PMID- 34796726
OWN - NLM
STAT- MEDLINE
DCOM- 20220127
LR  - 20220127
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 50
IP  - 1
DP  - 2022 Jan
TI  - Survivorship Rate and Clinical Outcomes 10 Years After Arthroscopic Correction of 
      Symptomatic Femoroacetabular Impingement.
PG  - 19-29
LID - 10.1177/03635465211055485 [doi]
AB  - BACKGROUND: Femoroacetabular impingement (FAI) is a common mechanical hip 
      condition, prevalent in both the athletic and the general population. Surgical 
      intervention is an effective treatment option that improves both symptoms and 
      function in short- to medium-term follow-up. Few studies within the literature 
      have reported the longer-term success of arthroscopic surgery. PURPOSE: The aim 
      of this study was to quantify the 10-year survivorship and clinical outcome for 
      patients treated arthroscopically for symptomatic FAI. STUDY DESIGN: Case series; 
      Level of evidence, 4. METHODS: Patients from our hip registry (n = 119) completed 
      patient-reported outcome measures (PROMs) including the modified Harris Hip Score 
      (mHHS), University of California Los Angeles (UCLA) activity scale, 36-Item Short 
      Form Health Survey (SF-36), and Western Ontario and McMaster Universities 
      Osteoarthritis Index (WOMAC) at a minimum of 10 years after arthroscopy (range, 
      10-12 years). Results were compared with baseline scores using the Wilcoxon 
      signed rank test. The associations among several prognostic factors, which 
      included age, sex, Tonnis grade, and labral treatment, and subsequent conversion 
      to total hip replacement (THR) or repeat hip arthroscopy (RHA) were analyzed 
      using the chi-square analysis. Relationships between range of motion and 
      radiological findings with clinical outcome were also examined using Pearson 
      correlation analysis. Minimal clinically important difference (MCID) was 
      calculated using a distribution method (0.5 standard deviation of the change 
      score), and substantial clinical benefit (SCB) was determined using an anchor 
      method. Finally, receiver operating characteristic curves with subsequent Youden 
      index were used to determine cutoffs for PROMs, which equated to a Patient 
      Acceptable Symptom State (PASS). RESULTS: A total of 8.4% of cases required 
      conversion to THR, and 5.9% required RHA. Statistically significant improvements 
      in mHHS, SF-36, and WOMAC scores, with high satisfaction (90%), were observed 10 
      years after surgery. No significant change was seen in activity level (UCLA 
      score) despite patients being 10 years older. A high percentage of patients 
      achieved MCID for mHHS (88%), SF-36 (84%), and WOMAC (60%). The majority of 
      patients also achieved PASS (62% for mHHS, 85% for UCLA, 78% for SF-36, and 84% 
      for WOMAC) and SCB (74% for mHHS, 58% for UCLA, 52% for SF-36, and 56% for 
      WOMAC). CONCLUSION: Arthroscopic intervention is a safe and viable treatment 
      option for patients with symptomatic FAI, and patients can expect long-term 
      improvements and high satisfaction. Results indicated a high satisfaction (90%) 
      and survivorship rate (91.6%), with excellent clinical outcome, 10 years after 
      the initial procedure.
FAU - Carton, Patrick
AU  - Carton P
AD  - The Hip and Groin Clinic, UPMC Whitfield Hospital, Waterford, Ireland.
AD  - UPMC Sports Medicine Clinic, WIT Arena, Waterford, Ireland.
FAU - Filan, David
AU  - Filan D
AD  - UPMC Sports Medicine Clinic, WIT Arena, Waterford, Ireland.
FAU - Mullins, Karen
AU  - Mullins K
AD  - UPMC Sports Medicine Clinic, WIT Arena, Waterford, Ireland.
LA  - eng
PT  - Journal Article
DEP - 20211119
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Arthroscopy
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/diagnostic imaging/surgery
MH  - Humans
MH  - Patient Reported Outcome Measures
MH  - Range of Motion, Articular
MH  - Survivorship
MH  - Treatment Outcome
OTO - NOTNLM
OT  - PROM
OT  - cam deformity
OT  - clinical outcome
OT  - hip impingement
OT  - labral repair
OT  - pincer deformity
EDAT- 2021/11/20 06:00
MHDA- 2022/01/28 06:00
CRDT- 2021/11/19 08:38
PHST- 2021/11/20 06:00 [pubmed]
PHST- 2022/01/28 06:00 [medline]
PHST- 2021/11/19 08:38 [entrez]
AID - 10.1177/03635465211055485 [doi]
PST - ppublish
SO  - Am J Sports Med. 2022 Jan;50(1):19-29. doi: 10.1177/03635465211055485. Epub 2021 
      Nov 19.