PMID- 33940125 OWN - NLM STAT- MEDLINE DCOM- 20211214 LR - 20211214 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) VI - 37 IP - 12 DP - 2021 Dec TI - Repeat Revision Hip Arthroscopy Outcomes Match That of Initial Revision But Not That of Primary Surgery for Femoroacetabular Impingement Syndrome. PG - 3434-3441 LID - S0749-8063(21)00394-7 [pii] LID - 10.1016/j.arthro.2021.04.031 [doi] AB - PURPOSE: To (1) report on pre- and postoperative patient-reported outcome (PRO) scores for patients undergoing repeat revision surgery in short-term follow-up and (2) compare minimal clinically important difference (MCID) and patient acceptable symptomatic state achievement between primary, revision, and repeat revision hip arthroscopy cohorts. METHODS: Data from consecutive patients undergoing revision hip arthroscopy from January 2012 to February 2019 were retrospectively reviewed. Hips that underwent 2 revision hip arthroscopic surgeries were identified and matched 1:3 to patients undergoing revision surgery and 1:3 to patients undergoing primary surgery by age, sex, and body mass index. Baseline demographic data, surgical indications, and hip-specific PROs were collected were obtained preoperatively and at minimum 1-year follow-up. MCID was calculated individually for each cohort. RESULTS: Twenty patients who underwent repeat revision were matched to 60 patients who underwent revision and 60 primary patients. Patients who underwent repeat revision achieved MCID on all investigated PROs at a similar rate to patients undergoing primary surgery (90.0% vs 91.7%, P = .588) and at a greater rate than patients undergoing first-time revision surgery (90.0% vs 71.7%, P = .045). Patients who underwent repeat revision achieved patient acceptable symptomatic state on all investigated PROs at a similar rate to patients who underwent first-time revision (30.0% vs 55.0%, P = .053) but at a significantly lower rate than primary patients (30.0% vs 76.7%, P < .001). However, patients undergoing repeat revision surgery had significantly lower preoperative PROs (P < .001 for all) and no significant difference in PROs at minimum 1-year follow-up compared with patients undergoing revision (P > .05). Compared with the primary cohort, patients who underwent repeat revision had significantly lower Hip Outcome Score-Activities of Daily Living (77.3 +/- 16.7 vs 86.1 +/- 14.4; P = .034), Hip Outcome Score-Sports Subscale (60.6 +/- 27.2 vs 76.1 +/- 23.8; P < .001), and modified Harris Hip Score (69.2 +/- 19.3 vs 81.7 +/- 16.1; P = .048) at a minimum of 1-year follow-up. CONCLUSIONS: Second-time revision hip arthroscopy, which often requires advanced procedures, results in clinically significant improvement in PROs; however, outcomes for repeat revision cases are similar to first-time revision cases but inferior to those obtained following primary surgeries. LEVEL OF EVIDENCE: Level III, retrospective case-control study. CI - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Browning, Robert B AU - Browning RB AD - Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Clapp, Ian M AU - Clapp IM AD - Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address: nho.research@rushortho.com. FAU - Krivicich, Laura M AU - Krivicich LM AD - Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Nwachukwu, Benedict U AU - Nwachukwu BU AD - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, U.S.A. FAU - Chahla, Jorge AU - Chahla J AD - Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Nho, Shane J AU - Nho SJ AD - Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University Medical Center, Chicago, Illinois, U.S.A. LA - eng PT - Journal Article DEP - 20210430 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 Dec;37(12):3442-3444. PMID: 34863381 MH - Activities of Daily Living MH - *Arthroscopy MH - Case-Control Studies MH - *Femoracetabular Impingement/surgery MH - Follow-Up Studies MH - Hip Joint/surgery MH - Humans MH - Patient Reported Outcome Measures MH - Retrospective Studies MH - Treatment Outcome EDAT- 2021/05/04 06:00 MHDA- 2021/12/15 06:00 CRDT- 2021/05/03 20:13 PHST- 2020/07/28 00:00 [received] PHST- 2021/04/02 00:00 [revised] PHST- 2021/04/15 00:00 [accepted] PHST- 2021/05/04 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/05/03 20:13 [entrez] AID - S0749-8063(21)00394-7 [pii] AID - 10.1016/j.arthro.2021.04.031 [doi] PST - ppublish SO - Arthroscopy. 2021 Dec;37(12):3434-3441. doi: 10.1016/j.arthro.2021.04.031. Epub 2021 Apr 30.