PMID- 36912924
OWN - NLM
STAT- MEDLINE
DCOM- 20230516
LR  - 20230516
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 31
IP  - 6
DP  - 2023 Jun
TI  - High survivorship and excellent 5-year outcomes in patients older than 40 years 
      undergoing arthroscopy for femoroacetabular impingement.
PG  - 2123-2130
LID - 10.1007/s00167-023-07369-0 [doi]
AB  - PURPOSE: To assess 5-year clinical outcome, in adults > 40 years of age, 
      following hip arthroscopy for femoroacetabular impingement compared to a younger, 
      matched, control group. METHODS: All primary arthroscopies for FAI between 2009 
      and 2016 were considered (n = 1762). Hips presenting with Tonnis > 1, lateral 
      centre edge angle < 25 degrees , or prior hip surgery were excluded. Younger (< 40 years) 
      and older hips (> 40 years) were matched for gender, Tonnis grade, capsular 
      repair and radiological parameters. Survival (avoidance of total hip replacement 
      THR) was compared between the groups. Patient reported outcome measures (PROMs) 
      were also completed at baseline and 5 years to assess changes in functional 
      capacity. Additionally, hip range of motion (ROM) was assessed at baseline and 
      review. The minimal clinically important difference (MCID) was determined and 
      compared between groups. RESULTS: Ninety-seven older hips were matched to 97 
      younger controls (78% male in both groups). The average age of the older group at 
      the time of surgery was 48.0 +/- 5.7 years, compared to 26.7 +/- 6.0. Six (6.2%) of 
      the older hips and 1 (1%) of younger hips converted to THR (p = 0.043, effect 
      size = 0.74, large). There were statistically significant improvements in all 
      PROMs. At follow-up, there were no differences in PROMs between groups; 
      significant improvements in hip ROM were also observed with no difference in ROM 
      between groups at either time point. Similar achievement of MCIDs was observed in 
      both groups. CONCLUSIONS: Older patients experience a high survivorship rate at 
      5 years, although this may be lower than younger patients. Where THR is avoided, 
      large clinically significant improvements in pain and function are observed. 
      LEVEL OF EVIDENCE: Level IV.
CI  - (c) 2023. The Author(s) under exclusive licence to European Society of Sports 
      Traumatology, Knee Surgery, Arthroscopy (ESSKA).
FAU - Mullins, Karen
AU  - Mullins K
AUID- ORCID: 0000-0002-8473-3732
AD  - UPMC Sports Medicine Clinic, WIT Arena, Cork Road, Waterford, Ireland. 
      mullinsk@upmc.ie.
FAU - Filan, David
AU  - Filan D
AD  - UPMC Sports Medicine Clinic, WIT Arena, Cork Road, Waterford, Ireland.
FAU - Carton, Patrick
AU  - Carton P
AD  - UPMC Sports Medicine Clinic, WIT Arena, Cork Road, Waterford, Ireland.
AD  - The Hip and Groin Clinic, UPMC Whitfield, Butlerstown North, Cork Road, 
      Waterford, Ireland.
LA  - eng
PT  - Journal Article
DEP - 20230313
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Adult
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Female
MH  - *Femoracetabular Impingement/surgery
MH  - Hip Joint/diagnostic imaging/surgery
MH  - Arthroscopy
MH  - Survivorship
MH  - Treatment Outcome
MH  - Retrospective Studies
MH  - Follow-Up Studies
MH  - Patient Reported Outcome Measures
OTO - NOTNLM
OT  - Arthroscopy
OT  - Femoroacetabular impingement
OT  - Older adult
OT  - Survival
EDAT- 2023/03/14 06:00
MHDA- 2023/05/16 06:42
CRDT- 2023/03/13 12:13
PHST- 2022/10/21 00:00 [received]
PHST- 2023/02/24 00:00 [accepted]
PHST- 2023/05/16 06:42 [medline]
PHST- 2023/03/14 06:00 [pubmed]
PHST- 2023/03/13 12:13 [entrez]
AID - 10.1007/s00167-023-07369-0 [pii]
AID - 10.1007/s00167-023-07369-0 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2023 Jun;31(6):2123-2130. doi: 
      10.1007/s00167-023-07369-0. Epub 2023 Mar 13.