PMID- 34839368
OWN - NLM
STAT- MEDLINE
DCOM- 20220525
LR  - 20220525
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 30
IP  - 6
DP  - 2022 Jun
TI  - Significant improvement after hip arthroscopy for femoroacetabular impingement in 
      women.
PG  - 2181-2187
LID - 10.1007/s00167-021-06802-6 [doi]
AB  - PURPOSE: This study was designed to evaluate outcomes in women after hip 
      arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS) and compare 
      these results with men. METHODS: Retrospective study of a prospective database of 
      patients undergoing hip arthroscopy between 2015 and 2018. Inclusion criteria 
      were patients between 18 and 50 years of age, diagnosis of FAIS, complete 
      clinical patient-reported outcomes (PROs), radiographic measurements, and 
      underwent at least a 2-year HA follow-up. For each woman, two men underwent HA 
      were matched in a 1:2 ratio based on age within 5 years, and date of surgery 
      within 6 months. Diagnostic arthroscopy was performed to evaluate labral and 
      chondral status. Radiographic evaluation, a self-administered Hip Outcome Score 
      (HOS) questionnaire, with activity of daily living (ADL) and sports subscale 
      (SSS), and a self-administered short version of the International Hip Outcome 
      Tool (iHOT-12) were assessed at 6 months, 12 months, and then yearly. Clinical 
      relevance was measured with the minimal clinical important difference (MCID), 
      patient acceptable symptom state (PASS), and substantial clinical benefit (SCB) 
      for HOS-ADL, HOS-SSS, and iHOT-12. RESULTS: One hundred and eighty-five patients 
      met the inclusion criteria. Fifty-two women were matched with 104 men. 
      Significant differences in terms of demographics, radiographic results, 
      intraoperative findings and arthroscopic procedures were found between women and 
      men. Mean follow-up was 48.4 months in women and 50.2 months in men. Both groups 
      showed significant improvement from preoperative PROs to the latest follow-up. 
      There were no significant differences between groups in preoperative PROs, latest 
      follow-up PROs and PROs improvements. The difference in frequency of patients 
      achieving MCID, PASS, and SCB was only significant greater for iHOT-12 PASS in 
      women compared with men. CONCLUSION: Significant improvements in PROs in women 
      after HA for FAIS at 4-year follow-up were found. Differences between women and 
      men in PROs and rates of achieving MCID, SCB and PASS were only significant for 
      iHOT-12 PASS. LEVEL OF EVIDENCE: IV.
CI  - (c) 2021. The Author(s) under exclusive licence to European Society of Sports 
      Traumatology, Knee Surgery, Arthroscopy (ESSKA).
FAU - Mas Martinez, Jesus
AU  - Mas Martinez J
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain.
FAU - Bustamante Suarez de Puga, David
AU  - Bustamante Suarez de Puga D
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain.
FAU - Verdu-Roman, Carmen
AU  - Verdu-Roman C
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain.
FAU - Martinez Gimenez, Enrique
AU  - Martinez Gimenez E
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain.
FAU - Morales Santias, Manuel
AU  - Morales Santias M
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain.
FAU - Sanz-Reig, Javier
AU  - Sanz-Reig J
AUID- ORCID: 0000-0002-8276-7402
AD  - Hip Unit, Department of Orthopedic Surgery, HLA Clinica Vistahermosa, Av de Denia 
      76, 03016, Alicante, Spain. jsanz@traumavist.com.
LA  - eng
PT  - Journal Article
DEP - 20211127
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Activities of Daily Living
MH  - Arthroscopy/methods
MH  - Child, Preschool
MH  - Female
MH  - *Femoracetabular Impingement/diagnostic imaging/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/diagnostic imaging/surgery
MH  - Humans
MH  - Male
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Femoroacetabular impingement
OT  - Gender
OT  - Hip arthroscopy
OT  - Minimal clinically important difference (MCID)
OT  - Patient acceptable symptomatic state (PASS)
OT  - Patient outcomes
OT  - Substantial clinical benefit (SCB)
EDAT- 2021/11/29 06:00
MHDA- 2022/05/26 06:00
CRDT- 2021/11/28 21:13
PHST- 2021/01/11 00:00 [received]
PHST- 2021/11/11 00:00 [accepted]
PHST- 2021/11/29 06:00 [pubmed]
PHST- 2022/05/26 06:00 [medline]
PHST- 2021/11/28 21:13 [entrez]
AID - 10.1007/s00167-021-06802-6 [pii]
AID - 10.1007/s00167-021-06802-6 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2022 Jun;30(6):2181-2187. doi: 
      10.1007/s00167-021-06802-6. Epub 2021 Nov 27.