Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Adolescents Provides Clinically Significant Outcome Benefit at Minimum 5-Year Follow-Up

Beck, Edward C.; Nwachuckwu, Benedict U.; Jan, Kyleen; Nho, Shane J.

doi:10.1016/j.arthro.2020.12.188

Cited by 26 publications

(16 citation statements)

References 48 publications

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“…The iHOT-12 results are furthermore indicative of acceptable results after surgery, with 2 in every 3 patients experiencing an improvement in terms of exceeding the MCID value. These results are consistent with those of a recent study by Beck et al 46 reporting positive outcomes for the adolescent patient after hip arthroscopy for FAIS. Furthermore, the International Hip Outcome Tool is a valuable tool for identifying substantial clinical benefit after hip arthroscopy for FAIS in young active patients.…”

Section: Discussionsupporting

confidence: 93%

Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery

Snaebjörnsson

Anari

Lindman

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

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Section: Discussionsupporting

confidence: 93%

Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery

Snaebjörnsson

Anari

Lindman

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

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“…16 Similarly, among adolescents (aged 11-21 years), at 5 years' follow-up, 88% of patients reached the MCID and there was a 2.4% reoperation rate. 17 Corroborating these outcomes with those of a United Statesebased statewide database, the lowest reoperation risk was achieved in surgeons with more than 518 career hip arthroscopy procedures (2.6% reoperation incidence at 5 years) 14 or more than 164 (5% at 2 years, 10% at 5 years, and 10% at 10 years) to 340 (2% at 2 years, 2% at 5 years, and 2% at 10 years) annual hip arthroscopy procedures. 18 Furthermore, the risk of complications and readmissions at 90 days was significantly lower for high-volume surgeons (readmission rates of 2.2% for <102 cases/year, 0.85% for 164-340 cases/year, and 0.58% for >340 cases/year).…”

Section: See Related Article On Page 1488mentioning

confidence: 87%

Editorial Commentary: Personalized Hip Arthroscopy Outcome Prediction Using Machine Learning—The Future Is Here

Harris¹

2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…At the present study upper limits of MCID values for HOS described at the literature, were chosen (23) . Beck et al (25) followed up their adolescent patients (13-21 years of age) for a minimum 5 years, and reported that %88 of their patients achieved MCID for HOS. Lower values were reported at the present study due to higher age group and/or probably due to choosing the upper limit for MCID values.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Arthroscopic Cam Decompression. Is Hip Joint Still Preserved Although at Learning Curve?

Türemiş¹,

Hapa²

2021

HIP

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INTRODUCTION: Hip arthroscopy is an effective treatment for femoroacetabular impingement (FAI). Purpose of the present study was to report the patient reported outcomes, hip survival retrospectively at a mean follow-up of five years. METHODS: Retrospectively collected data on 25 patients with FAI at minimum follow-up of 42 months (mean 60 months) treated with hip arthroscopy and labrum repair were analyzed. The primary outcome measures were the Hip Outcome Score (HOS) Activities of Daily Living (ADL) subscale, HOS-Sport subscale, Visual analog scale (VAS) for pain. Patient satisfaction was rated. Measurement of joint spaces and osteoarthritis (Tonnis) grading were done preoperatively and at the latest follow-up RESULTS: Pre- and postoperative mean alpha angles were 670±40 and 460±30. %76 of patients achieved minimal clinically important difference (MCID) for HOSADL and %56 of patients achieved MCID for HOSSS and all reached MCID for VAS pain score. Mean satisfaction level was 7.5±1.8 Mean preoperative Tonnis stage of the patients was 0.9±0.9 which increased to 1.1±0.8 (p: 0.046). Mean preoperative lateral joint space was 4.8±1 which decreased to 4.5±1 p<0.001. Mean middle joint space also decreased from 4.5±0.9 to 4.3±0.7 (p: 0.04). However this decrease was not statistically significant at joint space measured at foveal level (p˃0.05) (5±0.8 vs 4.9±0.7). DISCUSSION AND CONCLUSION: Mid-term results show that that after cam decompression, it is possible to say that hip joint is at least preserved and progression of hip osteoarthritis seems to be delayed. Patient functional results, pain scores are generally improved in line with the literature Keywords: hip arthroscopy, osteoarthritis, hip impingement

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Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Adolescents Provides Clinically Significant Outcome Benefit at Minimum 5-Year Follow-Up

Cited by 26 publications

References 48 publications

Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery

Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery

Editorial Commentary: Personalized Hip Arthroscopy Outcome Prediction Using Machine Learning—The Future Is Here

Retrospective Analysis of Arthroscopic Cam Decompression. Is Hip Joint Still Preserved Although at Learning Curve?

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