PMID- 34878411
OWN - NLM
STAT- MEDLINE
DCOM- 20220301
LR  - 20230714
IS  - 1535-1386 (Electronic)
IS  - 0021-9355 (Linking)
VI  - 104
IP  - 3
DP  - 2022 Feb 2
TI  - The Effect of Femoral and Acetabular Version on Outcomes Following Hip 
      Arthroscopy: A Systematic Review.
PG  - 271-283
LID - 10.2106/JBJS.21.00375 [doi]
AB  - BACKGROUND: Torsional hip deformities are common among patients undergoing hip 
      arthroscopy. However, recent studies have suggested conflicting outcomes 
      following arthroscopy in the setting of abnormal hip version. The purpose of this 
      study was to systematically evaluate the literature and determine the impact of 
      femoral and acetabular version on patient-reported outcomes following primary 
      arthroscopic hip surgery. METHODS: This study was conducted in accordance with 
      the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 
      statement. Studies investigating femoral and acetabular version in primary hip 
      arthroscopy with clinical outcomes were identified, and data were extracted in 
      duplicate. RESULTS: Overall, 11 studies met inclusion criteria and comprised 
      1,297 hips (726 femora and 571 acetabulae), with a mean patient age of 29.2 years 
      (range, 14 to 74.7 years). In patients with acetabular retroversion, there was no 
      significant difference, when compared with the normal acetabular version group, 
      in the modified Harris hip score (mHHS), the Hip Outcome Score-Sports Specific 
      Subscale (HOS-SSS), and visual analog scale (VAS) pain scores postoperatively. 
      Among patients with femoral retroversion, in 2 of 3 studies, the authors reported 
      no difference in mHHS postoperatively compared with patients with normal femoral 
      version. In patients with high femoral anteversion, in 2 of 3 studies, the 
      authors reported a significant difference in postoperative mHHS favoring patients 
      with normal femoral version. Studies examining high femoral anteversion included 
      patients with borderline hip dysplasia and patients who underwent concurrent 
      psoas-lengthening procedures. CONCLUSIONS: Although the definition of the normal 
      version of the hip varied within the literature, hip arthroscopy in patients with 
      acetabular retroversion resulted in no difference in functional outcomes compared 
      with patients with normal version. Postoperative functional outcomes in patients 
      with femoral retroversion and high femoral anteversion were mixed, although the 
      procedure was possibly less effective in high femoral anteversion combined with 
      specific clinical scenarios. Further prospective studies based on standardized 
      definitions and version analysis techniques would be useful in identifying the 
      precise surgical indications for safe arthroscopic surgical procedures in 
      patients with version abnormalities of the femur and acetabulum, particularly 
      those with high femoral anteversion and retroversion. LEVEL OF EVIDENCE: 
      Prognostic Level IV. See Instructions for Authors for a complete description of 
      levels of evidence.
CI  - Copyright (c) 2021 by The Journal of Bone and Joint Surgery, Incorporated.
FAU - Wang, Casey K
AU  - Wang CK
AUID- ORCID: 0000-0002-3478-7169
AD  - Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 
      Hamilton, Ontario, Canada.
FAU - Cohen, Dan
AU  - Cohen D
AUID- ORCID: 0000-0002-1702-9569
AD  - Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 
      Hamilton, Ontario, Canada.
FAU - Kay, Jeffrey
AU  - Kay J
AUID- ORCID: 0000-0003-0184-7687
AD  - Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 
      Hamilton, Ontario, Canada.
FAU - Almasri, Mahmoud
AU  - Almasri M
AUID- ORCID: 0000-0002-5532-0314
AD  - Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 
      Hamilton, Ontario, Canada.
AD  - Mercy Health Cincinnati Sports Medicine and Orthopaedic Center, Cincinnati, Ohio.
FAU - Simunovic, Nicole
AU  - Simunovic N
AD  - Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 
      Hamilton, Ontario, Canada.
FAU - Cardenas-Nylander, Carlomagno
AU  - Cardenas-Nylander C
AUID- ORCID: 0000-0002-7724-9643
AD  - Catalan Institute of Traumatology and Sport Medicine (ICATME), Hospital 
      Universitari Dexeus, Barcelona, Spain.
FAU - Ranawat, Anil S
AU  - Ranawat AS
AUID- ORCID: 0000-0002-3634-4871
AD  - Hospital for Special Surgery, New York, NY.
FAU - Ayeni, Olufemi R
AU  - Ayeni OR
AUID- ORCID: 0000-0003-4219-8564
AD  - Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 
      Hamilton, Ontario, Canada.
AD  - Department of Health Research Methods, Evidence and Impact, McMaster University, 
      Hamilton, Ontario, Canada.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
PL  - United States
TA  - J Bone Joint Surg Am
JT  - The Journal of bone and joint surgery. American volume
JID - 0014030
SB  - IM
MH  - Acetabulum/*surgery
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Arthroplasty, Replacement, Hip/*methods
MH  - Female
MH  - Femur/*surgery
MH  - Hip Joint/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Treatment Outcome
MH  - Young Adult
COIS- Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided 
      with the online version of the article (http://links.lww.com/JBJS/G799).
EDAT- 2021/12/09 06:00
MHDA- 2022/03/03 06:00
CRDT- 2021/12/08 12:17
PHST- 2021/12/09 06:00 [pubmed]
PHST- 2022/03/03 06:00 [medline]
PHST- 2021/12/08 12:17 [entrez]
AID - 00004623-202202020-00010 [pii]
AID - 10.2106/JBJS.21.00375 [doi]
PST - ppublish
SO  - J Bone Joint Surg Am. 2022 Feb 2;104(3):271-283. doi: 10.2106/JBJS.21.00375.