PMID- 33887406
OWN - NLM
STAT- MEDLINE
DCOM- 20210917
LR  - 20210917
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 37
IP  - 9
DP  - 2021 Sep
TI  - Salvage Revision Hip Arthroscopy Including Remplissage Improves Patient-Reported 
      Outcomes After Cam Over-Resection.
PG  - 2809-2816
LID - S0749-8063(21)00327-3 [pii]
LID - 10.1016/j.arthro.2021.03.061 [doi]
AB  - PURPOSE: To evaluate outcomes of arthroscopic hip remplissage with folded 
      iliotibial band allograft to treat cam over-resection. METHODS: Patients who 
      underwent arthroscopic iliotibial band hip remplissage from May 2013 to April 
      2018 were prospectively evaluated. Pre- and postoperative patient-reported 
      outcome scores were compared and included the 12-Item Short Form Survey (SF12) 
      Physical Health Composite Score (PCS), SF12 Mental Health Composite Score (MCS), 
      Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), modified 
      Harris Hip Score (mHHS), and Hip Outcome Score (HOS) (Activities of Daily Living 
      [ADL] and Sport). Postoperative Tegner Activity Scale and patient satisfaction 
      (1-10) were also evaluated. RESULTS: Thirteen patients (2 men, 11 women) with an 
      average age of 39.8 +/- 9 years underwent arthroscopic hip remplissage with minimum 
      2-year and mean 3.1-year follow-up (range, 2.1-4.1 years). One hundred percent 
      follow-up was achieved. The average number of previous surgeries was 1.38 (range, 
      1-3). One patient underwent total hip arthroplasty 2 years after remplissage. All 
      12 patients who did not undergo total hip arthroplasty had improved 
      patient-reported outcomes after remplissage (mean scores: SF12 PCS 36 vs 42, P = 
      .02; SF12 MCS 45 vs 51, P = .14; mHHS 45 vs 66, P < .001; minimal clinically 
      important difference [MCID] 83%; WOMAC 42 vs 28, P < .001; HOS ADL 52 vs 69, P = 
      .003; MCID, 67%; HOS Sport 27 vs 46, P = .015; MCID, 67%). All improvements met 
      statistical significance, besides the SF12 MCS. Median postoperative Tegner score 
      was 2.9. Median postoperative patient satisfaction was 7 out of 10 (range, 5-10). 
      CONCLUSIONS: Arthroscopic hip remplissage is a successful salvage treatment 
      option for hip instability caused by previous cam over-resection. Care must be 
      taken during primary surgery not to over-resect the cam as patient-reported 
      outcomes after remplissage are inferior to those undergoing primary hip 
      arthroscopy. LEVEL OF EVIDENCE: Level IV, case series.
CI  - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Arner, Justin W
AU  - Arner JW
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
FAU - Ruzbarsky, Joseph J
AU  - Ruzbarsky JJ
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
FAU - Soares, Rui
AU  - Soares R
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
FAU - Briggs, Karen
AU  - Briggs K
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
FAU - Philippon, Marc J
AU  - Philippon MJ
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A.. Electronic 
      address: drphilippon@sprivail.org.
LA  - eng
PT  - Journal Article
DEP - 20210419
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 Sep;37(9):2817-2819. PMID: 34481622
MH  - Activities of Daily Living
MH  - Adult
MH  - *Arthroscopy
MH  - Female
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Reported Outcome Measures
MH  - Reoperation
MH  - Salvage Therapy
MH  - Treatment Outcome
EDAT- 2021/04/23 06:00
MHDA- 2021/09/18 06:00
CRDT- 2021/04/22 20:14
PHST- 2020/09/10 00:00 [received]
PHST- 2020/12/15 00:00 [revised]
PHST- 2021/03/17 00:00 [accepted]
PHST- 2021/04/23 06:00 [pubmed]
PHST- 2021/09/18 06:00 [medline]
PHST- 2021/04/22 20:14 [entrez]
AID - S0749-8063(21)00327-3 [pii]
AID - 10.1016/j.arthro.2021.03.061 [doi]
PST - ppublish
SO  - Arthroscopy. 2021 Sep;37(9):2809-2816. doi: 10.1016/j.arthro.2021.03.061. Epub 
      2021 Apr 19.