PMID- 33771688
OWN - NLM
STAT- MEDLINE
DCOM- 20210902
LR  - 20210902
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 37
IP  - 8
DP  - 2021 Aug
TI  - Borderline Dysplastic Female Patients With Painful Internal Snapping Improve 
      Clinical Outcomes At Minimum 2-Year Follow-Up Following Hip Arthroscopy With 
      Femoroplasty, Labral Repair, Iliopsoas Fractional Lengthening, and Capsular 
      Plication: A Propensity-Matched Controlled Comparison.
PG  - 2473-2484
LID - S0749-8063(21)00257-7 [pii]
LID - 10.1016/j.arthro.2021.03.034 [doi]
AB  - PURPOSES: To report minimum 2-year follow-up patient-reported outcome scores 
      (PROs) in borderline dysplastic female patients who underwent primary hip 
      arthroscopy with femoroplasty, labral repair, iliopsoas fractional lengthening, 
      and plication of the capsule (FLIP procedure) for cam-type femoroacetabular 
      impingement syndrome (FAIS), labral tear, and painful internal snapping and to 
      compare these PROs to a propensity-matched borderline dysplastic control group 
      without painful internal snapping. METHODS: Data were retrospectively reviewed 
      for patients who underwent primary hip arthroscopy for cam-type FAIS and labral 
      tear between September 2008 and May 2017. Females with borderline dysplasia 
      (lateral center-edge angle of >/=18 degrees  to </=25 degrees ) and painful internal snapping, who 
      underwent the FLIP procedure, with minimum 2-year PROs for modified Harris Hip 
      Score, Nonarthritic Hip Score, Hip Outcome Score-Sports-Specific Subscale, 
      patient satisfaction, and visual analog scale (VAS) for pain were included. The 
      group was matched 1:1 to a control group without painful internal snapping for 
      age, sex, body-mass index (BMI), and surgical procedures. The minimal clinically 
      important difference (MCID) was calculated. P-value was set at .05. RESULTS: 
      Seventy-four hips were included. The mean was 26.82 +/- 10.49 years and 23.62 +/- 
      4.56 kg/m(2) for age and BMI, respectively. Improvement was reported for all PROs 
      and VAS (P < .0001). Twenty-nine patients were matched. At minimum 2-year 
      follow-up, the FLIP procedure demonstrated comparable improvement in PROs and 
      rate of achievement of MCID to the control group. CONCLUSION: After primary hip 
      arthroscopy and FLIP procedure, females with borderline dysplasia and painful 
      internal snapping demonstrated significant improvement in PROs at minimum 2 
      years' follow-up. When compared to a propensity-matched control group without 
      painful internal snapping, the improvement between groups was comparable. LEVEL 
      OF EVIDENCE: III; Case-Control study.
CI  - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute Research Foundation, Chicago.
FAU - Diulus, Samantha C
AU  - Diulus SC
AD  - American Hip Institute Research Foundation, Chicago.
FAU - Annin, Shawn
AU  - Annin S
AD  - American Hip Institute Research Foundation, Chicago.
FAU - Shapira, Jacob
AU  - Shapira J
AD  - American Hip Institute Research Foundation, Chicago.
FAU - Rosinsky, Philip J
AU  - Rosinsky PJ
AD  - American Hip Institute Research Foundation, Chicago.
FAU - Kyin, Cynthia
AU  - Kyin C
AD  - American Hip Institute Research Foundation, Chicago.
FAU - Lall, Ajay C
AU  - Lall AC
AD  - American Hip Institute Research Foundation, Chicago; American Hip Institute, 
      Chicago; AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois, 
      U.S.A.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute, Chicago; AMITA Health St. Alexius Medical Center, Hoffman 
      Estates, Illinois, U.S.A.. Electronic address: DrDomb@americanhipinstitute.org.
LA  - eng
PT  - Journal Article
DEP - 20210323
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 Aug;37(8):2485-2487. PMID: 34353557
MH  - *Arthroscopy
MH  - Case-Control Studies
MH  - Female
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - Pain
MH  - Patient Reported Outcome Measures
MH  - Patient Satisfaction
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2021/03/28 06:00
MHDA- 2021/09/03 06:00
CRDT- 2021/03/27 05:50
PHST- 2020/05/21 00:00 [received]
PHST- 2021/03/03 00:00 [revised]
PHST- 2021/03/10 00:00 [accepted]
PHST- 2021/03/28 06:00 [pubmed]
PHST- 2021/09/03 06:00 [medline]
PHST- 2021/03/27 05:50 [entrez]
AID - S0749-8063(21)00257-7 [pii]
AID - 10.1016/j.arthro.2021.03.034 [doi]
PST - ppublish
SO  - Arthroscopy. 2021 Aug;37(8):2473-2484. doi: 10.1016/j.arthro.2021.03.034. Epub 
      2021 Mar 23.