PMID- 33359159 OWN - NLM STAT- MEDLINE DCOM- 20210611 LR - 20210611 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) VI - 37 IP - 5 DP - 2021 May TI - Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Adolescents Provides Clinically Significant Outcome Benefit at Minimum 5-Year Follow-Up. PG - 1467-1473.e2 LID - S0749-8063(20)31246-9 [pii] LID - 10.1016/j.arthro.2020.12.188 [doi] AB - PURPOSE: To report the rates of achieving clinically significant outcomes as defined by the minimal clinically important difference (MCID), patient acceptable symptomatic state (PASS), or substantial clinical benefit (SCB) in adolescent patients and the rates of clinical failure 5 years after undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS). METHODS: Data from consecutive adolescent patients (defined by the American Academy of Pediatrics as age 11 to 21 years) who underwent primary hip arthroscopy with routine capsular closure for the treatment of FAIS between January 2012 and January 2015 by a single, fellowship-trained surgeon was collected. Baseline data, clinical outcomes including Hip Outcome Score (HOS)-Activities of Daily Living, HOS-Sports Subscale, modified Harris hip score, international Hip Outcome Tool, and clinical failure rates were recorded at 5 years after operative. Clinical failure was defined by revision hip arthroscopy or conversion to total hip arthroplasty. Clinically significant outcomes was defined as achieving MCID, PASS, or SCB on at least 1 hip-specific outcome measure. RESULTS: Of the 139 eligible patients, a total of 85 (60.4%) patients (85 hips) were included in the final analysis, with an age and body mass index average of 17.6 +/- 2.5 years (range 13-21) and 22.3 +/- 3.1 kg/m(2), respectively. The majority of the patients were female (80.6%) and participated in sports (76.2%). There was statistically significant difference between preoperative and postoperative score averages across every reported outcome (P < .001). At 5 years, 88.4%, 67.6%, and 64.9% reached at least 1 threshold for achieving MCID, PASS, and SCB, respectively, whereas 89.2% achieved at least one of the meaningful outcome thresholds. Last, 2 patients (2.4%) failed clinically, with both undergoing revision (2.4%) because of continued pain. There were no conversions to total hip arthroplasty. CONCLUSION: This study demonstrated that a large majority (89.2%) of adolescent patients undergoing primary arthroscopic treatment for symptomatic FAIS achieved meaningful clinically significant outcomes. Furthermore, only 2.4% of patients failed clinically, requiring revision hip arthroscopy because of continued pain. LEVEL OF EVIDENCE: IV, Retrospective Case Series. CI - Copyright (c) 2020 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Beck, Edward C AU - Beck EC AD - Department of Orthopedic Surgery, Wake Forest Baptist Health, Winston-Salem, North Carolina. Electronic address: Ecbeck@wakehealth.edu. FAU - Nwachuckwu, Benedict U AU - Nwachuckwu BU AD - Department of Orthopedic Surgery, Hospital for Special Surgery, Chicago, Illinois. FAU - Jan, Kyleen AU - Jan K AD - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois. FAU - Nho, Shane J AU - Nho SJ AD - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois. LA - eng PT - Journal Article DEP - 20201224 PL - United States TA - Arthroscopy JT - Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association JID - 8506498 SB - IM CIN - Arthroscopy. 2021 May;37(5):1474-1476. PMID: 33896501 MH - Activities of Daily Living MH - Adolescent MH - Adult MH - Arthroplasty, Replacement, Hip MH - *Arthroscopy MH - Child MH - Female MH - Femoracetabular Impingement/*surgery MH - Follow-Up Studies MH - Hip Joint/*surgery MH - Humans MH - Male MH - Minimal Clinically Important Difference MH - Patient Reported Outcome Measures MH - Retrospective Studies MH - Treatment Outcome MH - Young Adult EDAT- 2020/12/29 06:00 MHDA- 2021/06/12 06:00 CRDT- 2020/12/28 10:44 PHST- 2020/05/19 00:00 [received] PHST- 2020/12/01 00:00 [revised] PHST- 2020/12/03 00:00 [accepted] PHST- 2020/12/29 06:00 [pubmed] PHST- 2021/06/12 06:00 [medline] PHST- 2020/12/28 10:44 [entrez] AID - S0749-8063(20)31246-9 [pii] AID - 10.1016/j.arthro.2020.12.188 [doi] PST - ppublish SO - Arthroscopy. 2021 May;37(5):1467-1473.e2. doi: 10.1016/j.arthro.2020.12.188. Epub 2020 Dec 24.