PMID- 33560868 OWN - NLM STAT- MEDLINE DCOM- 20210427 LR - 20210427 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 49 IP - 3 DP - 2021 Mar TI - Achievement of Meaningful Clinical Outcomes Is Unaffected by Capsulotomy Type During Arthroscopic Treatment of Femoroacetabular Impingement Syndrome: Results From the Multicenter Arthroscopic Study of the Hip (MASH) Study Group. PG - 713-720 LID - 10.1177/0363546520987226 [doi] AB - BACKGROUND: Capsule management has emerged as an important topic in the field of hip arthroscopy. The 2 most popular techniques are interportal capsulotomy and T-type capsulotomy, but few studies have compared outcomes between these 2 techniques. PURPOSE: To compare 2-year (+/-2 months) patient-reported outcomes (PROs) between patients who underwent interportal versus T-type capsulotomy during arthroscopic labral repair for femoroacetabular impingement syndrome (FAIS). STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: A retrospective review of a large multicenter registry of patients undergoing arthroscopic hip preservation surgery for FAIS was performed. Data from 9 surgeons across 9 sites between January 2014 and February 2018 were included in the study. Baseline demographic data, preoperative PROs, and minimum 2-year postoperative PROs including Hip Outcome Score-Activities of Daily Living (HOS-ADL), HOS-Sports Subscale (HOS-SS), modified Harris Hip Score, and International Hip Outcome Tool-12 (iHOT-12) were recorded. Patients were divided into 2 groups based on whether interportal or T-type capsulotomy was performed according to the senior surgeon's preference and training, and all capsulotomies were then routinely repaired. The 2 groups were matched 1:1 by age, sex, and body mass index (BMI). Achievement of minimal clinically important difference (MCID), Patient Acceptable Symptomatic State (PASS), and substantial clinical benefit (SCB) was compared for the HOS-ADL, HOS-SS, and iHOT-12 between the 2 groups. RESULTS: The final analysis included 658 of 1483 eligible patients with a mean +/- SD age of 32.6 +/- 11.6 years and BMI of 24.0 +/- 3.7; of these, 329 patients were treated via interportal capsulotomy, and 329 patients were treated via T-type capsulotomy. Female patients comprised 66.3% of the study population. Capsulotomy type was not a predictor of 2-year postoperative PROs on multivariate linear regression analysis when adjusted for covariates. Chi-square analysis showed no statistical difference in achievement of MCID, PASS, and SCB between the interportal and T-type groups for HOS-ADL (80.3%, 75.8%, 52.7% and 77.1%, 71.7%, 53.6%, respectively; P > .01 for all), HOS-SS (83.6%, 72.5%, 51.5% and 81.7%, 68.4%, 49.2%, respectively; P > .01 for all), and iHOT-12 (87.5%, 72.0%, 50.5% and 80.0%, 64.7%, 45.6%, respectively; P > .01 for all). CONCLUSION: Arthroscopic management of FAIS resulted in significant clinical improvement that was independent of capsulotomy type when the capsulotomy included repair. FAU - Parvaresh, Kevin AU - Parvaresh K AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Rasio, Jonathan P AU - Rasio JP AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Martin, RobRoy L AU - Martin RL AD - Rangos School of Health Sciences, Department of Physical Therapy, Duquesne University, Pittsburgh, Pennsylvania, USA. AD - UPMC Center for Sports Medicine, Pittsburgh, Pennsylvania, USA. FAU - Kivlan, Benjamin R AU - Kivlan BR AD - Rangos School of Health Sciences, Department of Physical Therapy, Duquesne University, Pittsburgh, Pennsylvania, USA. FAU - Carreira, Dominic AU - Carreira D AD - Peachtree Orthopedics, Atlanta, Georgia, USA. FAU - Christoforetti, John J AU - Christoforetti JJ AD - Texas Health Sports Medicine, Allen, Texas, USA. FAU - Harris, Joshua D AU - Harris JD AD - The Methodist Orthopedics and Sports Medicine Center, Houston, Texas, USA. FAU - Matsuda, Dean K AU - Matsuda DK AD - ISC Sports and Spine Center, Marina del Rey, California, USA. FAU - Salvo, John AU - Salvo J AD - The Sydney Kimmel Medical College at Thomas Jefferson University Hospital, Hip Arthroscopy Program, Rothman Institute, Philadelphia, Pennsylvania, USA. FAU - Wolff, Andrew B AU - Wolff AB AD - Hip Preservation and Sports Medicine, Washington Orthopaedics and Sports Medicine, Washington, DC, USA. FAU - Nho, Shane J AU - Nho SJ AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20210209 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Activities of Daily Living MH - Adult MH - Arthroscopy MH - Cohort Studies MH - Female MH - *Femoracetabular Impingement/surgery MH - Hip Joint/surgery MH - Humans MH - Retrospective Studies MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - 2-year outcomes OT - T-capsulotomy OT - femoroacetabular impingement syndrome OT - hip arthroscopy OT - interportal capsulotomy EDAT- 2021/02/10 06:00 MHDA- 2021/04/28 06:00 CRDT- 2021/02/09 17:09 PHST- 2021/02/10 06:00 [pubmed] PHST- 2021/04/28 06:00 [medline] PHST- 2021/02/09 17:09 [entrez] AID - 10.1177/0363546520987226 [doi] PST - ppublish SO - Am J Sports Med. 2021 Mar;49(3):713-720. doi: 10.1177/0363546520987226. Epub 2021 Feb 9.