PMID- 35157968
OWN - NLM
STAT- MEDLINE
DCOM- 20220810
LR  - 20220816
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 38
IP  - 8
DP  - 2022 Aug
TI  - The Presence of Central Acetabular Osteophytes May Negatively Affect the Outcome 
      After Primary Arthroscopic Therapy of Femoroacetabular Impingement Syndrome.
PG  - 2441-2448
LID - S0749-8063(22)00082-2 [pii]
LID - 10.1016/j.arthro.2022.01.047 [doi]
AB  - PURPOSE: To compare short-term follow-up outcomes after primary arthroscopy in 
      femoroacetabular impingement syndrome (FAIS) patients with untreated central 
      acetabular osteophytes (CAO) to a control group without CAO. METHODS: A 
      retrospective analysis was performed using data from FAIS patients who had 
      primary arthroscopy between 2017 and 2018. The presence of CAO was confirmed 
      arthroscopically, and there were 2 groups created. The CAO group was 1:1 
      propensity-score matched to a control group (without CAO) based on age, gender, 
      body mass index (BMI), Tӧnnis grade, symptom duration before surgery, and 
      follow-up time. Patient-reported outcomes (PROs), such as the Hip Outcome 
      Score-Activities of Daily Living (HOS-ADL), International Hip Outcome Tool 
      12-component form (iHOT-12)，modified Harris Hip Score (mHHS), and visual analog 
      scale (VAS) scores were used to evaluate the level of function included. The 
      minimal clinically important difference (MCID) and patient acceptable symptomatic 
      state (PASS) were also calculated to determine meaningful outcome improvement. 
      Radiographic measures, performed procedures, complications, and revision surgery 
      were also compared and analyzed for both groups. P values less than .05 were 
      considered statistically significant. RESULTS: A total of 46 hips with CAO and 46 
      hips without CAO were propensity matched. At the minimum final follow-up of 2 
      years, the CAO group had significantly lower HOS-ADL (78.8 vs 85.5; P = .008), 
      iHOT-12 (74.8 vs 79.3; P = .019), and mHHS (78.9 vs 87.2; P = .002) scores, as 
      compared to the CAO group. Furthermore, patients in the CAO group were 
      significantly less likely to achieve the MCID and PASS for the mHHS score (78.3% 
      vs 93.5%; P = .036, 58.7% vs 78.2%; P = .043, respectively). There was no change 
      in the rate of complications (4.3% vs 0%) and revision hip arthroscopy (4.3% vs 
      2.2%) between the two groups at the final follow-up. CONCLUSIONS: This study 
      demonstrated that surgically treated FAIS patients with CAO might experience 
      worse short-term, patient-reported outcomes, as compared with propensity-matched 
      patients without CAO. LEVEL OF EVIDENCE: III, case-control study.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Yang, Fan
AU  - Yang F
AD  - Department of Sports Medicine, Peking University Third Hospital, Institute of 
      Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, 
      Beijing, China.
FAU - Huang, Hong-Jie
AU  - Huang HJ
AD  - Department of Sports Medicine, Peking University Third Hospital, Institute of 
      Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, 
      Beijing, China.
FAU - Mamtimin, Mahmut
AU  - Mamtimin M
AD  - Department of Sports Medicine, Peking University Third Hospital, Institute of 
      Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, 
      Beijing, China.
FAU - Xu, Yan
AU  - Xu Y
AD  - Department of Sports Medicine, Peking University Third Hospital, Institute of 
      Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, 
      Beijing, China.
FAU - Zhang, Xin
AU  - Zhang X
AD  - Department of Sports Medicine, Peking University Third Hospital, Institute of 
      Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, 
      Beijing, China.
FAU - Wang, Jian-Quan
AU  - Wang JQ
AD  - Department of Sports Medicine, Peking University Third Hospital, Institute of 
      Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, 
      Beijing, China. Electronic address: wjqsportsmed@163.com.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220212
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CIN - Arthroscopy. 2022 Aug;38(8):2449-2450. PMID: 35940741
MH  - Activities of Daily Living
MH  - Arthroscopy/methods
MH  - Case-Control Studies
MH  - *Femoracetabular Impingement/complications/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - *Osteophyte/complications/surgery
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - central acetabular osteophytes
OT  - femoroacetabular impingement syndrome
OT  - hip arthroscopy
OT  - patient-reported outcomes
EDAT- 2022/02/15 06:00
MHDA- 2022/08/11 06:00
CRDT- 2022/02/14 20:11
PHST- 2021/08/28 00:00 [received]
PHST- 2022/01/29 00:00 [revised]
PHST- 2022/01/30 00:00 [accepted]
PHST- 2022/02/15 06:00 [pubmed]
PHST- 2022/08/11 06:00 [medline]
PHST- 2022/02/14 20:11 [entrez]
AID - S0749-8063(22)00082-2 [pii]
AID - 10.1016/j.arthro.2022.01.047 [doi]
PST - ppublish
SO  - Arthroscopy. 2022 Aug;38(8):2441-2448. doi: 10.1016/j.arthro.2022.01.047. Epub 
      2022 Feb 12.