PMID- 34882583
OWN - NLM
STAT- MEDLINE
DCOM- 20211223
LR  - 20211223
IS  - 2474-7661 (Electronic)
IS  - 2474-7661 (Linking)
VI  - 5
IP  - 12
DP  - 2021 Dec 9
TI  - Favorable Outcomes of Revision Hip Arthroscopy Irrespective of Whether Index 
      Surgery was Performed by the Same Surgeon or a Different Surgeon.
LID - 10.5435/JAAOSGlobal-D-21-00107 [doi]
LID - e21.00107
AB  - INTRODUCTION: The purpose of this study was to compare minimum 2-year 
      patient-reported outcomes (PROMs) after revision hip arthroscopy between two 
      different patient cohorts who had undergone primary hip arthroscopy with the same 
      surgeon (SS) and a different surgeon (DS). We hypothesized no difference in 
      clinical outcomes between the groups despite differences in intraoperative 
      findings based on the surgical decision making in a revision setting at a 
      high-volume center. METHODS: Between January 2012 and August 2017, 71 SS patients 
      were matched for age, sex, body mass index, and follow-up to 71 DS patients. 
      Modified Harris hip score (mHHS), nonarthritic hip score, and hip outcome 
      score-sports-specific subscale (HOS-SSS) were collected prospectively. The 
      minimal clinically important difference was calculated for mHHS and HOS-SSS. 
      RESULTS: All the DS patients had labral tears, and 94.4% had femoroacetabular 
      impingement from residual bony deformity (P < 0.001). The SS and DS groups 
      demonstrated significant and comparable improvement in mHHS (Delta = 18.3 +/- 21.5 
      versus 19 +/- 20.1; P = 0.837), nonarthritic hip score (Delta = 18.8 +/- 18.8 versus 18.2 
      +/- 18.8; P = 0.850), and HOS-SSS (Delta = 22 +/- 27.4 versus 17.5 +/- 28.1; P = 0.275). 
      The rates of achieving minimal clinically important difference for mHHS and 
      HOS-SSS were similar. Furthermore, the need for revision surgery and conversion 
      to total hip arthroplasty were comparable (P = 0.228 and P = 0.383). CONCLUSIONS: 
      Patients undergoing revision hip arthroscopy reported notable and comparable 
      improvement in multiple patient-reported outcomes at a minimum 2-year follow-up, 
      irrespective of intraoperative findings or primary source of patient pool.
CI  - Copyright (c) 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf 
      of the American Academy of Orthopaedic Surgeons.
FAU - Ankem, Hari K
AU  - Ankem HK
AUID- ORCID: 0000-0002-5936-7806
AD  - From the American Hip Institute Research Foundation, Des Plaines (Dr. Ankem, 
      Diulus, Kyin, Dr. Jimenez, Dr. Maldonado, Dr. Sabetian, Dr. Saks, Dr. Lall, Dr. 
      Domb); AMITA Health St. Alexius Medical Center, Hoffman Estates (Dr. Saks, Dr. 
      Lall, Dr. Domb); and the American Hip Institute, Des Plaines (Dr. Lall, Dr. 
      Domb), IL.
FAU - Diulus, Samantha C
AU  - Diulus SC
FAU - Kyin, Cynthia
AU  - Kyin C
FAU - Jimenez, Andrew E
AU  - Jimenez AE
FAU - Maldonado, David R
AU  - Maldonado DR
FAU - Sabetian, Payam W
AU  - Sabetian PW
FAU - Saks, Benjamin R
AU  - Saks BR
FAU - Lall, Ajay C
AU  - Lall AC
FAU - Domb, Benjamin G
AU  - Domb BG
AUID- ORCID: 0000-0002-3937-8647
LA  - eng
PT  - Journal Article
DEP - 20211209
PL  - United States
TA  - J Am Acad Orthop Surg Glob Res Rev
JT  - Journal of the American Academy of Orthopaedic Surgeons. Global research & 
      reviews
JID - 101724868
SB  - IM
MH  - *Arthroscopy
MH  - Follow-Up Studies
MH  - Hip Joint/diagnostic imaging/surgery
MH  - Humans
MH  - Retrospective Studies
MH  - *Surgeons
MH  - Treatment Outcome
PMC - PMC8667977
EDAT- 2021/12/10 06:00
MHDA- 2021/12/24 06:00
PMCR- 2021/12/09
CRDT- 2021/12/09 17:25
PHST- 2021/04/28 00:00 [received]
PHST- 2021/10/05 00:00 [accepted]
PHST- 2021/12/09 17:25 [entrez]
PHST- 2021/12/10 06:00 [pubmed]
PHST- 2021/12/24 06:00 [medline]
PHST- 2021/12/09 00:00 [pmc-release]
AID - 01979360-202112000-00007 [pii]
AID - JAAOSGlobal-D-21-00107 [pii]
AID - 10.5435/JAAOSGlobal-D-21-00107 [doi]
PST - epublish
SO  - J Am Acad Orthop Surg Glob Res Rev. 2021 Dec 9;5(12):e21.00107. doi: 
      10.5435/JAAOSGlobal-D-21-00107.