PMID- 38508287
OWN - NLM
STAT- Publisher
LR  - 20240425
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
DP  - 2024 Mar 18
TI  - Gluteus Repair Yields Satisfactory Clinically Significant Outcome Achievement by 
      1 Year in Mostly Partial-Thickness Tears With Preoperative Hip Abduction Weakness 
      Associated With Delayed Achievement.
LID - S0749-8063(24)00231-7 [pii]
LID - 10.1016/j.arthro.2024.02.044 [doi]
AB  - PURPOSE: To define the time to achievement of clinically significant outcomes 
      (CSOs) after primary gluteus medius and/or minimus (GM) repair and to identify 
      factors associated with delayed CSO achievement. METHODS: Patients who underwent 
      primary GM repair between January 2012 and June 2021 with complete preoperative, 
      6-month, 1-year, and 2-year Hip Outcome Score-Activities of Daily Living 
      (HOS-ADL) were retrospectively identified. Cohort-specific minimal clinically 
      important difference (MCID) and patient acceptable symptom state (PASS) were 
      calculated. The time to achievement of MCID and PASS was analyzed using 
      Kaplan-Meier survival analysis. Median time to MCID and PASS achievement was 
      recorded. Multivariate stepwise Cox regressions were used to identify factors 
      associated with delayed CSO achievement. RESULTS: Fifty GM repairs were 
      identified (age 59.4 +/- 9.7 years, body mass index 27.9 +/- 6.2, 94% female). Tears 
      were grade 1 in 39 cases, grade 2 in 7 cases, and grade 3 in 4 cases. Endoscopic 
      repair was performed in 35 cases, and open repair was performed in 15 cases. 
      Labral debridement and repair were each performed in 15 cases. Median time to CSO 
      achievement was 5.7 months for MCID and 11.0 months for PASS. The 2-year 
      cumulative probability of MCID and PASS achievement was 92.7% and 66.7%, 
      respectively. Preoperative hip abduction weakness on physical examination was 
      associated with delayed achievement of MCID (hazard ratio 2.27, confidence 
      interval 1.067-7.41, P = .039) and PASS (hazard ratio 3.89, confidence interval 
      1.341-11.283, P = .012). CONCLUSIONS: This study demonstrated that in patients 
      undergoing repair of primarily grade 1 GM tears, most achieved MCID by 6 months, 
      and more than one half achieved PASS by 12 months. Preoperative hip abduction 
      weakness on physical examination was associated with delayed CSO achievement. 
      LEVEL OF EVIDENCE: Level IV, retrospective case series.
CI  - Copyright (c) 2024 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Vogel, Michael J
AU  - Vogel MJ
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery. Electronic address: nho.research@rushortho.com.
FAU - Jan, Kyleen
AU  - Jan K
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery.
FAU - Alvero, Alexander B
AU  - Alvero AB
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery.
FAU - Gilat, Ron
AU  - Gilat R
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery; Department of Orthopaedic Surgery, Shamir Medical Center and 
      Tel Aviv University, Tel Aviv, Israel.
FAU - Ebersole, John W
AU  - Ebersole JW
AD  - Department of Musculoskeletal Radiology, Rush Medical College of Rush University, 
      Rush University Medical Center, Chicago, Illinois, U.S.A.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of 
      Orthopedic Surgery.
LA  - eng
PT  - Journal Article
DEP - 20240318
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- Disclosures The authors report the following potential conflicts of interest or 
      sources of funding: S.J.N. reports intellectual property royalties from Ossur and 
      Stryker, outside the submitted work; consulting fees from Stryker, outside the 
      submitted work; board or committee member for the Arthroscopy Association of 
      North America and the American Orthopaedic Society for Sports Medicine; and 
      research support from Mitek and Stryker, outside the submitted work. All other 
      authors (M.J.V., K.J., A.B.A., R.G., J.W.E.) declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper. Full ICMJE author disclosure forms 
      are available for this article online, as supplementary material.
EDAT- 2024/03/21 00:44
MHDA- 2024/03/21 00:44
CRDT- 2024/03/20 20:24
PHST- 2023/12/22 00:00 [received]
PHST- 2024/02/21 00:00 [revised]
PHST- 2024/02/29 00:00 [accepted]
PHST- 2024/03/21 00:44 [pubmed]
PHST- 2024/03/21 00:44 [medline]
PHST- 2024/03/20 20:24 [entrez]
AID - S0749-8063(24)00231-7 [pii]
AID - 10.1016/j.arthro.2024.02.044 [doi]
PST - aheadofprint
SO  - Arthroscopy. 2024 Mar 18:S0749-8063(24)00231-7. doi: 
      10.1016/j.arthro.2024.02.044.