PMID- 35189306
OWN - NLM
STAT- MEDLINE
DCOM- 20220810
LR  - 20220816
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 38
IP  - 8
DP  - 2022 Aug
TI  - After Revision Hip Arthroscopy, Patients Having Either Circumferential or 
      Segmental Labral Reconstructions for the Management of Irreparable Labra Show 
      Clinical Improvement Based on Proper Indications.
PG  - 2459-2469
LID - S0749-8063(22)00091-3 [pii]
LID - 10.1016/j.arthro.2022.02.005 [doi]
AB  - PURPOSE: To compare a minimum of two-year follow-up patient-reported outcome 
      scores (PROs) in patients who underwent revision hip arthroscopy for acetabular 
      circumferential labral reconstruction (CLR) and segmental labral reconstruction 
      (SLR) using propensity-matched groups, in the setting of irreparable labral tear. 
      METHODS: Prospectively collected data were retrospectively reviewed for patients 
      who underwent revision hip arthroscopy from April 2010 to September 2018. 
      Patients were included if they underwent labral reconstruction and had 
      preoperative and minimum 2-year PROs. Patients unwilling to participate, with 
      Tonnis grade >1, or hip dysplasia were excluded. Patients in the CLR group were 
      propensity-matched on the basis of age, sex, body mass index, and Tonnis grade to 
      patients in the SLR group in a 1:1 ratio. The minimal clinically important 
      difference (MCID) and the patient-acceptable symptomatic state (PASS) rates were 
      calculated. RESULTS: Twenty-six hips (25 patients) with CLR were 
      propensity-matched to 26 hips (26 patients) with SRL. The mean follow-up time 
      25.92 and 27.78 months for the CLR and SLR, respectively (P = .845). Groups 
      reported comparable findings for sex (P = .773), age (P = .197), body mass index 
      (P = .124), preoperative Tonnis grade (P = .124), lateral-center edge angle (P = 
      .144), and alpha angle (P = .264), and comparable improvement for all PROs at 
      minimum 2-year follow-up. Patient satisfaction was similar (P = .612). Rates of 
      achievement for the MCID and PASS were comparable. CONCLUSION: Following revision 
      hip arthroscopy, patients who underwent CLR or SLR for complete and segmental 
      irreparable labral tears, respectively, reported significant and comparable 
      postoperative improvement for all PROs and rate of achievement for the MCID and 
      PASS at a minimum 2-year follow-up. LEVEL OF EVIDENCE: III, retrospective 
      comparative therapeutic trial.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Ouyang, Vivian
AU  - Ouyang V
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Lee, Michael S
AU  - Lee MS
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Jimenez, Andrew E
AU  - Jimenez AE
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Sabetian, Payam W
AU  - Sabetian PW
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Saks, Benjamin R
AU  - Saks BR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Lall, Ajay C
AU  - Lall AC
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.; American 
      Hip Institute, Chicago, Illinois, U.S.A.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.; American 
      Hip Institute, Chicago, Illinois, U.S.A.. Electronic address: 
      DrDomb@americanhipinstitute.org.
LA  - eng
PT  - Journal Article
DEP - 20220219
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):2470-2471. PMID: 35940742
MH  - *Arthroscopy
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2022/02/22 06:00
MHDA- 2022/08/11 06:00
CRDT- 2022/02/21 20:10
PHST- 2021/08/13 00:00 [received]
PHST- 2022/02/01 00:00 [revised]
PHST- 2022/02/04 00:00 [accepted]
PHST- 2022/02/22 06:00 [pubmed]
PHST- 2022/08/11 06:00 [medline]
PHST- 2022/02/21 20:10 [entrez]
AID - S0749-8063(22)00091-3 [pii]
AID - 10.1016/j.arthro.2022.02.005 [doi]
PST - ppublish
SO  - Arthroscopy. 2022 Aug;38(8):2459-2469. doi: 10.1016/j.arthro.2022.02.005. Epub 
      2022 Feb 19.