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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Snapping Hip Syndrome : An Uncommon Cause of Hip Pain ePoster Presentation Pollyanna Christine Ferreira Frazão, MD, PORTUGAL Rui Cardoso, MD, PORTUGAL Daniela Roque, MD, PORTUGAL Diogo Rocha Carvalho, Md, MsD, PORTUGAL André Santos, MD, PORTUGAL Sérgio Pita, MD, PORTUGAL Filipe Sá Malheiro, MD, PORTUGAL Tiago Pato, PORTUGAL Carlos Filipe Gonçalves João, MD, PORTUGAL Carlos Almeida, PORTUGAL
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Outcome Measures After Proximal Hamstring Repair: A Systematic Review ePoster Presentation Tara Reza, MPH, UNITED STATES Andre Gordon Perez-Chaumont, BS, UNITED STATES Andrew J Hinkle, BS, UNITED STATES Symone M Brown, MPH, UNITED STATES Mary K. Mulcahey, 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
Efficacy Of Enoxaparin As A Thromboprophylactic Agent In Major Lower Limb Orthopedic Surgeries. ePoster Presentation Raghavendra Raju, MBBS,MS, INDIA Prasad Soraganvi, MBBS, MS, DNB, MRCS, SICOT-dip, INDIA
Characterizing the Incidence of Avascular Necrosis after Corticosteroid Injections of the Hip Abstract Presentation 5 minutes Nathan Varady, MD, MBA, UNITED STATES Paul F Abraham, BS, UNITED STATES Ahab Chopra, BA, UNITED STATES Michael Peter Kucharik, BS, UNITED STATES Wendy Madeline Meek, BBA, 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
Similar Joint Space Measurements Are Obtained With Supine And Weightbearing Anteroposterior Pelvis Radiographs: Results Of A Prospective Study Abstract Presentation 5 minutes Blake M. Bodendorfer, MD, UNITED STATES Vishal A. Mehta, DO, UNITED STATES Austin M Looney, MD, UNITED STATES Kenneth Tepper, MD, UNITED STATES
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
Natural History Of Femoroacetabular Impingement: Using Machine Learning To Evaluate Risk Factors For Osteoarthritis In A Large Geographic Population Over The Long-Term Abstract Presentation 5 minutes Ayoosh Pareek, MD, UNITED STATES Sunho Ko, MD, KOREA, NORTH Heath Melugin, MD, UNITED STATES Changwung Jo, MD, KOREA, REPUBLIC OF Ryan R Wilbur, BS, UNITED STATES Bryant M. Song, MS, UNITED STATES Aaron J. Krych, MD, UNITED STATES
Hip Osteochondroplasty May Benefit The Non-Ideal Patient With Femoroacetabular Impingement: Analysis From The Embedded Prospective Cohort Of The First Trial Abstract Presentation 6 minutes Mahmoud Almasri, MD, FRCSC, UNITED STATES Nicole Simunovic, MSc, CANADA Diane Heels-Ansdell, MSc, CANADA Olufemi R. Ayeni, MD, PhD, MSc, FRCSC, CANADA FIRST Investigators, MD, CANADA
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
Mortality After Hip Or Knee Arthroplasty For Osteoarthritis In Chile ePoster Presentation Maximiliano Andres Barahona, MD, MSc, CHILE Cristian Barrientos, MD, CHILE Alvaro Martinez, MD, CHILE Julian Brañes, MD, CHILE Juan Pablo Prieto, MD, CHILE Jaime Hinzpeter, MD, CHILE
Hip Arthroscopic Portals:A New Approach Through Accessory Portals Established Within 3Cm Around Anterolateral Portal ePoster Presentation Kiran Kumar Shah, MD, NEPAL
Health Literacy in Periacetabular Osteotomy Procedure: A Quantitative Assessment of the Readability, Understandability and Actionability of Online Patient Education Material ePoster Presentation Alan Shamrock, MD, UNITED STATES Trevor Gulbrandsen, MD, UNITED STATES Burke Gao, MD, UNITED STATES Mary Kate Skalitzky, BA, UNITED STATES Robert W. Westermann, MD, UNITED STATES Michael C. Willey, MD, UNITED STATES
Radiographic Indices Are Not Predictive Of Clinical Outcome Among 1,735 Patients Indicated For Hip Arthroscopy: A Machine Learning Analysis Abstract Presentation 5 minutes Prem N Ramkumar, MD, MBA, UNITED STATES Jaret M Karnuta, MS, UNITED STATES Heather S Haeberle, MD, UNITED STATES Spencer Sullivan, BS, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES Anil S. Ranawat, MD, UNITED STATES Bryan T. Kelly, MD, UNITED STATES Benedict U. Nwachukwu, MD, MBA, UNITED STATES
Hip Labrum Reconstruction With A Polyurethane Scaffold: A Preliminary Report Of 3 Cases ePoster Presentation Bruno Capurro, MD, PhD., SPAIN Marc Tey, MD, PhD., SPAIN Raul Torres, MD, SPAIN Fernando Marques, MD, PhD., SPAIN Alfonso León, MD, PhD., SPAIN Oliver Marín-Peña, MD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN

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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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Results

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