Summary: Female patients with BHD presented with more severe disability but achieved equivalent clinical outcomes to males at 5-years following hip arthroscopy for FAI.

Background

Patient sex has been shown to influence outcomes following arthroscopic hip surgery.

Purpose

To evaluate for sex-based differences in outcomes following hip arthroscopy in patients with borderline hip dysplasia at a minimum of 5 years.

Methods

Between January 2011 and August 2015, data was prospectively collected on patients with borderline hip dysplasia (BHD) (lateral center edge angle [LCEA] 18-25°) undergoing primary hip arthroscopy. Patients were divided by sex, then propensity score matched for BMI, age, and Tönnis grade. All included patients had preoperative and minimum five-year postoperative scores for the 12-item Short Form Health Survey (SF-12), the Modified Harris Hip Score (mHHS), the Nonarthritic Hip Score (NAHS), the Visual Analog Scale (VAS) for pain. Minimum 5-year scores for the International Hip Outcome Tool-12 (iHOT-12), the Veterans RAND 12-Item Healthy Survey Physical Component Summary and Mental Component Summary (VR-12), the 12-item Health Survey Physical Component Summary and Mental Component Summary (SF-12), and VAS for patient satisfaction were also required. The rates of patients who achieved the minimal clinically importance difference (MCID) and patient acceptable symptomatic state (PASS) for the mHHS were also recorded. Radiographic characteristics, procedures performed, intraoperative findings, secondary surgeries, and survivorship were recorded and compared between the groups.

Results

A total of 242 patients met the inclusion criteria and 196 patients had adequate follow-up (81%). One hundred twenty-six patients were propensity score matched (63 males and 63 females). Both males and females showed significant improvements in all outcome scores recorded (P<0.001) and achieved MCID and PASS at high rates. Females reported significantly lower baseline NAHS (P=0.017) and higher baseline VAS pain (P=0.035). There were no significant differences between males and females for any postoperative patient reported outcome measure (PRO). Females trended toward larger improvements in all PROs following surgery. Male patients had significantly higher preoperative alpha angles (P<0.001) requiring a femoroplasty more frequently (P=0.016), as well as higher grades of acetabular cartilage injury (P<0.001) requiring a microfracture more frequently (P<0.001). Females required iliopsoas fractional lengthening more frequently (P=0.002). Overall reoperation rate was 19%, and females had a slightly higher rate of reoperation and conversion to total hip arthroplasty (THA) than males, but the rates were not significantly different.

Conclusion

Female patients with BHD presented with more severe disability but achieved equivalent clinical outcomes to males at 5-years following hip arthroscopy for FAI. Male patients had larger preoperative alpha angles and higher-grade acetabular cartilage pathology, though this did not translate to higher rates of secondary surgery or conversion to THA

