PMID- 34179203
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220424
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 9
IP  - 6
DP  - 2021 Jun
TI  - Influence of Femoral Version on the Outcomes of Hip Arthroscopic Surgery for 
      Femoroacetabular Impingement or Labral Tears: A Systematic Review and 
      Meta-analysis.
PG  - 23259671211009192
LID - 10.1177/23259671211009192 [doi]
LID - 23259671211009192
AB  - BACKGROUND: It remains controversial whether abnormal femoral version (FV) 
      affects the outcomes of hip arthroscopic surgery for femoroacetabular impingement 
      (FAI) or labral tears. PURPOSE: To review the outcomes of hip arthroscopic 
      surgery for FAI or labral tears in patients with normal versus abnormal FV. STUDY 
      DESIGN: Systematic review; Level of evidence, 4. METHODS: Embase, PubMed, and the 
      Cochrane Library were searched in July 2020 for studies reporting the outcomes 
      after primary hip arthroscopic surgery for FAI or labral tears in patients with 
      femoral retroversion (<5 degrees ), femoral anteversion (>20 degrees ), or normal FV (5 degrees -20 degrees ). 
      The primary outcome was the modified Harris Hip Score (mHHS), and secondary 
      outcomes were the visual analog scale (VAS) for pain, Hip Outcome 
      Score-Sport-Specific Subscale (HOS-SSS), Non-Arthritic Hip Score (NAHS), failure 
      rate, and patient satisfaction. The difference in preoperative and postoperative 
      scores (Delta) was also calculated when applicable. RESULTS: Included in this review 
      were 5 studies with 822 patients who underwent hip arthroscopic surgery for FAI 
      or labral tears; there were 166 patients with retroversion, 512 patients with 
      normal version, and 144 patients with anteversion. Patients with retroversion and 
      normal version had similar postoperative mHHS scores (mean difference [MD], 2.42 
      [95% confidence interval (CI), -3.42 to 8.26]; P = .42) and DeltamHHS scores (MD, 
      -0.70 [96% CI, -8.56 to 7.15]; P = .86). Likewise, the patients with anteversion 
      and normal version had similar postoperative mHHS scores (MD, -3.09 [95% CI, 
      -7.66 to 1.48]; P = .18) and DeltamHHS scores (MD, -1.92 [95% CI, -6.18 to 2.34]; P = 
      .38). Regarding secondary outcomes, patients with retroversion and anteversion 
      had similar DeltaNAHS scores, DeltaHOS-SSS scores, DeltaVAS scores, patient satisfaction, and 
      failure rates to those with normal version, although a significant difference was 
      found between the patients with retroversion and normal version regarding 
      postoperative NAHS scores (MD, 5.96 [95% CI, 1.66-10.26]; P = .007) and 
      postoperative HOS-SSS scores (MD, 7.32 [95% CI, 0.19-14.44]; P = .04). 
      CONCLUSION: The results of this review indicated that abnormal FV did not 
      significantly influence outcomes after hip arthroscopic surgery for FAI or labral 
      tears.
CI  - (c) The Author(s) 2021.
FAU - Wang, Chenghui
AU  - Wang C
AD  - Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 
      China. RINGGOLD: 535096
FAU - Sun, Yaying
AU  - Sun Y
AD  - Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 
      China. RINGGOLD: 535096
FAU - Ding, Zheci
AU  - Ding Z
AD  - Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 
      China. RINGGOLD: 535096
FAU - Lin, Jinrong
AU  - Lin J
AD  - Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 
      China. RINGGOLD: 535096
FAU - Luo, Zhiwen
AU  - Luo Z
AD  - Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 
      China. RINGGOLD: 535096
FAU - Chen, Jiwu
AU  - Chen J
AD  - Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 
      China. RINGGOLD: 535096
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20210610
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
PMC - PMC8202282
OTO - NOTNLM
OT  - femoral version
OT  - femoroacetabular impingement
OT  - hip
OT  - hip arthroscopic surgery
OT  - meta-analysis
OT  - systematic review
COIS- One or more of the authors has declared the following potential conflict of 
      interest or source of funding: This study was supported by the National Natural 
      Science Foundation of China (grants 81772419 and 81972062). AOSSM checks author 
      disclosures against the Open Payments Database (OPD). AOSSM has not conducted an 
      independent investigation on the OPD and disclaims any liability or 
      responsibility relating thereto.
EDAT- 2021/06/29 06:00
MHDA- 2021/06/29 06:01
PMCR- 2021/06/10
CRDT- 2021/06/28 06:06
PHST- 2020/11/20 00:00 [received]
PHST- 2021/01/10 00:00 [accepted]
PHST- 2021/06/28 06:06 [entrez]
PHST- 2021/06/29 06:00 [pubmed]
PHST- 2021/06/29 06:01 [medline]
PHST- 2021/06/10 00:00 [pmc-release]
AID - 10.1177_23259671211009192 [pii]
AID - 10.1177/23259671211009192 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2021 Jun 10;9(6):23259671211009192. doi: 
      10.1177/23259671211009192. eCollection 2021 Jun.