We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Revision Hip Arthroscopy in High-Level Athletes: Minimum 2-Year Outcomes Comparison to a Propensity-Matched Primary Hip Arthroscopy Control Group.
- Authors
Monahan, Peter F.; Jimenez, Andrew E.; Owens, Jade S.; Saks, Benjamin R.; Maldonado, David R.; Ankem, Hari K.; Sabetian, Payam W.; Lall, Ajay C.; Domb, Benjamin G.
- Abstract
Background: Outcomes of revision hip arthroscopy in the athletic population have not been well established. Purpose: (1) To report clinical outcomes for high-level athletes undergoing revision hip arthroscopy in the setting of femoroacetabular impingement syndrome (FAIS) or labral tears and (2) to compare these outcomes against a propensity-matched group of high-level athletes undergoing primary hip arthroscopy. Study Design: Cohort study; Level of evidence, 3. Methods: Data for professional, college, and high school athletes were prospectively collected and retrospectively reviewed between January 2012 and October 2018. Patients were included if they underwent revision or primary hip arthroscopy and had preoperative and minimum 2-year patient-reported outcome (PRO) scores for modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score Sports-Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain. The findings and outcomes of revision athletes were compared with a propensity-matched control group of high-level athletes undergoing primary hip arthroscopy. Results: A total of 32 hips (29 patients) undergoing revision hip arthroscopy and 92 hips (88 patients) undergoing primary hip arthroscopy were included in our final analysis with a median follow-up time of 29.5 months (95% CI, 27.2-32.1 months) and 36.5 months (95% CI, 33.5-37.7 months), respectively. Athletes undergoing revision surgery showed significant improvement in all recorded PRO measurements and achieved patient acceptable symptomatic state (PASS) and minimal clinically important difference (MCID) for mHHS at high rates (80.6% and 83.9%, respectively). When compared with a propensity-matched primary control group, patients undergoing revision surgery demonstrated lower preoperative and postoperative scores for mHHS, NAHS, and HOS-SSS, but the magnitude of improvement in functional scores was similar between groups. Athletes undergoing revision surgery achieved PASS for HOS-SSS at lower rates than the control group (P =.005), and they were less likely to attempt to return to sport compared with the control group (62.5% vs 87.0%; P <.01). Conclusion: Revision hip arthroscopy is a viable treatment option to improve PROs in high-level athletes at minimum 2-year follow-up. The study group showed significant improvement in functional scores and a high rate of successful outcomes. They experienced similar magnitude of improvement as that of a propensity-matched control group; however, they achieved lower postoperative PRO scores and attempted to return to sport at lower rates.
- Subjects
ILLINOIS; FEMORACETABULAR impingement; HIP surgery; MEDICAL rehabilitation; SPORTS participation; STATISTICAL power analysis; ACQUISITION of data methodology; CONFIDENCE intervals; ARTHROSCOPY; HEALTH outcome assessment; RETROSPECTIVE studies; SPORTS injuries; VISUAL analog scale; SURGERY; PATIENTS; FISHER exact test; COMPARATIVE studies; FUNCTIONAL assessment; T-test (Statistics); HIP joint injuries; REOPERATION; MEDICAL records; DESCRIPTIVE statistics; CHI-squared test; RESEARCH funding; DATA analysis software; LONGITUDINAL method; REHABILITATION; EVALUATION
- Publication
American Journal of Sports Medicine, 2021, Vol 49, Issue 13, p3582
- ISSN
0363-5465
- Publication type
Article
- DOI
10.1177/03635465211041760