PMID- 35367300
OWN - NLM
STAT- MEDLINE
DCOM- 20230109
LR  - 20230207
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 2
DP  - 2023 Feb
TI  - Hip Arthroscopy for Femoroacetabular Impingement Syndrome Shows Good Outcomes and 
      Low Revision Rates, With Young Age and Low Postoperative Pain Score Predicting 
      Excellent 5-Year Outcomes.
PG  - 285-292
LID - S0749-8063(22)00193-1 [pii]
LID - 10.1016/j.arthro.2022.03.024 [doi]
AB  - PURPOSE: To evaluate the clinical outcomes of hip arthroscopy for 
      femoroacetabular impingement syndrome (FAIS) and their predictors at a minimum 5 
      years' follow-up. METHODS: We retrospectively analyzed patients with FAIS after 
      first-time unilateral hip arthroscopy between January 2010 and July 2016. 
      Patient-reported outcomes (PROs) included the validated modified Harries Hip 
      Score (mHHS) and Visual Analog Scale for Pain (Pain VAS). We included patients 
      with Tonnis grade 0 or 1 and reported PROs, and excluded patients with previous 
      hip diseases or bilateral symptoms. Bivariate and multivariate analyses were used 
      for data analysis. RESULTS: We included 159 patients with a mean follow-up of 6.4 
      years, aged 36.18 +/- 8.61 years, 41.5% female, and a mean body mass index of 23.61 
      +/- 3.45. The mean postoperative mHHS was 88.82 +/- 11.60, and the mean Pain VAS was 
      1.93 +/- 1.89, significantly better than before surgery (P < .001). Postoperative 
      alpha angle (P = .003) and lateral center edge angle (P < .001) were 
      significantly decreased. Most patients (83.7%) achieved clinically important 
      improvement based on patient-acceptable symptom state and minimal clinically 
      important difference (MCID). The overall revision surgery rate was 2.5%. There 
      were no conversions to total hip arthroplasty. Bivariate analysis indicated that 
      age (P < .001), preoperative mHHS (P = .002), and postoperative Pain VAS (P 
      <.001) correlated with postoperative mHHS at a minimum 5 years' follow-up. 
      Multivariate regression analysis of MCID showed that age (P <.001), preoperative 
      PROs (P < .01 for both), and postoperative Pain VAS (P < .001) were significant 
      outcome predictors. CONCLUSION: Patients with FAIS after first-time unilateral 
      hip arthroscopy showed significant improvement in PROs at mid-term follow-up, 
      with a low revision surgery rate. Young patients and those with low postoperative 
      Pain VAS showed excellent outcomes at a minimum 5 years' follow-up. LEVEL OF 
      EVIDENCE: Level IV, retrospective case series.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
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 - Dang, Han-Han
AU  - Dang HH
AD  - Peking University Health Science Center, 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 - Yang, Gang
AU  - Yang G
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. Electronic address: tozhangxin@sina.com.
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 - 20220331
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
MH  - Humans
MH  - Female
MH  - Male
MH  - *Femoracetabular Impingement/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Arthroscopy
MH  - Pain, Postoperative
MH  - Patient Reported Outcome Measures
MH  - Activities of Daily Living
MH  - Hip Joint/surgery
MH  - Follow-Up Studies
EDAT- 2022/04/04 06:00
MHDA- 2023/01/10 06:00
CRDT- 2022/04/03 20:24
PHST- 2021/11/04 00:00 [received]
PHST- 2022/01/16 00:00 [revised]
PHST- 2022/03/18 00:00 [accepted]
PHST- 2022/04/04 06:00 [pubmed]
PHST- 2023/01/10 06:00 [medline]
PHST- 2022/04/03 20:24 [entrez]
AID - S0749-8063(22)00193-1 [pii]
AID - 10.1016/j.arthro.2022.03.024 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 Feb;39(2):285-292. doi: 10.1016/j.arthro.2022.03.024. Epub 2022 
      Mar 31.