PMID- 35833961
OWN - NLM
STAT- MEDLINE
DCOM- 20230124
LR  - 20230202
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Print)
IS  - 0942-2056 (Linking)
VI  - 31
IP  - 1
DP  - 2023 Jan
TI  - Hip arthroscopy for femoroacetabular impingement is associated with significant 
      improvement in early patient reported outcomes: analysis of 4963 cases from the 
      UK non-arthroplasty registry (NAHR) dataset.
PG  - 58-69
LID - 10.1007/s00167-022-07042-y [doi]
AB  - PURPOSE: Results from recent randomised controlled trials demonstrate the 
      superiority of surgery over physiotherapy in patients with femoroacetabular 
      impingement (FAI) of the hip in early follow-up. However, there is paucity of 
      evidence regarding which factors influence outcomes of FAI surgery, particularly 
      notable is the lack of information on the effect of impingement subtype (cam or 
      pincer or mixed) on patient reported outcomes measures (PROMs). This study aims 
      to evaluate the early outcomes of hip arthroscopy for FAI, and their 
      determinants. METHODS: This is a retrospective analysis of prospectively 
      collected data from the UK Non-Arthroplasty Hip Registry (NAHR) of patients 
      undergoing arthroscopic intervention for FAI between 2012 and 2019. The null 
      hypothesis was that there is no difference in PROMs, based on morphological 
      subtype of FAI treated or patient characteristics, at each follow-up timepoint. 
      The outcome measures used for the study were the iHOT-12 score and the EQ5D Index 
      and VAS 6- and 12-month follow-up. RESULTS: A cohort of 4963 patients who 
      underwent arthroscopic treatment of FAI were identified on the NAHR database. For 
      all FAI pathology groups, there was significant improvement from pre-operative 
      PROMs when compared to those at 6 and 12 months. Overall, two-thirds of patients 
      achieved the minimum clinically important difference (MCID), and almost half 
      achieved substantial clinical benefit (SCB) for iHOT-12 by 12 months. 
      Pre-operatively, and at 12-month follow-up, iHOT-12 scores were significantly 
      poorer in the pincer group compared to the cam and mixed pathology groups 
      (p < 0.01). Multivariable analysis revealed PROMS improvement in the setting of a 
      higher-grade cartilage lesion. CONCLUSION: This registry study demonstrates that 
      hip arthroscopy is an effective surgical treatment for patients with symptomatic 
      FAI and results in a statistically significant improvement in PROMs which are 
      maintained through 12 months follow-up. LEVEL OF EVIDENCE: III.
CI  - (c) 2022. The Author(s).
FAU - Holleyman, Richard
AU  - Holleyman R
AD  - Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, 
      England.
FAU - Sohatee, Mark Andrew
AU  - Sohatee MA
AD  - Northumbria NHS Foundation Trust, Newcastle upon Tyne, England.
FAU - Lyman, Stephen
AU  - Lyman S
AD  - The Hospital for Special Surgery, New York, NY, USA.
FAU - Malviya, Ajay
AU  - Malviya A
AD  - Northumbria NHS Foundation Trust, Newcastle upon Tyne, England.
FAU - Khanduja, Vikas
AU  - Khanduja V
AUID- ORCID: 0000-0001-9454-3978
AD  - Addenbrooke's - Cambridge University Hospitals NHS Foundation Trust, Cambridge, 
      England. vk279@cam.ac.uk.
CN  - NAHR User Group
LA  - eng
PT  - Journal Article
DEP - 20220714
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Humans
MH  - *Femoracetabular Impingement/surgery
MH  - Retrospective Studies
MH  - Arthroscopy
MH  - Treatment Outcome
MH  - Registries
MH  - Patient Reported Outcome Measures
MH  - United Kingdom
MH  - Hip Joint/surgery
PMC - PMC9859857
OTO - NOTNLM
OT  - Cohort
OT  - Femoroacetabular impingement
OT  - Hip
OT  - Hip arthroscopy
OT  - Hip surgery
OT  - Impingement
OT  - Outcomes
OT  - Registry
COIS- The authors declare that they have no conflict of interest.
FIR - Bankes, Marcus J K
IR  - Bankes MJK
FIR - Andrade, Tony
IR  - Andrade T
FIR - Board, Tim
IR  - Board T
FIR - Conroy, Jonathon
IR  - Conroy J
FIR - Wilson, Matthew
IR  - Wilson M
FIR - McBryde, Callum
IR  - McBryde C
EDAT- 2022/07/15 06:00
MHDA- 2023/01/25 06:00
PMCR- 2022/07/14
CRDT- 2022/07/14 11:13
PHST- 2021/09/21 00:00 [received]
PHST- 2022/06/09 00:00 [accepted]
PHST- 2022/07/15 06:00 [pubmed]
PHST- 2023/01/25 06:00 [medline]
PHST- 2022/07/14 11:13 [entrez]
PHST- 2022/07/14 00:00 [pmc-release]
AID - 10.1007/s00167-022-07042-y [pii]
AID - 7042 [pii]
AID - 10.1007/s00167-022-07042-y [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2023 Jan;31(1):58-69. doi: 
      10.1007/s00167-022-07042-y. Epub 2022 Jul 14.