PMID- 34027442
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 3
IP  - 2
DP  - 2021 Apr
TI  - Hip Arthroscopy for Femoroacetabular Impingement: Minimal Clinically Important 
      Difference Rates Decline From 1- to 5-Year Outcomes.
PG  - e351-e358
LID - 10.1016/j.asmr.2020.09.025 [doi]
AB  - PURPOSE: To correlate patient-reported outcomes (PROs) and minimal clinically 
      important difference (MCID) achievement rates after hip arthroscopy for 
      femoroacetabular impingement syndrome (FAI). METHODS: Patients with clinically 
      diagnosed FAI who underwent primary hip arthroscopy from September 2012 to March 
      2014 with a minimum of 5-year outcomes were identified. Patients undergoing 
      labral debridement, microfracture, bilateral procedures, with evidence of 
      dysplasia, Tonnis grade >1, and joint space <2 mm were excluded. Analysis of 
      variance was used to compare PROs. Survival rates were determined using 
      Kaplan-Meier analysis. Regression analysis identified associations with modified 
      Harris Hip Scores (mHHS), minimal clinically important difference (MCID) rates, 
      and Nonarthritic Hip Scores (NAHS). RESULTS: A total of 85 of 101 eligible 
      consecutive patients (84% inclusion) (age: 41.4 +/- 14.0 years; 69% female, mean 
      body mass index [BMI] 25.0 +/- 4.2) met inclusion and exclusion criteria. Patients 
      underwent labral repair (100%) and a combination of cam (86%) and pincer 
      resection (99%). The 5-year survival-to-revision rate was 77% whereas 5-year 
      survival rate to total hip arthroplasty was 94%. The 1-year (87.4 +/- 13.6) and 
      5-year (84.5 +/- 13.5) mHHS scores were greater versus preoperative scores (46.3 +/- 
      11.3, P < .001). There was a decrease in MCID rate between 1-year (n = 74, 87%) 
      and 5-year (n = 61, 73%, P = .019) outcomes. The 1-year (87.4 +/- 12.7) and 5-year 
      (89.2 +/- 15.8) NAHS scores were greater versus preoperative scores (49.7 +/- 12.7, P 
      < .001). Regression demonstrated associations between BMI (MCID: P = .033; NAHS: 
      P = .010), age (mHHS: P = .031), and cam resection (mHHS: P = .010) with 5-year 
      outcomes. CONCLUSIONS: There is a decline in MCID at 5-year follow-up after hip 
      arthroscopy for FAI. Lower BMI, younger age, and cam resection are associated 
      with positive outcomes. There is excellent index procedure survivability and 
      excellent total hip arthroplasty prevention rate. LEVEL OF EVIDENCE: Level IV.
CI  - (c) 2020 by the Arthroscopy Association of North America. Published by Elsevier 
      Inc.
FAU - Akpinar, Berkcan
AU  - Akpinar B
AD  - NYU Langone Orthopedic Hospital, New York, New York, U.S.A.
FAU - Lin, Lawrence J
AU  - Lin LJ
AD  - NYU Langone Orthopedic Hospital, New York, New York, U.S.A.
FAU - Bloom, David A
AU  - Bloom DA
AD  - NYU Langone Orthopedic Hospital, New York, New York, U.S.A.
FAU - Youm, Thomas
AU  - Youm T
AD  - NYU Langone Orthopedic Hospital, New York, New York, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20210130
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC8129050
EDAT- 2021/05/25 06:00
MHDA- 2021/05/25 06:01
PMCR- 2021/01/30
CRDT- 2021/05/24 08:21
PHST- 2020/04/26 00:00 [received]
PHST- 2020/09/23 00:00 [accepted]
PHST- 2021/05/24 08:21 [entrez]
PHST- 2021/05/25 06:00 [pubmed]
PHST- 2021/05/25 06:01 [medline]
PHST- 2021/01/30 00:00 [pmc-release]
AID - S2666-061X(20)30156-5 [pii]
AID - 10.1016/j.asmr.2020.09.025 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2021 Jan 30;3(2):e351-e358. doi: 
      10.1016/j.asmr.2020.09.025. eCollection 2021 Apr.