Back to Search
Start Over
Repeat Revision Hip Arthroscopy Outcomes Match That of Initial Revision But Not That of Primary Surgery for Femoroacetabular Impingement Syndrome
- Source :
- Arthroscopy: The Journal of Arthroscopic & Related Surgery. 37:3434-3441
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- To (1) report on pre- and postoperative patient-reported outcome (PRO) scores for patients undergoing repeat revision surgery in short-term follow-up and (2) compare minimal clinically important difference (MCID) and patient acceptable symptomatic state achievement between primary, revision, and repeat revision hip arthroscopy cohorts.Data from consecutive patients undergoing revision hip arthroscopy from January 2012 to February 2019 were retrospectively reviewed. Hips that underwent 2 revision hip arthroscopic surgeries were identified and matched 1:3 to patients undergoing revision surgery and 1:3 to patients undergoing primary surgery by age, sex, and body mass index. Baseline demographic data, surgical indications, and hip-specific PROs were collected were obtained preoperatively and at minimum 1-year follow-up. MCID was calculated individually for each cohort.Twenty patients who underwent repeat revision were matched to 60 patients who underwent revision and 60 primary patients. Patients who underwent repeat revision achieved MCID on all investigated PROs at a similar rate to patients undergoing primary surgery (90.0% vs 91.7%, P = .588) and at a greater rate than patients undergoing first-time revision surgery (90.0% vs 71.7%, P = .045). Patients who underwent repeat revision achieved patient acceptable symptomatic state on all investigated PROs at a similar rate to patients who underwent first-time revision (30.0% vs 55.0%, P = .053) but at a significantly lower rate than primary patients (30.0% vs 76.7%, P.001). However, patients undergoing repeat revision surgery had significantly lower preoperative PROs (P.001 for all) and no significant difference in PROs at minimum 1-year follow-up compared with patients undergoing revision (P.05). Compared with the primary cohort, patients who underwent repeat revision had significantly lower Hip Outcome Score-Activities of Daily Living (77.3 ± 16.7 vs 86.1 ± 14.4; P = .034), Hip Outcome Score-Sports Subscale (60.6 ± 27.2 vs 76.1 ± 23.8; P.001), and modified Harris Hip Score (69.2 ± 19.3 vs 81.7 ± 16.1; P = .048) at a minimum of 1-year follow-up.Second-time revision hip arthroscopy, which often requires advanced procedures, results in clinically significant improvement in PROs; however, outcomes for repeat revision cases are similar to first-time revision cases but inferior to those obtained following primary surgeries.Level III, retrospective case-control study.
- Subjects :
- medicine.medical_specialty
Demographic data
Arthroscopy
03 medical and health sciences
0302 clinical medicine
Activities of Daily Living
Femoracetabular Impingement
medicine
Humans
Daily living
Orthopedics and Sports Medicine
Patient Reported Outcome Measures
Retrospective Studies
030222 orthopedics
Femoroacetabular Impingement Syndrome
business.industry
Minimal clinically important difference
030229 sport sciences
Surgery
Treatment Outcome
Case-Control Studies
Cohort
Hip Joint
Level iii
Hip arthroscopy
business
Body mass index
Follow-Up Studies
Subjects
Details
- ISSN :
- 07498063
- Volume :
- 37
- Database :
- OpenAIRE
- Journal :
- Arthroscopy: The Journal of Arthroscopic & Related Surgery
- Accession number :
- edsair.doi.dedup.....51693576d382f6a5cdf8aaec2f5feb74