PMID- 38164682
OWN - NLM
STAT- MEDLINE
DCOM- 20240103
LR  - 20240213
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 52
IP  - 1
DP  - 2024 Jan
TI  - Hip Arthroscopic Surgery With Chondrolabral Refixation, Osteochondroplasty, and 
      Routine Capsular Closure for Femoroacetabular Impingement Syndrome: Clinical 
      Outcomes at a Minimum 10-Year Follow-up.
PG  - 24-33
LID - 10.1177/03635465231212663 [doi]
AB  - BACKGROUND: Hip arthroscopic surgery for femoroacetabular impingement syndrome 
      (FAIS) has proven to be an effective surgical intervention, with high rates of 
      return to sport and work as well as favorable outcomes at short- and midterm 
      follow-up. However, limited data exist on outcomes at long-term follow-up. 
      PURPOSE: To evaluate patient-reported outcomes (PROs) at a minimum 10-year 
      follow-up after primary hip arthroscopic surgery including labral repair, femoral 
      osteochondroplasty, acetabular osteochondroplasty, and capsular closure for FAIS. 
      STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Patients who underwent 
      primary hip arthroscopic surgery for FAIS between June 2012 and January 2013 were 
      identified. PROs were collected preoperatively and at a minimum of 10 years 
      postoperatively, including the Hip Outcome Score-Activities of Daily Living 
      (HOS-ADL), Hip Outcome Score-Sports Subscale (HOS-SS), modified Harris Hip Score 
      (mHHS), International Hip Outcome Tool-12 (iHOT-12), and visual analog scale 
      (VAS) for pain and satisfaction. Unique minimal clinically important difference 
      (MCID) and patient acceptable symptom state (PASS) thresholds were calculated, 
      and their rates of achievement were analyzed. An alpha level of <.05 was used to 
      determine statistical significance. RESULTS: A total of 94 patients (55 female; 
      mean age, 34.3 +/- 12.4 years) were analyzed with a mean follow-up of 10.1 +/- 0.3 
      years (range, 10.0-10.7 years). Patients demonstrated significant 10-year 
      improvement across all PRO measures (P < .001). MCID and PASS thresholds were 
      calculated as follows: HOS-ADL (10.4 and 85.3, respectively), HOS-SS (14.6 and 
      60.2, respectively), mHHS (8.8 and 76.0, respectively), VAS pain (14.6 and 27.5, 
      respectively), and iHOT-12 (PASS: 71.4). The majority of patients achieved the 
      MCID and PASS for each PRO measure: HOS-ADL (73.4% and 70.9%, respectively), 
      HOS-SS (78.5% and 77.2%, respectively), mHHS (81.0% and 70.9%, respectively), VAS 
      pain (88.6% and 70.9%, respectively), and iHOT-12 (PASS: 73.4%). Overall, 9 
      patients (9.6%) underwent subsequent revision hip arthroscopic surgery at a mean 
      4.9 +/- 3.7 years (range, 1.1-10.1 years) postoperatively, and 6 patients (6.4%) 
      underwent conversion to total hip arthroplasty at a mean 4.1 +/- 3.1 years (range, 
      0.9-9.3 years) postoperatively. CONCLUSION: Patients who underwent primary hip 
      arthroscopic surgery for FAIS utilizing contemporary methods of labral repair, 
      acetabular and/or femoral osteochondroplasty, and capsular closure commonly 
      experienced sustained clinical improvement and reported high levels of 
      satisfaction at a minimum 10-year follow-up with low rates of reoperation.
FAU - Allahabadi, Sachin
AU  - Allahabadi S
AUID- ORCID: 0000-0002-1185-3039
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopaedic Surgery, Rush University Medical Center, Rush Medical College of Rush 
      University, Chicago, Illinois, USA.
AD  - Division of Sports Medicine, Department of Orthopedic Surgery, Houston Methodist, 
      Houston, Texas, USA.
FAU - Chapman, Reagan S
AU  - Chapman RS
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopaedic Surgery, Rush University Medical Center, Rush Medical College of Rush 
      University, Chicago, Illinois, USA.
FAU - Fenn, Thomas W
AU  - Fenn TW
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopaedic Surgery, Rush University Medical Center, Rush Medical College of Rush 
      University, Chicago, Illinois, USA.
FAU - Brusalis, Christopher M
AU  - Brusalis CM
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopaedic Surgery, Rush University Medical Center, Rush Medical College of Rush 
      University, Chicago, Illinois, USA.
AD  - Division of Sports Medicine, Department of Orthopedic Surgery, Hospital for 
      Special Surgery, New York, New York, USA.
FAU - Kaplan, Daniel J
AU  - Kaplan DJ
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopaedic Surgery, Rush University Medical Center, Rush Medical College of Rush 
      University, Chicago, Illinois, USA.
AD  - Division of Sports Medicine, Department of Orthopedic Surgery, New York 
      University Langone, New York, New York, USA.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopaedic Surgery, Rush University Medical Center, Rush Medical College of Rush 
      University, Chicago, Illinois, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Humans
MH  - Female
MH  - Young Adult
MH  - Adult
MH  - Middle Aged
MH  - *Femoracetabular Impingement/surgery
MH  - Hip Joint/surgery
MH  - Follow-Up Studies
MH  - Treatment Outcome
MH  - Arthroscopy/methods
MH  - Activities of Daily Living
MH  - Pain
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
OTO - NOTNLM
OT  - femoroacetabular impingement
OT  - hip
OT  - hip arthroscopic surgery
OT  - long term
COIS- One or more of the authors has declared the following potential conflict of 
      interest or source of funding: S.A. has received support for education from 
      Smith+Nephew. C.M.B. has received support for education from Smith+Nephew and 
      hospitality payments from Exactech. S.J.N. has received research support from 
      AlloSource, Arthrex, Athletico, DJ Orthopedics, Linvatec, MioMed, and 
      Smith+Nephew; consulting fees from Ossur, SI-BONE, Springer, and Stryker; 
      royalties from Ossur, Springer, and Stryker; and support for education from Elite 
      Orthopaedics. AOSSM checks author disclosures against the Open Payments Database 
      (OPD). AOSSM has not conducted an independent investigation on the OPD and 
      disclaims any liability or responsibility relating thereto.
EDAT- 2024/01/02 11:45
MHDA- 2024/01/03 09:44
CRDT- 2024/01/02 04:13
PHST- 2024/01/03 09:44 [medline]
PHST- 2024/01/02 11:45 [pubmed]
PHST- 2024/01/02 04:13 [entrez]
AID - 10.1177/03635465231212663 [doi]
PST - ppublish
SO  - Am J Sports Med. 2024 Jan;52(1):24-33. doi: 10.1177/03635465231212663.