PMID- 33403217 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240330 IS - 2325-9671 (Print) IS - 2325-9671 (Electronic) IS - 2325-9671 (Linking) VI - 8 IP - 7 DP - 2020 Jul TI - Prospective Analysis of Arthroscopic Hip Anatomic Labral Repair Utilizing Knotless Suture Anchor Technology: The Controlled-Tension Anatomic Technique at Minimum 2-Year Follow-up. PG - 2325967120935079 LID - 10.1177/2325967120935079 [doi] LID - 2325967120935079 AB - BACKGROUND: Labral tears are the most common abnormalities in patients undergoing hip arthroscopic surgery. Appropriate management is crucial, as it has been shown that better overall outcomes can be achieved with labral restoration. PURPOSE: To report the patient-reported outcomes (PROs) at minimum 2-year follow-up of patients who underwent hip arthroscopic surgery for labral tear repair using the knotless controlled-tension anatomic technique in the setting of femoroacetabular impingement syndrome (FAIS). STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Data were prospectively collected for patients who underwent hip arthroscopic surgery for FAIS for labral tear repair using the knotless controlled-tension anatomic technique. Patients were excluded if they had prior hip conditions, prior ipsilateral surgery, Tonnis grade >1, a lateral center-edge angle (LCEA) <25 degrees , or workers' compensation claims. Preoperative and postoperative scores at minimum 2-year follow-up were recorded for the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sport-Specific Subscale (HOS-SSS), International Hip Outcome Tool (iHOT-12), and visual analog scale (VAS) for pain. The proportion of patients who achieved the minimal clinically important difference (MCID) or patient acceptable symptomatic state (PASS) for the mHHS, HOS-SSS, and iHOT-12 were also reported. RESULTS: A total of 309 hips were included. The mean patient age was 36.2 years (range, 12.8-75.9 years). The mean preoperative LCEA and alpha angle were 31.9 degrees and 57.1 degrees , respectively. A significant improvement on the mHHS (62.6 +/- 15.7 preoperatively vs 86.9 +/- 16.2 at 2-year follow-up), NAHS (63.1 +/- 16.7 vs 86.1 +/- 16.7), and HOS-SSS (39.8 +/- 22.0 vs 74.2 +/- 27.3) was found (P < .001 for all). A significant decrease was shown for VAS scores (P < .001). Also, 78.6% and 82.2% of patients achieved the MCID and PASS for the mHHS, respectively; 60.8% and 69.9% of patients met the MCID and PASS for the HOS-SSS, respectively; and the MCID for the iHOT-12 was met by 77.3% of patients. CONCLUSION: In the setting of FAIS and labral tears, patients who underwent hip arthroscopic surgery for labral tear repair using the knotless controlled-tension anatomic technique demonstrated significant improvement in several validated PRO measures, the VAS pain score, and patient satisfaction at a minimum 2 years of follow-up. Based on this evidence, labral tear repair using the knotless controlled-tension anatomic technique seems to be a safe option. CI - (c) The Author(s) 2020. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Chen, Sarah L AU - Chen SL AD - Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. FAU - Chen, Jeffery W AU - Chen JW AD - Vanderbilt University School of Medicine, Nashville, Tennessee, USA. FAU - Shapira, Jacob AU - Shapira J AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Rosinksy, Philip J AU - Rosinksy PJ AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Annin, Shawn AU - Annin S AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Lall, Ajay C AU - Lall AC AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. AD - Vanderbilt University School of Medicine, Nashville, Tennessee, USA. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. AD - Vanderbilt University School of Medicine, Nashville, Tennessee, USA. LA - eng PT - Journal Article DEP - 20200727 PL - United States TA - Orthop J Sports Med JT - Orthopaedic journal of sports medicine JID - 101620522 PMC - PMC7745569 OTO - NOTNLM OT - femoroacetabular impingement OT - hip arthroscopic surgery OT - labral tear OT - patient-reported outcomes COIS- One or more of the authors has declared the following potential conflict of interest or source of funding: D.R.M. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew. J.S. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew. P.J.R. has received hospitality payments from Arthrex, Stryker, and Smith & Nephew. A.C.L. has received research support from Arthrex, Stryker, and Medacta; educational support from Medwest and Smith & Nephew; consulting fees from Arthrex and Graymont Medical; and hospitality payments from Zimmer Biomet. B.G.D. has had ownership interests in Hinsdale Orthopaedics, the American Hip Institute, SCD#3, North Shore Surgical Suites, and the Munster Specialty Surgery Center and has received research support from Arthrex, ATI, Stryker, and Pacira Pharmaceuticals; educational support from Arthrex, Breg, and Medwest; consulting fees from Adventist Hinsdale Hospital, Arthrex, MAKO Surgical, Medacta, Pacira Pharmaceuticals, and Stryker; speaking fees from Arthrex and Pacira Pharmaceuticals; and royalties from Arthrex, DJO Global, MAKO Surgical, Stryker, and Orthomerica. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. EDAT- 2021/01/07 06:00 MHDA- 2021/01/07 06:01 PMCR- 2020/07/27 CRDT- 2021/01/06 05:54 PHST- 2020/02/24 00:00 [received] PHST- 2020/03/09 00:00 [accepted] PHST- 2021/01/06 05:54 [entrez] PHST- 2021/01/07 06:00 [pubmed] PHST- 2021/01/07 06:01 [medline] PHST- 2020/07/27 00:00 [pmc-release] AID - 10.1177_2325967120935079 [pii] AID - 10.1177/2325967120935079 [doi] PST - epublish SO - Orthop J Sports Med. 2020 Jul 27;8(7):2325967120935079. doi: 10.1177/2325967120935079. eCollection 2020 Jul.