PMID- 34052367 OWN - NLM STAT- MEDLINE DCOM- 20220310 LR - 20220311 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) VI - 38 IP - 2 DP - 2022 Feb TI - Multicenter Outcomes After Primary Hip Arthroscopy: A Comparative Analysis of Two-Year Outcomes After Labral Repair, Segmental Labral Reconstruction, or Circumferential Labral Reconstruction. PG - 352-361 LID - S0749-8063(21)00499-0 [pii] LID - 10.1016/j.arthro.2021.05.013 [doi] AB - PURPOSE: (1) To report minimum 2-year follow-up patient-reported outcome measures in patients undergoing labral repair (LR), segmental labral reconstruction (SLR), or circumferential labral reconstruction (CLR) in the primary setting; and (2) to compare minimum 2-year follow-up patient-reported outcome measures among these groups. METHODS: A retrospective review of a prospectively maintained multicenter database of patients undergoing hip arthroscopy was performed. Inclusion criteria were patients undergoing hip arthroscopy for treatment of labral tear and femoroacetabular impingement syndrome between January 2014 and October 2017, and completion of minimum 2-year postoperative outcome scores. Exclusion criteria were patients undergoing revision hip surgery, labral treatment limited to debridement, lateral center-edge angle <20 degrees , osteoarthritis (Tonnis grade > 1), slipped capital femoral epiphysis, workers compensation status, and patients undergoing concomitant gluteus medius and/or minimus repair. Labral reconstruction patients were matched (1:3) with labral repair patients on age, sex, and body mass index. The labral reconstruction group was further stratified into SLR, and CLR groups. Patient demographic characteristics and clinical outcomes including Hip Outcome Score - Activities of Daily Living, Hip Outcome Score - Sport Subscale, modified Harris Hip Score, international Hip Outcome Tool, and visual analog scale for pain were analyzed, as well as achievement of the minimal clinical improvement difference (MCID). A P-value less than .05 indicated statistical significance. RESULTS: A total of 416 patients were included (LR, n = 312; SLR, n = 53; CLR, n = 51). The age, body mass index, and sex of the matched cohort were 42.3 +/- 11.2 years, 24.7 +/- 3.7, and 55.0% female. At a minimum of 2-year after hip arthroscopic surgery, no differences were found in preoperative, postoperative, or the delta visual analog scale for pain, modified Harris Hip Score, Hip Outcome Score - Activities of Daily Living, Hip Outcome Score - Sport Subscale, or international Hip Outcome Tool. Subsequently, the proportion of patients achieving the MCID and the PASS at latest follow-up were analyzed. This analysis revealed that no significant differences in the rate of MCID or PASS achievement for any outcome measure existed based on labral treatment. CONCLUSIONS: In this multicenter study on labral treatment in the primary setting, patients undergoing LR, SLR, and CLR demonstrated no difference in preoperative or postoperative scores, nor the proportion of patients achieving clinically significant outcome improvement. LEVEL OF EVIDENCE: III; therapeutic outcome study with controls. CI - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Bodendorfer, Blake M AU - Bodendorfer BM AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Hip Preservation Center, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Alter, Thomas D AU - Alter TD AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Hip Preservation Center, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Carreira, Dominic S AU - Carreira DS AD - Peachtree Orthopedics, Atlanta, Georgia, U.S.A. FAU - Wolff, Andrew B AU - Wolff AB AD - Hip Preservation and Sports Medicine, Washington Orthopaedics and Sports Medicine, Washington, DC, U.S.A. FAU - Kivlan, Benjamin R AU - Kivlan BR AD - Rangos School of Health Sciences, Department of Physical Therapy, Duquesne University, Pittsburgh, Pennsylvania, U.S.A. FAU - Christoforetti, John J AU - Christoforetti JJ AD - Center for Athletic Hip Injury, Allegheny Health Network, Pittsburgh, Pennsylvania, U.S.A.; Department of Orthopaedic Surgery, Drexel University College of Medicine, Pittsburgh, Pennsylvania, U.S.A.; American Hip Institute, Chicago, Illinois, U.S.A. FAU - Salvo, John P AU - Salvo JP AD - Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, U.S.A.; Hip Arthroscopy Program, Rothman Institute, Philadelphia, Pennsylvania, U.S.A. FAU - Matsuda, Dean K AU - Matsuda DK AD - DISC Sports and Spine Center, Marina del Rey, California, U.S.A. FAU - Nho, Shane J AU - Nho SJ AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Hip Preservation Center, Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address: nho.research@rushortho.com. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20210527 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. 2022 Feb;38(2):362-364. PMID: 35123715 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 - Retrospective Studies MH - Treatment Outcome EDAT- 2021/05/31 06:00 MHDA- 2022/03/11 06:00 CRDT- 2021/05/30 20:44 PHST- 2020/09/17 00:00 [received] PHST- 2021/05/04 00:00 [revised] PHST- 2021/05/12 00:00 [accepted] PHST- 2021/05/31 06:00 [pubmed] PHST- 2022/03/11 06:00 [medline] PHST- 2021/05/30 20:44 [entrez] AID - S0749-8063(21)00499-0 [pii] AID - 10.1016/j.arthro.2021.05.013 [doi] PST - ppublish SO - Arthroscopy. 2022 Feb;38(2):352-361. doi: 10.1016/j.arthro.2021.05.013. Epub 2021 May 27.