PMID- 35561872 OWN - NLM STAT- MEDLINE DCOM- 20221213 LR - 20221213 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) VI - 38 IP - 11 DP - 2022 Nov TI - Competitive Athletes Who Underwent Hip Arthroscopy With Capsular Repair Showed Greater Improvement in Patient-Reported Outcome Scores Compared With Those Who Did Not Undergo Repair. PG - 3030-3040 LID - S0749-8063(22)00276-6 [pii] LID - 10.1016/j.arthro.2022.04.010 [doi] AB - PURPOSE: To compare minimum 2-year postoperative patient-reported outcome (PRO) scores and return to sport between competitive athletes undergoing primary hip arthroscopy for femoroacetabular impingement syndrome with interportal capsulotomy repair and competitive athletes with an unrepaired interportal capsulotomy. METHODS: Data on all consecutive competitive athletes who underwent primary hip arthroscopy for femoroacetabular impingement syndrome between February 2012 and December 2018 were collected. Athletes were divided into 2 groups: those who underwent repair and those without repair. Athletes were considered eligible if they participated in sports within 1 year prior to surgery. Patients were eligible if the return-to-sport status and the following preoperative and minimum 2-year postoperative PROs were available: modified Harris Hip Score, Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sport-Specific Subscale (HOS-SSS), and visual analog scale (VAS) score for pain. Patients were excluded if they underwent prior hip surgery, had Workers' Compensation, were unwilling to consent, had a Tonnis grade greater than 1, or had a previous hip condition. The percentages of patients achieving the minimal clinically important difference (MCID) and maximum outcome improvement satisfaction threshold were recorded. Athletes who underwent interportal capsulotomy repair were propensity score matched in a ratio of 2:1 to athletes without interportal capsulotomy repair according to age, sex, body mass index, sport level, and acetabular labrum articular disruption grade. RESULTS: Forty-nine athletes (53 hips) without repair with an average follow-up time of 36.5 +/- 10.2 months and age of 32.1 +/- 13.3 years were matched to 79 athletes (84 hips) with repair with an average follow-up time of 41.3 +/- 9.4 months and age of 30.1 +/- 12.1 years. Athletes in the repaired group showed significantly greater improvements in the NAHS, HOS-SSS, and VAS score and significantly higher rates of achievement of the MCID for the HOS-SSS compared with athletes in the unrepaired group. CONCLUSIONS: Competitive athletes who underwent primary hip arthroscopy with interportal capsulotomy repair showed a significantly greater magnitude of improvement in PRO scores (NAHS, HOS-SSS, and VAS score) and rates of achieving the MCID (HOS-SSS) compared with a propensity score-matched control group of competitive athletes with an unrepaired interportal capsulotomy. LEVEL OF EVIDENCE: Level III, retrospective comparative therapeutic trial. CI - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Jimenez, Andrew E AU - Jimenez AE 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 - Owens, Jade S AU - Owens JS AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Paraschos, Olivia A AU - Paraschos OA AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, 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 - 20220510 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 Nov;38(11):3041-3042. PMID: 36344060 MH - Adolescent MH - Adult MH - Humans MH - Middle Aged MH - Young Adult MH - Arthroscopy MH - Athletes MH - *Femoracetabular Impingement/surgery MH - Follow-Up Studies MH - Hip Joint/surgery MH - Patient Reported Outcome Measures MH - Retrospective Studies MH - Treatment Outcome EDAT- 2022/05/14 06:00 MHDA- 2022/11/10 06:00 CRDT- 2022/05/13 20:12 PHST- 2022/01/13 00:00 [received] PHST- 2022/03/03 00:00 [revised] PHST- 2022/04/20 00:00 [accepted] PHST- 2022/05/14 06:00 [pubmed] PHST- 2022/11/10 06:00 [medline] PHST- 2022/05/13 20:12 [entrez] AID - S0749-8063(22)00276-6 [pii] AID - 10.1016/j.arthro.2022.04.010 [doi] PST - ppublish SO - Arthroscopy. 2022 Nov;38(11):3030-3040. doi: 10.1016/j.arthro.2022.04.010. Epub 2022 May 10.