PMID- 35716988
OWN - NLM
STAT- MEDLINE
DCOM- 20221206
LR  - 20221209
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 38
IP  - 12
DP  - 2022 Dec
TI  - Acetabular Cartilage Lesions Predict Inferior Mid-Term Outcomes for Arthroscopic 
      Labral Repair and Treatment of Femoroacetabular Impingement Syndrome.
PG  - 3152-3158
LID - S0749-8063(22)00340-1 [pii]
LID - 10.1016/j.arthro.2022.05.013 [doi]
AB  - PURPOSE: To analyze the effect of acetabular chondrosis at a minimum of 2 years 
      following hip arthroscopy in patients undergoing labral repair and treatment of 
      femoroacetabular impingement. METHODS: From 2014 to 2017, patients undergoing 
      arthroscopic labral repair were prospectively enrolled in a multicenter hip 
      arthroscopy registry. The registry was retrospectively queried for primary labral 
      repair patients with complete 2-year outcomes and a Tonnis grade of less than 2. 
      Patients were grouped according to severity of articular cartilage damage noted 
      intraoperatively using the Beck classification system: none, low-grade (Grade 1 
      or 2), or high-grade (Grade 3 or 4) damage. A Kruskal-Wallis test and post hoc 
      Dunn's test with Holm correction compared 2-year postoperative outcome scores of 
      the iHOT-12 scale between groups. The proportion of patients in each cohort who 
      achieved the clinically significant thresholds of the minimum clinically 
      important difference (MCID), patient-acceptable symptom scale, and substantial 
      clinical benefit (SCB) were analyzed. Multivariate logistic regression models 
      identified predictors of achieving clinical thresholds while controlling for 
      demographic variation. RESULTS: 422 patients met inclusion criteria, from which 
      347 completed 2-year outcomes. All groups experienced improvement in iHOT-12 
      scores from baseline to follow-up (P < .001). iHOT-12 scores at follow-up were 
      inferior for Low-Grade Damage and High-Grade Damage Groups relative to the No 
      Damage Group (P = .04; P = .03). When accounting for age, body mass index, 
      gender, and preoperative iHOT-12 scores in logistic regression models, the 
      presence of high-grade lesions was a negative predictor for achieving SCB (OR 
      [95% CI], 0.54 [0.29-0.96]) and low-grade lesions a negative predictor for 
      achieving MCID (0.50 [0.27-0.92]. Among patients with high-grade lesions, there 
      was no significant difference in 2-year iHOT-12 scores between those undergoing 
      chondroplasty (n = 50) and those undergoing microfracture (n = 14) (P = .14). 
      CONCLUSIONS: Acetabular cartilage damage portends inferior patient-reported 
      outcomes 2 years after primary labral repair and treatment of femoroacetabular 
      impingement. The presence of cartilage lesions was a negative predictor of 
      individual achievement of several clinical thresholds. LEVEL OF EVIDENCE: III, 
      Retrospective comparative cohort.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Carreira, Dominic S
AU  - Carreira DS
AD  - Peachtree Orthopedics: Atlanta, Georgia, U.S.A.. Electronic address: 
      Carreira.research@gmail.com.
FAU - Shaw, Daniel B
AU  - Shaw DB
AD  - Peachtree Orthopedics: Atlanta, Georgia, U.S.A.
FAU - Ueland, Thomas E
AU  - Ueland TE
AD  - Peachtree Orthopedics: Atlanta, Georgia, U.S.A.
FAU - Wolff, Andrew B
AU  - Wolff AB
AD  - Hip Preservation and Sports Medicine, Washington Orthopaedics and Sports 
      Medicine, Washington D.C., U.S.A.
FAU - Christoforetti, John J
AU  - Christoforetti JJ
AD  - Hip Preservation and Sports Medicine, Texas Health Physicians Group, Dallas, 
      Texas, U.S.A.
FAU - Salvo, John P
AU  - Salvo JP
AD  - Rothman Orthopaedic Institute: Philadelphia, Pennsylvania, U.S.A.
FAU - Kivlan, Benjamin R
AU  - Kivlan BR
AD  - Duquesne University: Pittsburgh, Pennsylvania, U.S.A.
FAU - Matsuda, Dean K
AU  - Matsuda DK
AD  - DISC Sports and Spine Center: Marina del Rey, California, U.S.A.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20220616
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 Dec;38(12):3159-3161. PMID: 36462781
MH  - Humans
MH  - *Femoracetabular Impingement/surgery
MH  - Retrospective Studies
MH  - Activities of Daily Living
MH  - Acetabulum/surgery
MH  - Arthroscopy
MH  - *Cartilage, Articular/surgery
MH  - Patient Reported Outcome Measures
MH  - Treatment Outcome
MH  - Hip Joint/surgery
MH  - Follow-Up Studies
EDAT- 2022/06/19 06:00
MHDA- 2022/12/07 06:00
CRDT- 2022/06/18 19:37
PHST- 2021/12/21 00:00 [received]
PHST- 2022/05/24 00:00 [revised]
PHST- 2022/05/24 00:00 [accepted]
PHST- 2022/06/19 06:00 [pubmed]
PHST- 2022/12/07 06:00 [medline]
PHST- 2022/06/18 19:37 [entrez]
AID - S0749-8063(22)00340-1 [pii]
AID - 10.1016/j.arthro.2022.05.013 [doi]
PST - ppublish
SO  - Arthroscopy. 2022 Dec;38(12):3152-3158. doi: 10.1016/j.arthro.2022.05.013. Epub 
      2022 Jun 16.