PMID- 37394153
OWN - NLM
STAT- MEDLINE
DCOM- 20240226
LR  - 20240307
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 40
IP  - 3
DP  - 2024 Mar
TI  - Five-Year Outcomes of Primary Hip Arthroscopy for Femoroacetabular Impingement 
      Syndrome Among Female Patients: Higher Body Mass Index Is Associated With Reduced 
      Clinically Significant Outcomes.
PG  - 732-741
LID - S0749-8063(23)00512-1 [pii]
LID - 10.1016/j.arthro.2023.06.035 [doi]
AB  - PURPOSE: To evaluate the impact of age, body mass index (BMI), and symptom 
      duration on 5-year clinical outcomes among females following primary hip 
      arthroscopy for femoroacetabular impingement syndrome (FAIS). METHODS: We 
      conducted a retrospective review of a prospectively collected database of hip 
      arthroscopy patients with a minimum 5-year follow-up. Patients were stratified by 
      age (<30, 30-45, >/=45 years), BMI (<25.0, 25.0-29.9, >/=30.0), and preoperative 
      symptom duration (<1 vs >/=1 year). Patient-reported outcomes were assessed using 
      the modified Harris Hip Score (mHHS) and Non-Arthritic Hip Score (NAHS). Pre- to 
      postoperative improvement in mHHS and NAHS was compared between groups using the 
      Mann-Whitney U test or Kruskal-Wallis test. Hip survivorship rates and minimum 
      clinically important difference (MCID) achievement rates were compared with 
      Fisher exact test. Predictors of outcomes were identified using multivariable 
      linear and logistic regression. P values <.05 were considered significant. 
      RESULTS: In total, 103 patients were included in the analysis with a mean age of 
      42.0 +/- 12.6 years (range, 16-75) and mean BMI of 24.9 +/- 4.8 (range, 17.2-38.9). 
      Most patients had symptoms of duration >/=1 year (60.2%). Six patients (5.8%) had 
      arthroscopic revisions, and 2 patients (1.9%) converted to total hip arthroplasty 
      by 5-year follow-up. Patients with BMI >/=30.0 had significantly lower 
      postoperative mHHS (P = .03) and NAHS (P = .04) than those with BMI <25.0. Higher 
      BMI was associated with reduced improvement in mHHS (beta = -1.14, P = .02) and NAHS 
      (beta = -1.34, P < .001) and lower odds of achieving the mHHS MCID (odds ratio 
      [OR] = 0.82, P = .02) and NAHS MCID (OR = 0.88, P = .04). Older age was 
      predictive of reduced improvement in NAHS (beta = -0.31, P = .046). Symptom duration 
      >/=1 year was predictive of higher odds of achieving the NAHS MCID (OR = 3.98, P = 
      .02). CONCLUSIONS: Female patients across a wide range of ages, BMIs, and symptom 
      durations experience satisfactory 5-year outcomes following primary hip 
      arthroscopy, but higher BMI is associated with reduced improvement in 
      patient-reported outcomes. LEVEL OF EVIDENCE: Level III, retrospective 
      comparative prognostic trial.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Shankar, Dhruv S
AU  - Shankar DS
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.
FAU - Bi, Andrew S
AU  - Bi AS
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.
FAU - Buldo-Licciardi, Michael
AU  - Buldo-Licciardi M
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.
FAU - Rynecki, Nicole D
AU  - Rynecki ND
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.
FAU - Akpinar, Berkcan
AU  - Akpinar B
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.
FAU - Youm, Thomas
AU  - Youm T
AD  - Department of Orthopedic Surgery, New York University Langone Health, New York, 
      New York, U.S.A.. Electronic address: thomas.youm@nyulangone.org.
LA  - eng
PT  - Journal Article
DEP - 20230630
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. 2024 Mar;40(3):742-744. PMID: 38219126
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Young Adult
MH  - Activities of Daily Living
MH  - Arthroscopy
MH  - Body Mass Index
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2023/07/03 00:41
MHDA- 2024/02/26 06:45
CRDT- 2023/07/02 19:27
PHST- 2023/01/23 00:00 [received]
PHST- 2023/06/16 00:00 [revised]
PHST- 2023/06/17 00:00 [accepted]
PHST- 2024/02/26 06:45 [medline]
PHST- 2023/07/03 00:41 [pubmed]
PHST- 2023/07/02 19:27 [entrez]
AID - S0749-8063(23)00512-1 [pii]
AID - 10.1016/j.arthro.2023.06.035 [doi]
PST - ppublish
SO  - Arthroscopy. 2024 Mar;40(3):732-741. doi: 10.1016/j.arthro.2023.06.035. Epub 2023 
      Jun 30.