PMID- 33861650
OWN - NLM
STAT- MEDLINE
DCOM- 20210628
LR  - 20210628
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 49
IP  - 7
DP  - 2021 Jun
TI  - Arthroscopic Circumferential Acetabular Labral Reconstruction for Irreparable 
      Labra in the Revision Setting: Patient-Reported Outcome Scores and Rate of 
      Achieving the Minimal Clinically Important Difference at a Minimum 2-Year 
      Follow-up.
PG  - 1750-1758
LID - 10.1177/03635465211005742 [doi]
AB  - BACKGROUND: There is a paucity in the literature reporting patient-reported 
      outcome (PRO) scores and the minimal clinically important difference (MCID) after 
      revision hip arthroscopic surgery with circumferential labral reconstruction. 
      PURPOSE: To report minimum 2-year PRO scores and the rate of achieving the MCID 
      in patients who underwent revision hip arthroscopic surgery with circumferential 
      labral reconstruction in the setting of irreparable labral tears. STUDY DESIGN: 
      Case series; Level of evidence, 4. METHODS: Data were retrospectively reviewed 
      for all patients who underwent revision hip arthroscopic surgery between February 
      2016 and November 2017. Patients were included if they had undergone 
      circumferential labral reconstruction and had preoperative and postoperative 
      scores for the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), 
      Hip Outcome Score Sport-Specific Subscale (HOS-SSS), International Hip Outcome 
      Tool (iHOT-12), 12-Item Short Form Health Survey physical and mental components 
      (SF-12 P and SF-12 M, respectively), Veterans RAND 12-Item Health Survey physical 
      and mental components (VR-12 P and VR-12 M, respectively), and visual analog 
      scale (VAS) for pain. Exclusion criteria were Tonnis grade >1, Legg-Calve-Perthes 
      disease, slipped capital femoral epiphysis, fractures, hip dysplasia, or revision 
      labral treatment different from circumferential labral reconstruction. The MCID 
      was calculated. Secondary surgical procedures were documented. RESULTS: A total 
      of 26 hips (26 patients; 61.5% female) were included. The mean age and body mass 
      index were 33.2 +/- 10.4 years and 25.5 +/- 4.9, respectively. Significant 
      improvements were reported for the mHHS (17.0 +/- 19.5; P = .0002), NAHS (17.9 +/- 
      16.7; P < .0001), HOS-SSS (21.7 +/- 23.1; P = .0005), VAS (-2.2 +/- 3.0; P = .006), 
      iHOT-12 (25.8 +/- 32.5; P = .0007), SF-12 P (8.5 +/- 11.2; P = .001), and VR-12 P 
      (8.9 +/- 11.6; P = .001). Rates of meeting the MCID for the mHHS, NAHS, HOS-SSS, 
      iHOT-12, and VAS were 76.9%, 80.0%, 65.0%, 62.5%, and 69.2%, respectively. No 
      case of re-revision arthroscopic surgery was documented, but 1 case of conversion 
      to total hip arthroplasty was documented at 38.6 months. CONCLUSION: In the 
      setting of revision hip arthroscopic surgery and irreparable labral tears, 
      circumferential labral reconstruction resulted in significant improvements in all 
      PRO and VAS scores at a minimum 2-year follow-up with a high rate of achieving 
      the MCID.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - American Hip Institute, Chicago, Illinois, USA.
AD  - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA.
FAU - Kyin, Cynthia
AU  - Kyin C
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Go, Cammille C
AU  - Go CC
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Shapira, Jacob
AU  - Shapira J
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Rosinsky, Philip J
AU  - Rosinsky PJ
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Lall, Ajay C
AU  - Lall AC
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - American Hip Institute, Chicago, Illinois, USA.
AD  - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
LA  - eng
PT  - Journal Article
DEP - 20210416
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Arthroscopy
MH  - Female
MH  - *Femoracetabular Impingement
MH  - Follow-Up Studies
MH  - Hip Joint
MH  - Humans
MH  - Male
MH  - *Minimal Clinically Important Difference
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - hip arthroscopic surgery
OT  - labral reconstruction
OT  - outcomes
EDAT- 2021/04/17 06:00
MHDA- 2021/06/29 06:00
CRDT- 2021/04/16 17:12
PHST- 2021/04/17 06:00 [pubmed]
PHST- 2021/06/29 06:00 [medline]
PHST- 2021/04/16 17:12 [entrez]
AID - 10.1177/03635465211005742 [doi]
PST - ppublish
SO  - Am J Sports Med. 2021 Jun;49(7):1750-1758. doi: 10.1177/03635465211005742. Epub 
      2021 Apr 16.