PMID- 32407160 OWN - NLM STAT- MEDLINE DCOM- 20201109 LR - 20201213 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 48 IP - 7 DP - 2020 Jun TI - Hips With Acetabular Retroversion Can Be Safely Treated With Advanced Arthroscopic Techniques Without Anteverting Periacetabular Osteotomy: Midterm Outcomes With Propensity-Matched Control Group. PG - 1636-1646 LID - 10.1177/0363546520916737 [doi] AB - BACKGROUND: Different options, from reverse (anteverting) periacetabular osteotomy to hip arthroscopy, have been proposed for surgical treatment of femoroacetabular impingement syndrome (FAIS) in the setting of acetabular retroversion. PURPOSE: (1) To report and analyze midterm patient-reported outcome scores (PROs) in patients with FAIS and labral tears in the setting of acetabular retroversion after isolated hip arthroscopy and (2) to compare these PROs with those of a propensity-matched control group without acetabular retroversion. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Prospectively collected data were retrospectively reviewed for patients who underwent hip arthroscopy for FAIS and labral tear treatment between June 2008 and March 2014. Inclusion criteria were as follows: acetabular retroversion, pre- and postoperative PROs for modified Harris Hip Score (mHHS), Non-arthritic Hip Score, Hip Outcome Score-Sports Specific Scale (HOS-SSS), and visual analog scale (VAS). Propensity score matching was utilized to identify a control group without acetabular retroversion matched 1:1 with similar age, sex, body mass index, acetabular and femoral head Outerbridge grade, preoperative lateral center-edge angle, and labral treatment. Patient acceptable symptomatic state (PASS) and/or minimal clinically important difference (MCID) for the mHHS, HOS-SSS, International Hip Outcome Tool-12, and VAS was calculated. RESULTS: A total of 205 hips with acetabular retroversion were matched to a control group. The groups showed no difference in demographic variables. The retroversion group was composed of 139 female and 66 male hips, with a mean +/- SD age of 23.81 +/- 7.28 years and follow-up time of 65.24 +/- 20.31 months. Intraoperative diagnostic data and procedures performed were similar between groups, except more femoroplasties were performed in the retroversion group. Significant improvements for the mHHS, Non-arthritic Hip Score, HOS-SSS, and VAS were seen for both groups at a mean 5-year follow-up. The proportion of patients who reached the PASS and MCID were similar. CONCLUSION: In the setting of FAIS and labral tears, patients with acetabular retroversion can be safely treated with advanced hip arthroscopic techniques without reverse (anteverting) periacetabular osteotomy in a high-volume surgeon's hands. Patients with acetabular retroversion demonstrated favorable PROs at midterm follow-up. Furthermore, the proportion of patients reaching the MCID and PASS for several PROs were comparable with those of a propensity-matched control group without acetabular retroversion. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute, Des Plaines, Illinois, USA. FAU - Chen, Jeffery W AU - Chen JW AD - School of Medicine, Vanderbilt University, Nashville, Tennessee, USA. FAU - Kyin, Cynthia AU - Kyin C AD - American Hip Institute, Des Plaines, Illinois, USA. FAU - Rosinsky, Philip J AU - Rosinsky PJ AD - American Hip Institute, Des Plaines, Illinois, USA. FAU - Shapira, Jacob AU - Shapira J AD - American Hip Institute, Des Plaines, Illinois, USA. FAU - Karom, Jarod M AU - Karom JM AD - American Hip Institute, Des Plaines, Illinois, USA. FAU - Lall, Ajay C AU - Lall AC AD - American Hip Institute, Des Plaines, Illinois, USA. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute, Des Plaines, Illinois, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200514 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM CIN - Am J Sports Med. 2020 Dec;48(14):NP63-NP64. PMID: 33252257 CIN - Am J Sports Med. 2020 Dec;48(14):NP62. PMID: 33252258 MH - Adolescent MH - Adult MH - *Arthroscopy MH - Female MH - *Femoracetabular Impingement/surgery MH - Follow-Up Studies MH - *Hip Joint/surgery MH - Humans MH - Male MH - Osteotomy MH - Retrospective Studies MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - acetabular retroversion OT - femoroacetabular impingement OT - hip arthroscopy OT - outcomes EDAT- 2020/05/15 06:00 MHDA- 2020/11/11 06:00 CRDT- 2020/05/15 06:00 PHST- 2020/05/15 06:00 [pubmed] PHST- 2020/11/11 06:00 [medline] PHST- 2020/05/15 06:00 [entrez] AID - 10.1177/0363546520916737 [doi] PST - ppublish SO - Am J Sports Med. 2020 Jun;48(7):1636-1646. doi: 10.1177/0363546520916737. Epub 2020 May 14.