PMID- 36572612
OWN - NLM
STAT- MEDLINE
DCOM- 20230407
LR  - 20230407
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 5
DP  - 2023 May
TI  - Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Adolescents 
      Improves Outcomes and Clinical Benefit Achievement Rates at Short-Term Follow-Up: 
      A Multicenter Analysis.
PG  - 1211-1219
LID - S0749-8063(22)00764-2 [pii]
LID - 10.1016/j.arthro.2022.11.020 [doi]
AB  - PURPOSE: To report minimum 2-year follow-up patient-reported outcome scores 
      (PROs) and rates of achieving the minimal clinically important difference (MCID), 
      the patient-acceptable symptomatic state (PASS), and the maximal outcome 
      improvement (MOI) on adolescents following primary hip arthroscopy for 
      femoroacetabular impingement syndrome (FAIS). Second, to determine risk factors 
      for revision surgery. METHODS: Prospectively collected data from two high-volume 
      hip arthroscopy centers were retrospectively reviewed on adolescents (</=19 years 
      old) who underwent primary hip arthroscopy between November 2008 and February 
      2019. Adolescents with a minimum 2-year follow-up for the modified Harris Hip 
      Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific 
      Subscale (HOS-SSS), International Hip Outcome Tool-12 (iHOT-12), and visual 
      analog scale (VAS) for pain were included regardless of their growth plate 
      status. Exclusion criteria were Tonnis grade >1, lateral center edge-angle <18 degrees , 
      and previous ipsilateral hip surgery or conditions. Preoperative and 
      postoperative radiographic data, MCID, PASS, MOI, secondary surgeries, and 
      complications were reported. A multivariable survival analysis for risk factors 
      for secondary surgery was conducted. RESULTS: A total of 287 hips (249 patients) 
      were included (74.9% females). The mean values for age, body mass index, and 
      follow-up were 16.3 +/- 1.3 years, 22.3 +/- 3.5, and 26.6 +/- 9.4 months, respectively. 
      Further, 88.9% underwent labral repair, 81.5% femoroplasty, and 85.4% capsular 
      closure. Improvement for all PROs was reported (P < .001) with high patient 
      satisfaction (8.8 +/- 1.5). Achievement for the MCID was 71.7%, 83.0%, 68.1%, and 
      79.5% for the mHHS, NAHS, HOS-SSS, and iHOT-12, respectively. Achievement for the 
      PASS was 68.3% for the mHHS and 73.2% for the NAHS. The MOI for mHHS, NAHS, and 
      VAS was 58.3%, 77.0%, and 59.6%, respectively. Rates of revision hip arthroscopy, 
      cam recurrence, and heterotopic ossification were 5.8%, 1.7%, and 5.5%, 
      respectively. Acetabular retroversion was found to be a risk factor for revision 
      surgery (P = .03). CONCLUSION: The results of this multi-center study 
      demonstrated that adolescents who underwent primary hip arthroscopy for FAIS 
      reported significant improvement in all PROs, with satisfactory achievement rates 
      for the MCID, PASS, MOI, and high patient satisfaction at a minimum 2-year 
      follow-up. LEVEL OF EVIDENCE: IV, retrospective multicenter study.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA; Department of 
      Orthopaedic Surgery, McGovern Medical School, University of Texas Health Science 
      Center at Houston, Houston, Texas, USA.
FAU - Kufta, Allison Y
AU  - Kufta AY
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Krych, Aaron J
AU  - Krych AJ
AD  - Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, 
      Minnesota, USA.
FAU - Levy, Bruce A
AU  - Levy BA
AD  - Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, 
      Minnesota, USA.
FAU - Okoroha, Kelechi R
AU  - Okoroha KR
AD  - Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, 
      Minnesota, USA.
FAU - Gonzalez-Carta, Karina
AU  - Gonzalez-Carta K
AD  - Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, 
      Minnesota, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA; American Hip 
      Institute, Chicago, Illinois, USA. Electronic address: 
      DrDomb@americanhipinstitute.org.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20221208
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. 2023 May;39(5):1220-1221. PMID: 37019534
MH  - Female
MH  - Humans
MH  - Adolescent
MH  - Young Adult
MH  - Adult
MH  - Male
MH  - *Femoracetabular Impingement/surgery
MH  - Hip Joint/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Arthroscopy/methods
MH  - Patient Reported Outcome Measures
MH  - Follow-Up Studies
EDAT- 2022/12/27 06:00
MHDA- 2023/04/07 06:41
CRDT- 2022/12/26 21:54
PHST- 2022/05/26 00:00 [received]
PHST- 2022/09/01 00:00 [revised]
PHST- 2022/11/14 00:00 [accepted]
PHST- 2023/04/07 06:41 [medline]
PHST- 2022/12/27 06:00 [pubmed]
PHST- 2022/12/26 21:54 [entrez]
AID - S0749-8063(22)00764-2 [pii]
AID - 10.1016/j.arthro.2022.11.020 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 May;39(5):1211-1219. doi: 10.1016/j.arthro.2022.11.020. Epub 
      2022 Dec 8.