PMID- 35438028 OWN - NLM STAT- MEDLINE DCOM- 20220506 LR - 20220622 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 50 IP - 6 DP - 2022 May TI - Revision Hip Arthroscopy With Labral Reconstruction for Irreparable Labral Tears in Athletes: Minimum 2-Year Outcomes With a Benchmark Control Group. PG - 1571-1581 LID - 10.1177/03635465221085030 [doi] AB - BACKGROUND: The incidence of revision hip arthroscopy with labral reconstruction in athletes is increasing. However, the outcomes of revision hip arthroscopy with labral reconstruction in athletes have not been well established. PURPOSES: (1) To report minimum 2-year patient-reported outcome (PRO) scores and return to sports (RTS) characteristics for high-level athletes undergoing revision hip arthroscopy with labral reconstruction and (2) to compare clinical results with those of a propensity-matched control group of high-level athletes undergoing revision hip arthroscopy with labral repair. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Data were prospectively collected and retrospectively reviewed for athletes at any level who underwent a revision hip arthroscopy and a labral reconstruction between April 2010 and March 2019. Minimum 2-year PROs were reported for the modified Harris Hip Score (mHHS), the Nonarthritic Hip Score (NAHS), the Hip Outcome Score-Sport Specific Subscale (HOS-SSS), the visual analog scale (VAS) for pain, and RTS. The percentages of athletes achieving the minimal clinically important difference (MCID) and the maximum outcome improvement satisfaction threshold (MOIST) were also recorded. These patients were propensity matched in a 1: 1 ratio to athletes undergoing revision hip arthroscopy with labral repair for comparison. RESULTS: A total of 46 athletes (N = 47 hips) were reported from 50 (n = 51 hips) athletes who underwent revision with labral reconstruction. A subanalysis of 30 propensity-matched athletes undergoing revision labral reconstruction was performed, with a mean follow-up time of 26.3 +/- 2.4 months and an age of 28.5 +/- 10.1 years, and compared with a revision labral repair group. Significant improvements were obtained for the mHHS, the NAHS, the HOS-SSS, and the VAS from preoperative to the latest follow-up (P < .001), with an achievement MCID rate of 61.5%, 72%, 62.5%, and 76.9% for the mHHS, the NAHS, the HOS-SSS, and the VAS, respectively. The rate for re-revision surgery (2 tertiary arthroscopy and 1 conversion to total hip arthroplasty) was 10%, and 14 patients (63.6%) were able to RTS. Improvements in PROs, rates of achieving MCID/MOIST, rate of re-revision surgery (re-revision hip arthroscopy, P = .671; conversion to total hip arthroplasty, P > .999), and RTS rate (P = .337) were similar when compared with those of the propensity-matched control labral repair group (P > .05). CONCLUSION: Revision hip arthroscopy with labral reconstruction, in the context of an irreparable labral tear, seems to be a valid treatment option in the athletic population, demonstrating significant improvements in all PROs and low rates of undergoing revision surgery. Athletes experienced a similar magnitude of improvement in PROs, RTS rate, and revision surgery rate to that of a propensity-matched control group of athletes undergoing revision hip arthroscopy with labral repair. FAU - Jimenez, Andrew E AU - Jimenez AE AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Lee, Michael S AU - Lee MS AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Owens, Jade S AU - Owens JS AUID- ORCID: 0000-0002-4733-4978 AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - George, Tom AU - George T AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Paraschos, Olivia A AU - Paraschos OA AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Lall, Ajay C AU - Lall AC AUID- ORCID: 0000-0002-5736-0395 AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. AD - American Hip Institute, Chicago, Illinois, USA. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. AD - American Hip Institute, Chicago, Illinois, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220419 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Adolescent MH - Adult MH - *Arthroscopy MH - Athletes MH - Benchmarking MH - Cohort Studies MH - Control Groups 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 MH - Young Adult OTO - NOTNLM OT - femoroacetabular impingement OT - labral reconstruction OT - return to sports EDAT- 2022/04/20 06:00 MHDA- 2022/05/07 06:00 CRDT- 2022/04/19 08:40 PHST- 2022/04/20 06:00 [pubmed] PHST- 2022/05/07 06:00 [medline] PHST- 2022/04/19 08:40 [entrez] AID - 10.1177/03635465221085030 [doi] PST - ppublish SO - Am J Sports Med. 2022 May;50(6):1571-1581. doi: 10.1177/03635465221085030. Epub 2022 Apr 19.