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Promis Validation In Hip Arthroscopy: A Shift Towards Reducing Survey Burden Abstract Presentation 4 minutes Erik Gerlach, MD, UNITED STATES Ryan S. Selley, MD, UNITED STATES Daniel Johnson, MD, UNITED STATES Richard W. Nicolay, MD, UNITED STATES Gregory Versteeg, MD, UNITED STATES Mark Andrew Plantz, BS, UNITED STATES Peter Swiatek, MD, UNITED STATES Eric Sanders, MD, UNITED STATES Bejan Alvandi, MD, UNITED STATES Vehniah K. Tjong, MD, FRCSC, UNITED STATES Michael Terry, MD, UNITED STATES
No Association Between Intrauterine Contraceptive Devices and Musculoskeletal Hip Joint Pain Abstract Presentation 5 minutes Nathan Varady, MD, MBA, UNITED STATES Paul F Abraham, BS, UNITED STATES Michael Peter Kucharik, BS, UNITED STATES Christopher T Eberlin, BS, UNITED STATES David Freccero, MD, UNITED STATES Eric L. Smith, MD, UNITED STATES Scott D Martin, MD, UNITED STATES
Hip Disorders in Bull Riders: Clinical Observations and Outcomes of Arthroscopy Abstract Presentation 6 minutes J.W. Thomas Byrd, MD, UNITED STATES Kay S. Jones, MSN, RN, UNITED STATES
Endoscopic Iliotibial Band Release During Hip Arthroscopy For Femoroacetabular Impingement Syndrome And External Snapping Hip Had Better Patient-Reported Outcomes: A Retrospective Comparative Study Abstract Presentation 5 minutes 春宝李, 医学博士，博士, CHINA Shanxing Zhang, MD, CHINA
Can Hip Pain Be Treated With Tibial Malrotation Correction? Abstract Presentation 5 minutes Vitali Goriainov, FRCS (Orth), BM, PhD, MSc, UNITED KINGDOM Mohamed Zubair Farook, MBBS, D.Ortho, FRCS (Orth), UNITED KINGDOM Rajiv Kaila, MRCS, MSc, MFSEM(UK), FEBOT, UNITED KINGDOM Tom CB Pollard, MD, FRCS (Tr & Orth), UNITED KINGDOM Antonio J. M. D. Andrade, MB BS, M.Sc., FRCS(Tr&Orth), UNITED KINGDOM
Clinical Predictors of Outcome Following Proximal Hamstring Tendon Repair ePoster Presentation Heath Patrick Gould, MD, UNITED STATES William Rate, MS, MD, UNITED STATES Matthew Civilette, MD, UNITED STATES John Hamilton, MD, UNITED STATES James Dreese, MD, UNITED STATES
Stem Cells Injection And Percutaneous Femoral Head Decompression - An Extremely Rare Procedure With Good Results ePoster Presentation Sofia Moura De Carvalho, MD, PORTUGAL Inês Domingues, MD, PORTUGAL Liliana Domingues, MD, PORTUGAL Eduardo Ramalho Silva, MD, PORTUGAL Gonçalo Lavareda, MD, PORTUGAL Filipe Machado, MD, PORTUGAL Rita Ricardo, MD, PORTUGAL
Results After Arthroscopic Treatment Of Iliopsoas Impingement After Total Hip Arthroplasty ePoster Presentation Wolfgang Miehlke, MD, GERMANY Christian Sobau, MD, GERMANY Alexander Zimmerer, MD, GERMANY
Arthroscopy For Gunshot Wounds To The Hip ePoster Presentation Jorge Figueras, BS, UNITED STATES J P Ertl, MD, UNITED STATES Karchi Ertl, BS, UNITED STATES Brian Mullis, MD
Hip Arthroscopic Portals:A New Approach Through Accessory Portals Established Within 3Cm Around Anterolateral Portal ePoster Presentation Kiran Kumar Shah, MD, NEPAL
The Radiographical Influence Of Torsional Deformity Of The Acetabular And Femur In Dysplastic Hips ePoster Presentation Carsten Heimer, BA, GERMANY Carsten Perka, MD, PhD, GERMANY Henrik Baecker, MD, GERMANY
Arthroscopic Tendon Release for Iliopsoas Impingement after Total Hip Arthroplasty ePoster Presentation Michael Andreas Finsterwald, MD, AUSTRALIA Georgina Waters, MD, AUSTRALIA Jay R. Ebert, PhD, AUSTRALIA Christopher W. Jones, FAOrthA FRACS PhD MBBS(Hons) BEng(Hons) BCom, AUSTRALIA Piers Yates, MBBS(Hons) BSc(Hons) MRCS(Eng) FRCS(Tr & Orth) FRA, AUSTRALIA Peter Alberto D'Alessandro, MBBS Hons. (UWA) FRACS FAOrthA, AUSTRALIA
Capsular Complications And Subsequent Instability On The Rise As Indications For Revision Hip Arthroscopy ePoster Presentation Ryan S. Selley, MD, UNITED STATES Molly A Day, MD, UNITED STATES Reena Olsen, BS, UNITED STATES Cort D. Lawton, MD, UNITED STATES Matthew S. Dooley, MA, UNITED STATES Stephanie S Buza, MD, UNITED STATES Bryan T. Kelly, MD, UNITED STATES Anil S. Ranawat, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES
A Comparison Of Perioperative Outcomes Between Patients Who Underwent Hip Arthroscopy With And Without The Pericapsular Nerve Group Block ePoster Presentation Albert A Yusupov, MD, UNITED STATES Iciar M Davila Castrodad, MD, UNITED STATES Matthew J. Kraeutler, MD, UNITED STATES Christopher J Mazzei, MD, UNITED STATES Stephen A. Hunt, MD Kimberly V Tucker, MD, UNITED STATES Anthony Scillia, UNITED STATES Patrick A Armstrong, MD, UNITED STATES Mathew S Chow, MD, UNITED STATES Richard A Stennett, MD, UNITED STATES James C Wittig, MD

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Defining Sex-Based Outcomes Following Hip Arthroscopy In Patients With Borderline Hip Dysplasia.

Defining Sex-Based Outcomes Following Hip Arthroscopy In Patients With Borderline Hip Dysplasia.

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Conclusion

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Defining Sex-Based Outcomes Following Hip Arthroscopy In Patients With Borderline Hip Dysplasia.

Defining Sex-Based Outcomes Following Hip Arthroscopy In Patients With Borderline Hip Dysplasia.

Background

Purpose

Methods

Results

Conclusion

More ISAKOS 2021: Global Content