) IS - 2054-8397 (Linking) VI - 6 IP - 3 DP - 2019 Aug TI - Effect of prior ipsilateral lower extremity surgery on 2-year outcomes following hip arthroscopy for femoroacetabular impingement syndrome. PG - 241-248 LID - 10.1093/jhps/hnz031 [doi] AB - The purpose of this study was to determine the influence of prior lower extremity surgery on patient reported outcomes following hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Consecutive patients who underwent hip arthroscopy for FAIS and a prior history of ipsilateral lower extremity surgery were identified and matched 2:1 by age, gender, and body mass index (BMI) to controls without a history of lower extremity surgery. The minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) were calculated for HOS-ADL, HOS-SS, and mHHS. Preoperative and 2-year postoperative patient reported outcomes of both groups were compared, and logistic regression was performed to determine whether lower extremity surgery influenced achieving MCID and PASS. A total of 102 patients (24.94%) with prior history of ipsilateral lower extremity surgery were identified. Ipsilateral orthopaedic knee surgery accounted for more than half (53.92%) of all prior surgeries. Patients with a history of ipsilateral lower extremity surgery had significant lower 2-year PROs, satisfaction, and greater pain when compared to patients without lower extremity surgery (P < 0.001 all). A history of ipsilateral lower extremity surgery was a negative predictor of achieving MCID for HOS-ADL and HOS-SS, as well as PASS for HOS-ADL, HOS-SS, and mHHS (P < 0.001 all). In conclusion, patients with prior lower extremity surgery were found to have inferior outcome scores and a lower likelihood of achieving clinically significant outcome improvement compared to patients without a history of lower extremity surgery at two years postoperatively. CI - (c) The Author(s) 2019. Published by Oxford University Press. FAU - Kunze, Kyle N AU - Kunze KN AUID- ORCID: 0000-0002-0363-3482 AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. FAU - Beck, Edward C AU - Beck EC AUID- ORCID: 0000-0002-5092-0679 AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. FAU - Okoroha, Kelechi R AU - Okoroha KR AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. FAU - Chahla, Jorge AU - Chahla J AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. FAU - Suppauksorn, Sunikom AU - Suppauksorn S AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. FAU - Bush-Joseph, Charles A AU - Bush-Joseph CA AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. FAU - Katakam, Akhil AU - Katakam A AD - Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA. FAU - Nho, Shane J AU - Nho SJ AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. LA - eng PT - Journal Article DEP - 20190720 PL - England TA - J Hip Preserv Surg JT - Journal of hip preservation surgery JID - 101643347 PMC - PMC7171797 EDAT- 2020/04/28 06:00 MHDA- 2020/04/28 06:01 PMCR- 2019/07/20 CRDT- 2020/04/28 06:00 PHST- 2019/03/04 00:00 [received] PHST- 2019/05/29 00:00 [revised] PHST- 2019/06/23 00:00 [accepted] PHST- 2020/04/28 06:00 [entrez] PHST- 2020/04/28 06:00 [pubmed] PHST- 2020/04/28 06:01 [medline] PHST- 2019/07/20 00:00 [pmc-release] AID - hnz031 [pii] AID - 10.1093/jhps/hnz031 [doi] PST - epublish SO - J Hip Preserv Surg. 2019 Jul 20;6(3):241-248. doi: 10.1093/jhps/hnz031. eCollection 2019 Aug.