Purpose
To report minimum 2-year follow-up patient-reported outcomes and return-to-sport (RTS)
rates in athletes undergoing concomitant hip arthroscopy and periacetabular osteotomy
(PAO) to treat acetabular dysplasia and intra-articular pathologies such as cam deformity
and labral tears.
Methods
We reviewed the data of consecutive athletes undergoing concomitant primary hip arthroscopy
and PAO for acetabular dysplasia and cam deformity from November 2010 to December
2018. Patients were included in the study if they had the following preoperative and
minimum 2-year postoperative scores: modified Harris Hip Score (mHHS), Nonarthritic
Hip Score (NAHS), and Hip Outcome Score–Sport-Specific Subscale (HOS-SSS). The percentage
of patients who achieved the minimal clinically important difference was recorded,
in addition to RTS status.
Results
A total of 29 athletes (29 hips) were included, with a mean follow-up time of 34.1
± 7.9 months, mean age of 26.0 ± 8.7 years, and mean body mass index of 23.7 ± 3.4.
These athletes showed significant improvements in the mHHS, NAHS, and HOS-SSS from
baseline to latest follow-up (P < .001). The minimal clinically important difference was achieved at high rates for
the mHHS (82.8%), NAHS (86.2%), and HOS-SSS (79.3%). Athletes who attempted to RTS
successfully returned at a rate of 81.8%.
Conclusions
Athletes undergoing concomitant hip arthroscopy and PAO showed significant improvements
in patient-reported outcomes at minimum 2-year follow-up and had an RTS rate of 81.8%.
Level of Evidence
Level IV, retrospective case series.
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Article info
Publication history
Published online: March 04, 2022
Accepted:
February 18,
2022
Received:
October 12,
2021
Footnotes
See commentary on page 2659
The authors report the following potential conflicts of interest or sources of funding: A.E.J. receives education support from Medwest, outside the submitted work. D.R.M. receives travel and lodging support from Arthrex, United States, Stryker, United States, and Smith & Nephew, outside the submitted work; receives food and beverage support from Arthrex, Stryker, Smith & Nephew, and Ossur, outside the submitted work; and is an editorial board member of Arthroscopy. B.G.D. reports that the American Orthopedic Foundation provides grant support that pays staff and expenses related to all research. In addition, B.G.D. receives consulting fees from Arthrex, Medacta, and Stryker; receives research support from ATI Physical Therapy, United States; receives research and education support from Arthrex, Medacta, and Stryker; receives educational support from Arthrex, Breg, Medwest Associates, United States, St. Alexius Medical Center, and Ossur; receives royalties from Amplitude, Arthrex, DJO Global, Medacta, Stryker, and Orthomerica; receives speaking fees from Arthrex; receives travel and lodging support from Arthrex, Medacta, and Stryker; receives food and beverage payments from Arthrex, DJO Global, Medacta, and Stryker; and receives nonconsulting payments or fees from Stryker, outside the submitted work. Moreover, B.G.D. has patents issued and receives royalties for the following: method and instrumentation for acetabular labrum reconstruction (8920497), licensed by Arthrex; adjustable multi-component hip orthosis (8708941), licensed by Orthomerica and DJO Global; and knotless suture anchors and methods of suture repair (9737292), licensed by Arthrex. Finally, B.G.D. is a board member of the American Hip Institute Research Foundation, AANA Learning Center Committee, Journal of Hip Preservation Surgery, and Arthroscopy and has had ownership interests in the American Hip Institute, Hinsdale Orthopedic Associates, Hinsdale Orthopedic Imaging, SCD#3, North Shore Surgical Suites, and Munster Specialty Surgery Center. J.M.L. reports personal fees from Smith and Nephew, personal fees from DePuy, outside the submitted work. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
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