PMID- 35705973
OWN - NLM
STAT- MEDLINE
DCOM- 20220617
LR  - 20220716
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 17
IP  - 1
DP  - 2022 Jun 15
TI  - Healing of joint capsule after hip arthroscopy using interportal capsulotomy and 
      capsular closure influences clinical outcomes.
PG  - 316
LID - 10.1186/s13018-022-03208-z [doi]
LID - 316
AB  - BACKGROUND: Hip arthroscopy for treatment of femoroacetabular impingement (FAI) 
      has developed rapidly and has been shown to significantly decrease pain and 
      improve hip function. However, the relationship between hip capsule 
      characteristics and healing after arthroscopic surgery and changes in 
      patient-reported outcomes scores (PROs) for postoperative pain, function, and 
      symptoms is still uncertain. METHODS: We retrospectively evaluated consecutive 
      patients who were diagnosed with FAI and underwent hip arthroscopy for treatment 
      in our hospital between May 2018 and November 2020. All patients had preoperative 
      MRI and postoperative MRI at least 6 months after arthroscopy. Hip capsular 
      thickness was measured at the proximal, middle, and distal site of the capsule. 
      PROs and PROs at final follow-up were obtained, including visual analog scale 
      (VAS) for pain and modified Harris Hip Score (mHHS). RESULTS: A total of 194 
      patients were included in this study. The mean MRI follow-up time was 14.3 
      (range, 6-37) months, and the mean clinical follow-up time was 26.1 (range, 
      12-43) months. Postoperative capsular thickness or net change were not correlated 
      with postoperative PROs and VAS (P > .05). Capsular defect was observed in 17 
      (8.8%) patients. Patients with capsular defect had a relatively higher BMI 
      (P < .05). Patients with capsular defect had a significant lower mHHS and higher 
      VAS compared with patients with continuous capsule (P < .05). Ninety-one 
      percentage of patients with continuous capsule surpassed minimal clinically 
      important difference (MCID) and 80.8% achieved PASS, but only 58.8% of patients 
      with capsular defect surpassed MCID and 47.1% achieved patient acceptable symptom 
      state (PASS). CONCLUSIONS: Postoperative capsular thickness may not have 
      influence on the clinical outcomes of hip arthroscopy for treatment of FAI. Some 
      capsule of patients who underwent arthroscopic interportal capsulotomy and repair 
      could not heal. Postoperative capsular continuity had a great impact on the 
      clinical outcomes of hip arthroscopy for FAI. Patients with higher BMI may be 
      more likely to have capsule failure to heal.
CI  - (c) 2022. The Author(s).
FAU - Gao, Guanying
AU  - Gao G
AD  - Institute of Sports Medicine, Peking University Third Hospital, 49 North Garden 
      Road, Haidian District, Beijing, 100191, China.
FAU - Jiao, Chenbo
AU  - Jiao C
AD  - Institute of Sports Medicine, Peking University Third Hospital, 49 North Garden 
      Road, Haidian District, Beijing, 100191, China.
FAU - Liu, Jiayang
AU  - Liu J
AD  - Institute of Sports Medicine, Peking University Third Hospital, 49 North Garden 
      Road, Haidian District, Beijing, 100191, China.
FAU - Zhou, Chang
AU  - Zhou C
AD  - Institute of Sports Medicine, Peking University Third Hospital, 49 North Garden 
      Road, Haidian District, Beijing, 100191, China.
FAU - Liu, Yuhao
AU  - Liu Y
AD  - Institute of Sports Medicine, Peking University Third Hospital, 49 North Garden 
      Road, Haidian District, Beijing, 100191, China.
FAU - Ao, Yingfang
AU  - Ao Y
AD  - Institute of Sports Medicine, Peking University Third Hospital, 49 North Garden 
      Road, Haidian District, Beijing, 100191, China.
FAU - Xu, Yan
AU  - Xu Y
AD  - Institute of Sports Medicine, Peking University Third Hospital, 49 North Garden 
      Road, Haidian District, Beijing, 100191, China. yanxu@139.com.
LA  - eng
PT  - Journal Article
DEP - 20220615
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
SB  - IM
MH  - Activities of Daily Living
MH  - *Arthroscopy
MH  - *Femoracetabular Impingement/diagnostic imaging/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/diagnostic imaging/surgery
MH  - Humans
MH  - Joint Capsule/diagnostic imaging/surgery
MH  - Pain
MH  - Retrospective Studies
MH  - Treatment Outcome
PMC - PMC9202155
OTO - NOTNLM
OT  - Capsule
OT  - Femoroacetabular impingement
OT  - Hip
OT  - Magnetic resonance imaging
COIS- The authors declare that they have no competing interests.
EDAT- 2022/06/16 06:00
MHDA- 2022/06/18 06:00
PMCR- 2022/06/15
CRDT- 2022/06/15 23:41
PHST- 2022/02/08 00:00 [received]
PHST- 2022/06/08 00:00 [accepted]
PHST- 2022/06/15 23:41 [entrez]
PHST- 2022/06/16 06:00 [pubmed]
PHST- 2022/06/18 06:00 [medline]
PHST- 2022/06/15 00:00 [pmc-release]
AID - 10.1186/s13018-022-03208-z [pii]
AID - 3208 [pii]
AID - 10.1186/s13018-022-03208-z [doi]
PST - epublish
SO  - J Orthop Surg Res. 2022 Jun 15;17(1):316. doi: 10.1186/s13018-022-03208-z.