Ten year outcomes following hip arthroscopy in adolescent atheltes
ESSKA Academy. Philippon M. 11/08/19; 286394
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Ten year outcomes following hip arthroscopy in adolescent atheltes

ESMA Free Papers

Topic: Sports Trauma

Philippon M.1, Menge T.2, Bolia I.3, Briggs K.1
1Steadman Philippon Research Institute, Vail, United States, 2Spectrum Health, East Grand Rapinds, United States, 3Wake Forest Univesity, Winston Salem, United States

Studies have demonstrated hip arthroscopy to be an effective treatment for femoroacetabular impingement (FAI) with associated labral tears in young patients. The purpose of this study was to report 10-year outcomes and revision rate following hip arthroscopy for FAI and labral repair in adolescents patients.
Methods: Prospectively collected data on patients aged 13 to 17 followed for a minimum of 10 years after hip arthroscopy for FAI with labral repair performed by a single surgeon were retrospectively analyzed. Patients were excluded if they had previous surgery on the hip and if they presented with a lateral center edge angle < 20. The primary patient-reported outcome measure was the Hip Outcome Score (HOS) Activities of Daily Living (ADL) subscale. In addition, HOS Sport score, modified Harris hip score, SF12, and patient satisfaction with outcome (1 to 10, 10=very satisfied] were collected. Failures were defined as need for revision arthroscopy or symptomatic failure (HOS-ADL < 50 or patient satisfaction< 5).
Results: Average age of the cohort was 16±1.3 with 15 males and 35 females. 7 out of 50 (14%) required revision hip arthroscopy for adhesions or reinjury; however, there were no symptomatic failures. There was no association between failure and gender(p=0.97), age or BMI. At an average follow-up of 11 ±1 years, mean HOS-ADL was 92.5±9.2, SF12 PCS=52±8.2, mHHS=86±12, HOS-Sport=83±18 and median patient satisfaction w/outcome was 10[95%CI 7.8-9.1]. There was no association between outcomes scores and gender or BMI. Age correlated with mHHS (rho=-0.365;p=0.031). HOS-ADL was correlated with SF12-PCS(rho=596;p< 0.01), mHHS(rho=0.801;p< 0.01), HOS-sport(rho0.858;p< 0.01)and patient satisfaction(rho=0.553;p=0.001)
Conclusion: Hip arthroscopy for FAI with labral repair resulted in excellent patient-reported outcomes and satisfaction at a minimum of 10 years in patients who did not require revision.
Ten year outcomes following hip arthroscopy in adolescent atheltes

ESMA Free Papers

Topic: Sports Trauma

Philippon M.1, Menge T.2, Bolia I.3, Briggs K.1
1Steadman Philippon Research Institute, Vail, United States, 2Spectrum Health, East Grand Rapinds, United States, 3Wake Forest Univesity, Winston Salem, United States

Studies have demonstrated hip arthroscopy to be an effective treatment for femoroacetabular impingement (FAI) with associated labral tears in young patients. The purpose of this study was to report 10-year outcomes and revision rate following hip arthroscopy for FAI and labral repair in adolescents patients.
Methods: Prospectively collected data on patients aged 13 to 17 followed for a minimum of 10 years after hip arthroscopy for FAI with labral repair performed by a single surgeon were retrospectively analyzed. Patients were excluded if they had previous surgery on the hip and if they presented with a lateral center edge angle < 20. The primary patient-reported outcome measure was the Hip Outcome Score (HOS) Activities of Daily Living (ADL) subscale. In addition, HOS Sport score, modified Harris hip score, SF12, and patient satisfaction with outcome (1 to 10, 10=very satisfied] were collected. Failures were defined as need for revision arthroscopy or symptomatic failure (HOS-ADL < 50 or patient satisfaction< 5).
Results: Average age of the cohort was 16±1.3 with 15 males and 35 females. 7 out of 50 (14%) required revision hip arthroscopy for adhesions or reinjury; however, there were no symptomatic failures. There was no association between failure and gender(p=0.97), age or BMI. At an average follow-up of 11 ±1 years, mean HOS-ADL was 92.5±9.2, SF12 PCS=52±8.2, mHHS=86±12, HOS-Sport=83±18 and median patient satisfaction w/outcome was 10[95%CI 7.8-9.1]. There was no association between outcomes scores and gender or BMI. Age correlated with mHHS (rho=-0.365;p=0.031). HOS-ADL was correlated with SF12-PCS(rho=596;p< 0.01), mHHS(rho=0.801;p< 0.01), HOS-sport(rho0.858;p< 0.01)and patient satisfaction(rho=0.553;p=0.001)
Conclusion: Hip arthroscopy for FAI with labral repair resulted in excellent patient-reported outcomes and satisfaction at a minimum of 10 years in patients who did not require revision.
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