PMID- 38190946 OWN - NLM STAT- Publisher LR - 20240419 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) DP - 2024 Jan 6 TI - Patients Aged 40 Years and Older Demonstrate Durable and Comparable Results to Patients Aged Less Than 40 Years After Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Propensity Matched Study at Minimum 10-Year Follow-Up. LID - S0749-8063(24)00006-9 [pii] LID - 10.1016/j.arthro.2024.01.004 [doi] AB - PURPOSE: The purpose of the present study was to compare clinical outcomes and rates of secondary surgery, including revision hip arthroscopy and conversion to total hip arthroplasty (THA), after primary hip arthroscopy for femoroacetabular impingement syndrome (FAIS) in patients >/=40 years of age at minimum 10-year follow-up compared with a propensity-matched control group of patients <40 years. METHODS: A retrospective cohort study was performed for patients who underwent primary hip arthroscopy for FAIS between January 2012 and February 2013. Patients >/=40 years old were propensity matched in a 1:1 ratio by sex and body mass index to patients <40 years old. Patient-reported outcomes (PROs) including Hip Outcome Score for Activities of Daily Living and Sports-Specific subscales, modified Harris Hip, International Hip Outcome Tool-12, and Visual Analog Scale for Pain and Satisfaction were collected. Rates of minimal clinically important difference (MCID) and patient-acceptable symptomatic state (PASS) achievement at 10 years were evaluated and compared between groups. Rates of secondary surgery including revision hip arthroscopy and conversion to THA were evaluated. Gross survivorship between cohorts was evaluated using a Kaplan-Meier curve. RESULTS: Fifty-three patients aged >/=40 (age 48.3 +/- 5.8 years) were successfully matched to 53 patients aged <40 (age: 28.9 +/- 7.2, <0.001). There were no other preoperative group differences regarding patient demographics, characteristics, or radiographic findings. Both groups demonstrated significant improvement regarding all PROs at a minimum of 10 years' follow-up (P < .001 for all). No significant difference was noted between cohorts regarding any delta (preoperative to 10-year postoperative) scores (P > .05 for all). High rates of MCID and PASS achievement were achieved in both cohorts, with no significant differences in any PRO measure (P > .05 for all). No significant differences in rates of complications (age >/=40: 2.0%, age <40: 7.7%, P = .363), rates of revision (age >/=40: 7.5%, age <40: 9.4%, P = .999), or conversion to THA (age >/=40: 13.2%, age <40: 3.8%, P = .161) were identified. On Kaplan-Meier analysis, no significant difference (P = .321) was demonstrated in overall gross survivorship between cohorts. CONCLUSION: Patients with age >/=40 with FAIS undergoing primary hip arthroscopy demonstrated durable and comparable 10-year PRO and rates of MCID and PASS achievement compared with a propensity-matched cohort of age <40 counterparts. LEVEL OF EVIDENCE: Level III, retrospective comparative prognostic trial. CI - Copyright (c) 2024 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Fenn, Thomas W AU - Fenn TW AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Chan, Jimmy J AU - Chan JJ AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Larson, Jordan H AU - Larson JH AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, U.S.A. FAU - Allahabadi, Sachin AU - Allahabadi S AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, U.S.A.; Division of Sports Medicine, Department of Orthopaedic Surgeon, Houston Methodist, Houston, Texas, U.S.A. FAU - Kaplan, Daniel J AU - Kaplan DJ AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, U.S.A.; Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York, U.S.A. FAU - Nho, Shane J AU - Nho SJ AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address: nho.research@rushortho.com. LA - eng PT - Journal Article DEP - 20240106 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 COIS- Disclosure The authors declare the following financial interests/personal relationships which may be considered as potential competing interests S.J.N. reports a relationship with AlloSource that includes funding grants; a relationship with Arthrex that includes consulting or advisory; a relationship with DJ Orthopaedics that includes funding grants; a relationship with Linvatec that includes funding grants; a relationship with Ossur that includes funding grants; a relationship with Smith and Nephew that includes consulting or advisory; a relationship with Springer that includes consulting or advisory; a relationship with Stryker Orthopaedics that includes consulting or advisory; a relationship with Elite Orthopaedics that includes funding grants; American Journal of Orthopaedics editorial board member; American Orthopaedic Society for Sports Medicine Board or committee member; and Arthroscopy Association of North America board or committee member. All other authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2024/01/09 00:42 MHDA- 2024/01/09 00:42 CRDT- 2024/01/08 19:13 PHST- 2023/10/02 00:00 [received] PHST- 2023/12/18 00:00 [revised] PHST- 2024/01/02 00:00 [accepted] PHST- 2024/01/09 00:42 [pubmed] PHST- 2024/01/09 00:42 [medline] PHST- 2024/01/08 19:13 [entrez] AID - S0749-8063(24)00006-9 [pii] AID - 10.1016/j.arthro.2024.01.004 [doi] PST - aheadofprint SO - Arthroscopy. 2024 Jan 6:S0749-8063(24)00006-9. doi: 10.1016/j.arthro.2024.01.004.