PMID- 36736444
OWN - NLM
STAT- MEDLINE
DCOM- 20230508
LR  - 20230511
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 6
DP  - 2023 Jun
TI  - Patients With Unhealed or Partially Healed Anterior Capsules After Hip 
      Arthroscopy for Borderline Developmental Dysplasia of the Hips Have Inferior 
      Patient-Reported Outcome Measures.
PG  - 1454-1461
LID - S0749-8063(23)00058-0 [pii]
LID - 10.1016/j.arthro.2023.01.024 [doi]
AB  - PURPOSE: To evaluate the changes in anterior hip capsular thickness on pre- and 
      postoperative magnetic resonance imaging (MRI) and their associated clinical 
      outcomes in patients with borderline developmental dysplasia of the hip (BDDH). 
      METHODS: A minimum 2-year follow-up retrospective analysis was performed using 
      data from symptomatic patients with BDDH who underwent hip arthroscopy with 
      routine capsular closure between 2018 and 2020. An available postoperative hip 
      MRI was a prerequisite for study inclusion. Capsular thickness at the capsulotomy 
      zone was measured on MRI. An analysis of the correlations between anterior 
      capsular thickness differences and demographic factors (including age, sex, body 
      mass index, laterality, preoperative alpha angle and lateral center-edge angle, 
      cartilage lesion grade, follow-up time, and capsule management) was performed. 
      Patients with unhealed or partially healed capsules (study group) were 
      propensity-score matched 1:1 to patients with completely healed capsules based on 
      age, sex, body mass index, and follow-up time. Comparisons and analyses of the 
      following parameters were completed for both groups: patient-reported outcomes 
      (Hip Outcome Score-Activities of Daily Living [HOS-ADL], Hip Outcome 
      Score-Sports-Specific Subscale [HOS-SSS], International Hip Outcome Tool 
      12-component form [iHOT-12], and modified Harris Hip Score), visual analog scale 
      scores, radiographic measures, performed procedures, and complications. RESULTS: 
      Data were compiled for 59 patients' hips after patient selection. The majority of 
      the repaired hip capsules remained closed (93.2%) at a minimum 2-year follow-up. 
      Propensity-score matching was applied to distribute 25 subjects in the study 
      group and 25 in the control group. The anterior capsule was significantly thinner 
      postoperation in the study group (3.0 +/- 1.2 mm vs 4.1 +/- 0.6 mm; P < .001). 
      Compared with the control group, patients in the study group had significantly 
      inferior postoperative HOS-ADL (75.1 vs 83.5, P = .007), HOS-SSS (64.5 vs 77.1, 
      P = .005), and iHOT-12 scores (56.1 vs 70.2, P = .006). In addition, patients in 
      the study group were significantly less likely to achieve the minimum clinically 
      important difference for the HOS-ADL score (52% vs 80%, P = .037) score and 
      patient acceptable symptomatic state for the HOS-ADL score (32% vs 60%, P = 
      .047). CONCLUSIONS: The majority of the repaired hip capsules in patients with 
      BDDH remained closed but not all capsules completely healed at a minimum 2-year 
      follow-up. Patients with an unhealed or partially healed capsule had inferior 
      HOS-ADL, HOS-SSS, and iHOT-12 scores and were less likely to achieve the minimum 
      clinically important difference and patient acceptable symptomatic state for the 
      HOS-ADL score. LEVEL OF EVIDENCE: III, retrospective comparative prognostic 
      study.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Yang, Fan
AU  - Yang F
AD  - Department of Sports Medicine, Peking University Third Hospital. Institute of 
      Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries, 
      Beijing, China.
FAU - Zhang, Xin
AU  - Zhang X
AD  - Department of Sports Medicine, Peking University Third Hospital. Institute of 
      Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries, 
      Beijing, China.
FAU - Xu, Yan
AU  - Xu Y
AD  - Department of Sports Medicine, Peking University Third Hospital. Institute of 
      Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries, 
      Beijing, China.
FAU - Huang, Hongjie
AU  - Huang H
AD  - Department of Sports Medicine, Peking University Third Hospital. Institute of 
      Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries, 
      Beijing, China. Electronic address: bysyhhj@163.com.
FAU - Wang, Jianquan
AU  - Wang J
AD  - Department of Sports Medicine, Peking University Third Hospital. Institute of 
      Sports Medicine of Peking University. Beijing Key Laboratory of Sports Injuries, 
      Beijing, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230202
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 Jun;39(6):1462-1463. PMID: 37147074
MH  - Humans
MH  - Hip Joint/diagnostic imaging/surgery
MH  - Retrospective Studies
MH  - *Femoracetabular Impingement/surgery
MH  - Treatment Outcome
MH  - Arthroscopy/methods
MH  - Activities of Daily Living
MH  - *Developmental Dysplasia of the Hip
MH  - Patient Reported Outcome Measures
MH  - Follow-Up Studies
EDAT- 2023/02/04 06:00
MHDA- 2023/05/08 06:41
CRDT- 2023/02/03 19:23
PHST- 2022/07/15 00:00 [received]
PHST- 2022/09/23 00:00 [revised]
PHST- 2023/01/10 00:00 [accepted]
PHST- 2023/05/08 06:41 [medline]
PHST- 2023/02/04 06:00 [pubmed]
PHST- 2023/02/03 19:23 [entrez]
AID - S0749-8063(23)00058-0 [pii]
AID - 10.1016/j.arthro.2023.01.024 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 Jun;39(6):1454-1461. doi: 10.1016/j.arthro.2023.01.024. Epub 
      2023 Feb 2.