PMID- 36628692
OWN - NLM
STAT- MEDLINE
DCOM- 20230407
LR  - 20230407
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 5
DP  - 2023 May
TI  - Patients Who Underwent Primary Hip Arthroscopy for Femoroacetabular Impingement 
      with Acetabular Microfracture Show 77% Survivorship at 10-Year Follow-Up.
PG  - 1185-1194
LID - S0749-8063(22)00762-9 [pii]
LID - 10.1016/j.arthro.2022.11.018 [doi]
AB  - PURPOSE: To report minimum 10-year follow-up survivorship, defined as 
      non-conversion to total hip arthroplasty (THA), and patient-reported outcome 
      scores (PROS) after primary hip arthroscopy with acetabular microfracture in the 
      setting of femoroacetabular impingement syndrome (FAIS) and acetabular chondral 
      lesions, respectively. METHODS: Data were prospectively collected and 
      retrospectively analyzed on all patients who underwent a primary hip arthroscopy 
      and received an acetabular microfracture between June 2009 and January 2011. 
      Patients with a minimum 10-year follow-up for the modified Harris Hip Score 
      (mHHS), Nonarthritic Hip Score (NAHS), and the visual analog scale (VAS) for pain 
      were included. If available, the minimum 10-year follow-up for the Hip Outcome 
      Score-Sport-Specific Subscale was reported. The demographics, intraoperative 
      findings, surgical procedures, PROS, rate of achieving the minimal clinical 
      important difference (MCID), and secondary surgeries were analyzed and reported. 
      RESULTS: Twenty-two hips (20 patients) were included in the study, and the mean 
      follow-up time was 124.5 +/- 2.2 months. There were 17 hips (77.3%) from males and 
      5 hips (22.7%) from females. The average patient age at the time of surgery was 
      42.3 years +/- 9.6. All patients on average experienced statistically significant 
      improvement (P < .05) between preoperative and minimum 10-year follow-up scores 
      for all PROs. In total, 77.3% of the patients did not require conversion to THA. 
      Additionally, 83.3% of the patients achieved the MCID for the mHHS, NAHS, and VAS 
      for pain. CONCLUSION: At a minimum 10-year follow-up, survivorship of 77.3% was 
      reported for patients who underwent primary hip arthroscopy with acetabular 
      microfracture for the treatment of FAIS and focal/full-thickness acetabular 
      cartilage lesions. Further, in the patients that did not require THA conversion, 
      significant improvement in all PROS was demonstrated. LEVEL OF EVIDENCE: IV, 
      case-series study.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.; American 
      Hip Institute (B.G.D.), Chicago, Illinois, U.S.A.. Electronic address: 
      DrDomb@americanhipinstitute.org.
FAU - Lee, Michael S
AU  - Lee MS
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Annin, Shawn
AU  - Annin S
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Owens, Jade S
AU  - Owens JS
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Jimenez, Andrew E
AU  - Jimenez AE
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Sabetian, Payam W
AU  - Sabetian PW
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
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):1195-1197. PMID: 37019533
MH  - Male
MH  - Female
MH  - Humans
MH  - Adult
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Survivorship
MH  - Arthroscopy/methods
MH  - *Fractures, Stress
MH  - Hip Joint/surgery
MH  - Patient Reported Outcome Measures
EDAT- 2023/01/12 06:00
MHDA- 2023/04/07 10:18
CRDT- 2023/01/11 04:25
PHST- 2022/05/11 00:00 [received]
PHST- 2022/09/12 00:00 [revised]
PHST- 2022/11/14 00:00 [accepted]
PHST- 2023/04/07 10:18 [medline]
PHST- 2023/01/12 06:00 [pubmed]
PHST- 2023/01/11 04:25 [entrez]
AID - S0749-8063(22)00762-9 [pii]
AID - 10.1016/j.arthro.2022.11.018 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 May;39(5):1185-1194. doi: 10.1016/j.arthro.2022.11.018. Epub 
      2022 Dec 8.