PMID- 34953722
OWN - NLM
STAT- MEDLINE
DCOM- 20230201
LR  - 20230202
IS  - 1479-666X (Print)
IS  - 1479-666X (Linking)
VI  - 21
IP  - 1
DP  - 2023 Feb
TI  - Return to sport after arthroscopic surgery for femoroacetabular impingement.
PG  - 21-30
LID - S1479-666X(21)00192-X [pii]
LID - 10.1016/j.surge.2021.11.006 [doi]
AB  - BACKGROUND: Femoroacetabular impingement (FAI) is common among the active and 
      young population. The present study analysed the rate of return to sport, related 
      influencing factors, and the sport activity level according to the Hip Outcome 
      Score - Sport-Specific Subscale (HOS-SSS). METHODS: The literature search was 
      performed in December 2020. All clinical trials investigating HOS-SSS and/or 
      return to sport after arthroscopic treatment for FAI were considered for 
      inclusion. The outcomes of interest were to analyse the rate of return to sport 
      and the sport activity level according to the HOS-SSS in patients who underwent 
      arthroscopic osteoplasty for FAI. RESULTS: Data from 41 studies (4063 procedures) 
      were retrieved. A total of 88.75% (581 of 655) of patients returned to sports 
      within a mean of 37.4 +/- 16.5 months. The HOS-SSS score improved from 45.0 +/- 10.6 
      to 73.1 +/- 9.5 (P < 0.0001) at last follow-up. The following baseline 
      characteristics evidenced positive association with post-operative activity 
      level: lighter weight (P = 0.01), younger age (P = 0.001), Tonnis angle grade I 
      (P = 0.009), greater HHS (P = 0.01), NAHS (P < 0.0001) and HOS-ADL (P = 0.01). 
      CONCLUSION: Arthroscopic treatment for FAI resulted in excellent results in terms 
      of return to sport. Moreover, lighter weight and younger age, greater HHS, NAHS, 
      HOS-ADL at baseline were positively associated with post-operative sport activity 
      level. LEVEL OF EVIDENCE: IV, systematic review.
CI  - Copyright (c) 2021 Royal College of Surgeons of Edinburgh (Scottish charity number 
      SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. 
      All rights reserved.
FAU - Migliorini, Filippo
AU  - Migliorini F
AD  - Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH Aachen 
      University Hospital, Aachen, Germany. Electronic address: 
      migliorini.md@gmail.com.
FAU - Baroncini, Alice
AU  - Baroncini A
AD  - Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH Aachen 
      University Hospital, Aachen, Germany. Electronic address: 
      alice.baroncini@gmail.com.
FAU - Eschweiler, Jorg
AU  - Eschweiler J
AD  - Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH Aachen 
      University Hospital, Aachen, Germany. Electronic address: 
      joeschweiler@ukaachen.de.
FAU - Knobe, Matthias
AU  - Knobe M
AD  - Department of Orthopedics and Trauma Surgery, Lucerne Cantonal Hospital, Lucerne, 
      Switzerland. Electronic address: matthias.knobe@luks.ch.
FAU - Tingart, Markus
AU  - Tingart M
AD  - Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH Aachen 
      University Hospital, Aachen, Germany. Electronic address: mtingart@ukaachen.de.
FAU - Maffulli, Nicola
AU  - Maffulli N
AD  - Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. 
      Allende, 84081 Baronissi, (SA), Italy; School of Pharmacy and Bioengineering, 
      Keele University Faculty of Medicine, Thornburrow Drive, Stoke on Trent, England, 
      United Kingdom; Queen Mary University of London, Barts and the London School of 
      Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End 
      Hospital, 275 Bancroft Road, London E1 4DG, England, United Kingdom. Electronic 
      address: n.maffulli@qmul.ac.uk.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20211223
PL  - Scotland
TA  - Surgeon
JT  - The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
JID - 101168329
SB  - IM
MH  - Humans
MH  - Activities of Daily Living
MH  - Arthroscopy/methods
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Retrospective Studies
MH  - Return to Sport
MH  - Treatment Outcome
OTO - NOTNLM
OT  - FAI
OT  - Femoroacetabular impingement
OT  - HOS-SSS
OT  - Return to sport
COIS- Declaration of competing interest None.
EDAT- 2021/12/27 06:00
MHDA- 2023/02/01 06:00
CRDT- 2021/12/26 20:28
PHST- 2020/12/24 00:00 [received]
PHST- 2021/11/19 00:00 [accepted]
PHST- 2021/12/27 06:00 [pubmed]
PHST- 2023/02/01 06:00 [medline]
PHST- 2021/12/26 20:28 [entrez]
AID - S1479-666X(21)00192-X [pii]
AID - 10.1016/j.surge.2021.11.006 [doi]
PST - ppublish
SO  - Surgeon. 2023 Feb;21(1):21-30. doi: 10.1016/j.surge.2021.11.006. Epub 2021 Dec 
      23.