PMID- 32691094
OWN - NLM
STAT- MEDLINE
DCOM- 20210531
LR  - 20210531
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 29
IP  - 5
DP  - 2021 May
TI  - Successful return to sport in patients with symptomatic borderline dysplasia 
      following hip arthroscopy and T-shaped capsular plication.
PG  - 1370-1377
LID - 10.1007/s00167-020-06147-6 [doi]
AB  - PURPOSE: This study aims to evaluate the return to sport and correlations of 
      patients with symptomatic borderline hip dysplasia (BHD) after hip arthroscopy 
      and T-shaped capsular plication at a minimum follow-up of 24 months. METHODS: 
      Twenty-five patients who underwent hip arthroscopy and T-shaped capsular 
      plication for symptomatic BHD were included in the study. All the patients were 
      evaluated clinically prior to surgery (T(0)) and at two consecutive follow-ups 
      (T(1):15 +/- 1.2 months and T(2): 53.9 +/- 23.2 months) using the visual analogue 
      scale (VAS) pain score, whereas sports activity was assessed by the Hip Outcome 
      Score Sport Specific Subscale (HOS-SSS), the University of California, Los 
      Angeles (UCLA) activity scale, the Tegner score and the physical component (PCS) 
      of the Short Form-12 (SF-12). Furthermore, the presence of correlations and the 
      possible differences between subgroups were evaluated and analysed. RESULTS: A 
      significant difference was found for HOS-SSS, VAS, Tegner, UCLA and PCS with the 
      Friedman test for repeated measures through time points (p < 0.0001). Moreover, 
      all the scores reported significant improvement compared to the previous time 
      point (p < 0.0001) except the HOS-SSS between T(1) and T(2) (n.s.). Body Mass 
      Index (BMI) was negatively correlated with HOS-SSS at T(0) (rho = - 0.526 
      p = 0.006) and T(1) (rho = - 0.425; p = 0.034), with Tegner at each follow-up 
      (T(0): rho = - 0470 p = 0.017; T(1): rho = - 0.450; p = 0.024; T(2): 
      rho = - 0.448; p = 0.024), with UCLA at T(1) (rho = - 0.396 p = 0.049), with 
      pre-operative PCS (rho = - 0.413 p = 0.0401), and positively correlated with 
      pre-operative VAS (rho = 0.436 p = 0.0291). CONCLUSIONS: Hip arthroscopy and 
      T-shaped capsular plication in young patients with symptomatic BHD demonstrates a 
      significant increase in return to sport and physical activity and low risk of 
      complications. T-shaped capsular plication procedure may be considered in young 
      and active patients for whom non-operative treatment failed and who have a 
      significant limitation in sports activity; in these patterns of patients, the 
      ideal treatment should reliably allow fast recovery in combination with very low 
      invasiveness which will prevent osteoarthritis. The results of this study provide 
      more accurate information regarding return to sport in patients with BHD after 
      hip arthroscopy and T-shaped capsular plication. LEVEL OF EVIDENCE: Level IV.
FAU - D'Ambrosi, Riccardo
AU  - D'Ambrosi R
AUID- ORCID: 0000-0002-1216-792X
AD  - IRCCS Istituto Ortopedico Galeazzi, Via Galeazzi 4, 20161, Milan, Italy. 
      riccardo.dambrosi@hotmail.it.
FAU - Hantes, Michael Elias
AU  - Hantes ME
AD  - Department of Orthopaedic Surgery, Faculty of Medicine, University of Thessalia, 
      University Hospital of Larissa, Larissa, Greece.
FAU - Mariani, Ilaria
AU  - Mariani I
AD  - Universita Milano Bicocca, Milan, Italy.
FAU - Di Francia, Vincenzo Paolo
AU  - Di Francia VP
AD  - Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
FAU - Della Rocca, Federico
AU  - Della Rocca F
AD  - Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
LA  - eng
PT  - Journal Article
DEP - 20200720
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Adult
MH  - Arthroscopy/*methods
MH  - Body Mass Index
MH  - Exercise
MH  - Female
MH  - Follow-Up Studies
MH  - Hip Dislocation/*surgery
MH  - Hip Joint/surgery
MH  - Humans
MH  - Lysholm Knee Score
MH  - Male
MH  - Pain Measurement
MH  - *Return to Sport
MH  - Sports
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Borderline hip dysplasia
OT  - Capsuloplasty
OT  - Hip arthroscopy
OT  - Return to sport
OT  - T-shaped capsular plication
EDAT- 2020/07/22 06:00
MHDA- 2021/06/01 06:00
CRDT- 2020/07/22 06:00
PHST- 2020/02/09 00:00 [received]
PHST- 2020/07/10 00:00 [accepted]
PHST- 2020/07/22 06:00 [pubmed]
PHST- 2021/06/01 06:00 [medline]
PHST- 2020/07/22 06:00 [entrez]
AID - 10.1007/s00167-020-06147-6 [pii]
AID - 10.1007/s00167-020-06147-6 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2021 May;29(5):1370-1377. doi: 
      10.1007/s00167-020-06147-6. Epub 2020 Jul 20.