PMID- 36653274
OWN - NLM
STAT- MEDLINE
DCOM- 20230407
LR  - 20230411
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 5
DP  - 2023 May
TI  - Staged Bilateral Hip Arthroscopy for Femoroacetabular Impingement Syndrome: Index 
      Surgery Patient Reported Outcome Measures Predict Contralateral Surgery Results 
      at 2 Years.
PG  - 1175-1182.e1
LID - S0749-8063(22)00761-7 [pii]
LID - 10.1016/j.arthro.2022.10.048 [doi]
AB  - PURPOSE: To determine whether (1) patient-reported outcome (PRO) scores after 
      index hip arthroscopy correlate with PRO scores for the contralateral hip in 
      patients undergoing staged bilateral hip arthroscopy and (2) patients who 
      achieved minimal clinically important difference (MCID) or patient-acceptable 
      symptom state (PASS) for the index hip were more likely to achieve MCID or PASS 
      for the contralateral hip. METHODS: Patients who underwent staged bilateral hip 
      arthroscopy for femoroacetabular impingement syndrome were retrospectively 
      reviewed. PRO scores were prospectively collected at preoperative and 1- and 
      2-year timepoints. Odds ratios for achievement of MCID and PASS for the 
      contralateral hip given achievement for the index hip were calculated. 
      Improvements from before surgery to 2 years after surgery were correlated between 
      both hips. RESULTS: A total of 143 patients (286 hips) were included in the final 
      analysis. Average time between surgeries was 8.5 months (range, 0.7-57.2). Both 
      hips demonstrated significant improvement (P < .05 for all) in all PROs at 2 
      years. Achievement of MCID in Hip Outcome Score Activities of Daily Living 
      (HOS-ADL) at the 1-year timepoint for the index hip was predictive of achievement 
      of MCID in HOS-ADL at 2 years for the contralateral hip. Achievement of PASS in 
      all PROs at the 1-year timepoint for the index hip were predictive of achievement 
      of PASS in the equivalent outcome score at the 2-year mark for the contralateral 
      hip. Achievement of MCID or PASS at the 2-year timepoint for the index hip was 
      predictive of achievement of the equivalent outcome at the 2-year timepoint for 
      the contralateral hip. The strongest correlation between improvement in PRO 
      scores for the index and contralateral hips was noted in patients who underwent 
      staged hip arthroscopy within less than 3 months. CONCLUSION: Patients experience 
      significant clinical benefit in both hips after staged bilateral hip arthroscopy. 
      Results from the initial hip arthroscopy at either 1- or 2-year follow-up can be 
      used to predict outcomes on the contralateral side; however, there is a higher 
      degree of predictive value using 2-year results. Average correlations between 
      2-year PROs on the index and contralateral hips were moderate to strong, 
      regardless of the time between surgeries. LEVEL OF EVIDENCE: Level III, 
      retrospective cohort study.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Horner, Nolan S
AU  - Horner NS
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery, Rush Medical College of Rush University, Rush University 
      Medical Center, Chicago, Illinois.
FAU - Rice, Morgan W
AU  - Rice MW
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery, Rush Medical College of Rush University, Rush University 
      Medical Center, Chicago, Illinois. Electronic address: 
      nho.research@rushortho.com.
FAU - Sivasundaram, Lakshmanan
AU  - Sivasundaram L
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery, Rush Medical College of Rush University, Rush University 
      Medical Center, Chicago, Illinois.
FAU - Alter, Thomas
AU  - Alter T
AD  - Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
FAU - Ephron, Christopher G
AU  - Ephron CG
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery, Rush Medical College of Rush University, Rush University 
      Medical Center, Chicago, Illinois.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery, Rush Medical College of Rush University, Rush University 
      Medical Center, Chicago, Illinois.
LA  - eng
PT  - Journal Article
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):1183-1184. PMID: 37019532
MH  - Humans
MH  - *Femoracetabular Impingement/surgery
MH  - Hip Joint/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Arthroscopy/methods
MH  - Activities of Daily Living
MH  - Body Mass Index
MH  - Patient Reported Outcome Measures
MH  - Follow-Up Studies
EDAT- 2023/01/19 06:00
MHDA- 2023/04/07 10:18
CRDT- 2023/01/18 22:02
PHST- 2022/02/01 00:00 [received]
PHST- 2022/09/25 00:00 [revised]
PHST- 2022/10/12 00:00 [accepted]
PHST- 2023/04/07 10:18 [medline]
PHST- 2023/01/19 06:00 [pubmed]
PHST- 2023/01/18 22:02 [entrez]
AID - S0749-8063(22)00761-7 [pii]
AID - 10.1016/j.arthro.2022.10.048 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 May;39(5):1175-1182.e1. doi: 10.1016/j.arthro.2022.10.048. Epub 
      2022 Dec 8.