PMID- 34768684
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211118
IS  - 2077-0383 (Print)
IS  - 2077-0383 (Electronic)
IS  - 2077-0383 (Linking)
VI  - 10
IP  - 21
DP  - 2021 Nov 4
TI  - Open Hip Abductor Repair Hitting the Sack-Abductor Tendon Repair Significantly 
      Improves Sleep Quality.
LID - 10.3390/jcm10215164 [doi]
LID - 5164
AB  - PURPOSE: To (1) describe the prevalence of abnormal sleep quality in patients 
      with hip abductor tears (HAT), to (2) determine whether sleep quality improves 
      after open HAT repair, and to (3) to report clinical short-term outcomes in 
      patients undergoing open HAT repair. METHODS: The data of 28 patients (29 hips) 
      who underwant open HAT repair were prospectively analyzed at midterm follow-up. 
      The Pittsburgh Sleep Quality Index (PSQI), modified Harris Hip Score (mHHS), the 
      University of California, Los Angeles activity scale (UCLA), and Visual Analog 
      Scale (VAS) for pain were determined via questionnaire. Paired t-tests were 
      applied to compare preoperative and post-operative Patient-reported Outcome 
      Measures (PROMs). Logistic regression was performed to determine the association 
      between PSQI improvement achievement and demographic variables (laterality, sex, 
      age, body-mass-index (BMI), and preoperative mHHS). The minimal clinically 
      important difference (MCID) was calculated for the mHHS. RESULTS: A total of 28 
      patients were included. Four patients (14.3%) suffered post-operative 
      complications after open HAT repair. The predominance of patients was female 
      (77.4%), with a mean age of 60 +/- 13 years. The average follow-up was 30.35 +/- 
      16.62 months. Preoperatively, 27 (96.4%) patients experienced poor sleep quality 
      (PSQI > 5); at follow-up, 7 (25%) patients experienced poor sleep quality. 
      Univariate logistical regression analysis demonstrated no significant association 
      between preoperative demographic data and achieving postoperative PSQI < 5. The 
      MCID of mHHS was calculated to be 12.5. Overall, 90% of patients achieved MCID 
      for mHHS. CONCLUSION: Preoperative sleep quality was impaired in 96.4% of HAT 
      patients (PSQI > 5). However, these patients showed an improvement in sleep 
      disturbances after open HAT repair in the early postoperative period. Ninety 
      percent of patients showed significant improvements in mHHS and achieved the 
      corresponding MCID. LEVEL OF EVIDENCE: Case series; Level IV.
FAU - Zimmerer, Alexander
AU  - Zimmerer A
AD  - ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
AD  - Department of Orthopaedics and Orthopaedic Surgery, University Medicine 
      Greifswald, Ferdinand-Sauerbruch-Strasse, 17475 Greifswald, Germany.
FAU - Navas, Luis
AU  - Navas L
AD  - ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
FAU - Pfeil, Dominic
AU  - Pfeil D
AD  - ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
FAU - Hauschild, Matthias
AU  - Hauschild M
AD  - ARCUS Sportklinik, Rastatterstr. 17-19, 75179 Pforzheim, Germany.
LA  - eng
PT  - Journal Article
DEP - 20211104
PL  - Switzerland
TA  - J Clin Med
JT  - Journal of clinical medicine
JID - 101606588
PMC - PMC8584347
OTO - NOTNLM
OT  - MCID
OT  - abductor repair
OT  - gluteus medius
OT  - hip
OT  - sleep quality
COIS- Matthias Hauschild received royalties from Link and DePuy. All other authors 
      report no conflict of interests.
EDAT- 2021/11/14 06:00
MHDA- 2021/11/14 06:01
PMCR- 2021/11/04
CRDT- 2021/11/13 01:02
PHST- 2021/09/01 00:00 [received]
PHST- 2021/10/25 00:00 [revised]
PHST- 2021/11/03 00:00 [accepted]
PHST- 2021/11/13 01:02 [entrez]
PHST- 2021/11/14 06:00 [pubmed]
PHST- 2021/11/14 06:01 [medline]
PHST- 2021/11/04 00:00 [pmc-release]
AID - jcm10215164 [pii]
AID - jcm-10-05164 [pii]
AID - 10.3390/jcm10215164 [doi]
PST - epublish
SO  - J Clin Med. 2021 Nov 4;10(21):5164. doi: 10.3390/jcm10215164.