PMID- 36403951
OWN - NLM
STAT- MEDLINE
DCOM- 20221124
LR  - 20221124
IS  - 2328-5273 (Electronic)
IS  - 2328-4633 (Linking)
VI  - 80
IP  - 4
DP  - 2022 Dec
TI  - Age-Associated Functional Outcomes Following Hip Arthroscopy in Females Analysis 
      with 5-Year Follow-Up.
PG  - 230-235
AB  - PURPOSE: The purpose of this study was to evaluate out- comes of hip arthroscopy 
      for femoroacetabular impingement (FAI) in female patients at 5-year follow-up. 
      The working hypothesis for this study was that increased age and body mass index 
      (BMI) would be associated with poor outcomes. METHODS: This study included all 
      female patients 14 years and older who underwent primary hip arthroscopy for FAI 
      with 5-year patient-reported outcome scores. Patients were separated into three 
      age-based cohorts (< 30 years old, 30 to 45 years old, and > 45 years old) for 
      subsequent statistical analysis. This analysis included a comparison of patient 
      demographic information, intraoperative pathology, and functional outcome scores 
      (modified Harris Hip Score [mHHS] and nonarthritic hip score [NAHS]). 
      Statistically significant values were utilized in a regression-based analy- sis 
      to determine predictors of 5-year outcomes in female patients. A p-value of < 
      0.05 was considered to be statisti- cally significant. RESULTS: Overall, 97 
      patients met the inclusion criteria, and there was no significant difference in 
      patient demo- graphics (other than age and BMI) or in intraoperative pathologies 
      identified. There were no significant difference across the three groups for mHHS 
      and NAHS at baseline (p > 0.05). At baseline, there were no statistically 
      significant differences between groups for NAHS scores, however < 30-year-old and 
      30- to 45-year-old cohorts had superior final NAHS scores relative to the > 
      45-year-old cohort (p = 0.005). At 5-year follow-up, the NAHS scores were 
      significantly better for patients under 30 and 30 to 45 year olds relative to 
      patients over 45 (84.2 +/- 15.1 vs. 86.7 +/- 11.0 vs. 71.9 +/- 26.8, respectively; p = 
      0.005). Overall, 88 patients (91%) met the minimal clinically important differ- 
      ence (MCID), and 60 patients (62%) achieved the patient acceptable symptomatic 
      state (PASS). Baseline mHHS and BMI were shown to be statistically significant 
      predictors of achieving MCID at 5 years in multivariate analysis (p < 0.001). 
      CONCLUSION: The results of this study suggest that women generally have 
      good-to-excellent outcomes following hip ar- throscopy, although females older 
      than 45 may have inferior outcomes relative to younger patients, and BMI and 
      baseline mHHS may be utilized to predict long-term improvement.
FAU - Bloom, David A
AU  - Bloom DA
FAU - Hurley, Eoghan T
AU  - Hurley ET
FAU - Fariyike, Babatunde
AU  - Fariyike B
FAU - Akpinar, Berkcan
AU  - Akpinar B
FAU - Haskel, Jonathan D
AU  - Haskel JD
FAU - Grapperhaus, Steven A
AU  - Grapperhaus SA
FAU - Youm, Thomas
AU  - Youm T
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Bull Hosp Jt Dis (2013)
JT  - Bulletin of the Hospital for Joint Disease (2013)
JID - 101614130
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - *Arthroscopy/adverse effects/methods
MH  - *Femoracetabular Impingement/diagnostic imaging/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/diagnostic imaging/surgery
MH  - Treatment Outcome
EDAT- 2022/11/21 06:00
MHDA- 2022/11/23 06:00
CRDT- 2022/11/20 20:02
PHST- 2022/11/20 20:02 [entrez]
PHST- 2022/11/21 06:00 [pubmed]
PHST- 2022/11/23 06:00 [medline]
PST - ppublish
SO  - Bull Hosp Jt Dis (2013). 2022 Dec;80(4):230-235.