PMID- 32954469
OWN - NLM
STAT- MEDLINE
DCOM- 20210414
LR  - 20210414
IS  - 1432-5195 (Electronic)
IS  - 0341-2695 (Linking)
VI  - 44
IP  - 12
DP  - 2020 Dec
TI  - Arthroscopic management with labral preservation, femoral osteoplasty, and 
      capsular plication in patients with borderline hip dysplasia. Results of a 
      matched-cohort study at minimum two year follow-up.
PG  - 2567-2575
LID - 10.1007/s00264-020-04810-8 [doi]
AB  - PURPOSE: The purpose of this study was to assess intra-operative findings, 
      surgical procedures, and outcomes in a cohort of patients with borderline hip 
      dysplasia treated with arthroscopic labral repair, femoral osteoplasty, and 
      capsular plication, and compare these outcomes with those of a rigorously matched 
      control group without dysplasia. METHODS: Data were prospectively collected and 
      retrospectively reviewed for patients with a lateral center-edge angle between 20 
      and 24 degrees  who underwent hip arthroscopy surgery between 2014 and 2018. Labral, 
      chondral status, psoas impingement, ligamentum teres, and cam morphology were 
      evaluated. Patient-reported outcomes (PROs) scores included modified Harris Hip 
      Score (mHHS), Hip Outcome Score Activities of Daily Living Subscale (HOS-AVD) and 
      Hip Outcome Score Sport-Specific Subscale (HOS-SSS), and International Hip 
      Outcome Tool-12 (IHOT-12). Clinical relevance was measured with the minimal 
      clinical important difference (MCID), patient acceptable symptom state (PASS), 
      and substantial clinical benefit (SCB). RESULTS: Twenty patients met the 
      inclusion criteria. An age- and sex-matched control group of 40 patients was also 
      selected. Arthroscopic intra-operative findings were similar between cohorts. At 
      a mean follow-up of 50 months in the borderline hip dysplasia cohort, and 
      52 months in the control cohort, there was a significant improvement in PROs in 
      both cohorts, and no significant differences could be detected at the latest 
      follow-up. The difference in frequency of patients achieving the MCID, PASS, and 
      SCB was not statistically significant between cohorts. CONCLUSION: With strict 
      patient selection criteria, hip arthroscopy may be a beneficial approach in 
      patients with borderline hip dysplasia.
FAU - Mas Martinez, Jesus
AU  - Mas Martinez J
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain.
FAU - Sanz-Reig, Javier
AU  - Sanz-Reig J
AUID- ORCID: 0000-0002-8276-7402
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain. jsanz@traumavist.com.
FAU - Verdu Roman, Carmen
AU  - Verdu Roman C
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain.
FAU - Martinez Gimenez, Enrique
AU  - Martinez Gimenez E
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain.
FAU - Morales Santias, Manuel
AU  - Morales Santias M
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain.
FAU - Bustamante Suarez de Puga, David
AU  - Bustamante Suarez de Puga D
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain.
LA  - eng
PT  - Journal Article
DEP - 20200921
PL  - Germany
TA  - Int Orthop
JT  - International orthopaedics
JID - 7705431
SB  - IM
MH  - Activities of Daily Living
MH  - Arthroscopy
MH  - Cohort Studies
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - *Hip Dislocation/epidemiology/surgery
MH  - Hip Joint/surgery
MH  - Humans
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Borderline dysplasia
OT  - Hip arthroscopy
OT  - Outcomes
EDAT- 2020/09/22 06:00
MHDA- 2021/04/15 06:00
CRDT- 2020/09/21 06:27
PHST- 2020/06/18 00:00 [received]
PHST- 2020/09/11 00:00 [accepted]
PHST- 2020/09/22 06:00 [pubmed]
PHST- 2021/04/15 06:00 [medline]
PHST- 2020/09/21 06:27 [entrez]
AID - 10.1007/s00264-020-04810-8 [pii]
AID - 10.1007/s00264-020-04810-8 [doi]
PST - ppublish
SO  - Int Orthop. 2020 Dec;44(12):2567-2575. doi: 10.1007/s00264-020-04810-8. Epub 2020 
      Sep 21.