Asymptomatic gluteal tendinosis does not influence outcome in arthroscopic treatment of femoroacetabular impingement syndrome

Yang, Fan; Maimaitimin, Maihemuti; Zhang, Xin; Xu, Yan; Huang, Hongjie; Wang, Jianquan

doi:10.1007/s00167-021-06792-5

Cited by 14 publications

(9 citation statements)

References 24 publications

(35 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The minimal clinically important difference (MCID) and Patient Acceptable Symptomatic State (PASS) of mHHS, VAS, HOS‐ADL, and iHOT‐12 were determined and compared between groups. According to authoritative literature reports and following some previous studies, the MCID was defined as a change of 8, 1.5, 9, and 13 points in the mHHS and VAS, HOS‐ADL, and iHOT‐12 scores, respectively 19–21 ; and the PASS was defined as the achievement of 74, 1.91, 87, and 72.2 points for mHHS, VAS, HOS‐ADL, and iHOT‐12, respectively 19,21–23 …”

Section: Methodsmentioning

confidence: 99%

“…According to authoritative literature reports and following some previous studies, the MCID was defined as a change of 8, 1.5, 9, and 13 points in the mHHS and VAS, HOS-ADL, and iHOT-12 scores, respectively [19][20][21] ; and the PASS was defined as the achievement of 74, 1.91, 87, and 72.2 points for mHHS, VAS, HOS-ADL, and iHOT-12, respectively. 19,[21][22][23] Surgical Procedures All hip arthroscopies were performed by three senior authors. After anesthesia, the patient was placed in the modified supine position on standard hip traction (Smith & Nephew).…”

Section: Radiographic Measurements and Groupingmentioning

confidence: 99%

See 1 more Smart Citation

Relationship between the Depth of Acetabuloplasty and Outcomes of Hip Arthroscopy in Patients with Global Pincer Femoroacetabular Impingement: Study with a Minimum Follow‐Up Period of 2 Years

Dang

et al. 2023

Orthopaedic Surgery

Self Cite

View full text Add to dashboard Cite

Objective: There has been no definite consensus on the ideal depth of acetabuloplasty, especially in cases of global pincer femoroacetabular impingement (FAI). This study aims to determine whether the depth of acetabuloplasty influences postoperative outcomes in cases of global pincer FAI.Methods: Data were retrospectively collected from patients with global pincer FAI who underwent hip arthroscopy with a minimum follow-up period of 2 years from May 2014 to December 2018. Patients with global pincer FAI were subdivided into low or high resection depth groups based on whether the intraoperative acetabular rim was resected by more than 3 mm. Radiographic measurements; arthroscopic procedures; preoperative and postoperative PROs were recorded. Achievement of MCID and PASS was compared for the VAS, mHHS, HOS-ADL, and iHOT-12. A paired Student t-test was used to evaluate the significance of preoperative and postoperative PROs and two-tailed unpaired Student t-test was used to compare demographic data and PROs between different groups. MCID and PASS were evaluated using the chi-square test or the Fisher's exact test.Results: A total of 41 hips with global pincer FAI (15 and 26 patients in low or high resection depth groups, respectively) were included in this study. Both groups showed significant postoperative improvements in the scores of all PROs (p < 0.001). Compared to the low resection depth group, the high resection depth group had a lower degree of improvement through hip arthroscopy, which manifested as lower postoperative mHHS scores (94.29 vs. 85.08, p = 0.006), higher VAS scores (0.93 vs. 2.54, p = 0.002), and lower improvements in VAS (À5.00 vs. À3.35, p = 0.028), , p = 0.017) and p = 0.036). Patients in high resection depth group were less likely to achieve the MCID for the VAS score compared to low resection depth group in significant (73.3 vs. 26.9%, p = 0.004). Conclusions:For patients with global pincer, the outcomes in high resection depth group were slightly worse than the the low resection depth group. It is indicated that excessive resection of the acetabular rim during the procedure should be avoided.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Radiographic Measurements and Groupingmentioning

confidence: 99%

Relationship between the Depth of Acetabuloplasty and Outcomes of Hip Arthroscopy in Patients with Global Pincer Femoroacetabular Impingement: Study with a Minimum Follow‐Up Period of 2 Years

Dang

et al. 2023

Orthopaedic Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…The minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) of mHHS, VAS, HOS‐ADL, and iHOT‐12 were determined and compared between groups. The MCID was defined as a change of 8, 1.5, 9, and 13 points in the mHHS and VAS, HOS‐ADL, and iHOT‐12 scores, respectively 14–16 . The PASS was defined as the achievement of 74, 1.91, 87, and 72.2 points for mHHS, VAS, HOS‐ADL, and iHOT‐12, respectively 17,18 …”

Section: Methodsmentioning

confidence: 99%

“…The MCID was defined as a change of 8, 1.5, 9, and 13 points in the mHHS and VAS, HOS‐ADL, and iHOT‐12 scores, respectively. 14 , 15 , 16 The PASS was defined as the achievement of 74, 1.91, 87, and 72.2 points for mHHS, VAS, HOS‐ADL, and iHOT‐12, respectively. 17 , 18 …”

Section: Methodsmentioning

confidence: 99%

“…The MCID was defined as a change of 8, 1.5, 9, and 13 points in the mHHS and VAS, HOS-ADL, and iHOT-12 scores, respectively. [14][15][16] The PASS was defined as the achievement of 74, 1.91, 87, and 72.2 points for mHHS, VAS, HOS-ADL, and iHOT-12, respectively. 17,18 Statistical Analysis A priori power analysis was performed with an error probability of 0.05 and power of 0.80 using the G*power software (v3.1.9.…”

Section: Postoperative Rehabilitationmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes in Patients with Global Pincer Versus Focal Pincer Femoroacetabular Impingement Treated with Hip Arthroscopy: A Retrospective Study with a Minimum 2‐Year Follow‐Up

Shao

et al. 2022

Orthopaedic Surgery

Self Cite

View full text Add to dashboard Cite

Objective Global pincer is a relatively rare form of pincer deformity and is typically associated with technical challenges during surgery. So far, controversy remains whether patients with global pincer have equivalent surgical outcomes compared to patients with focal pincer. This study compares the clinical outcomes of arthroscopic treatment between patients with global pincer femoroacetabular impingement (FAI) and focal pincer FAI in the Chinese population. Methods Data were retrospectively collected from patients with global and focal pincer FAI who underwent hip arthroscopy with a minimum two‐year follow‐up between April 2016 and December 2018. Radiographic measurements, arthroscopic procedures, preoperative and postoperative patient‐reported outcomes (PROs) including modified Harris hip score (mHHS), hip outcome score‐activities of daily living (HOS‐ADL), international hip outcome tool–12 (iHOT‐12), and visual analogue scale (VAS) scores, rates of revision surgery and conversion to total hip arthroplasty (THA) were recorded. Achievement of minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) was compared for the VAS, mHHS, HOS‐ADL, and iHOT‐12 scores between groups. Results The total of 33 and 167 patients were included in the global and focal group, respectively. There were no intergroup differences in age, gender, body mass index or follow‐up times. Lateral center‐edge angle (LCEA) was reduced in both groups postoperatively. Both groups demonstrated significant improvements in PROs compared with preoperative levels at the final follow‐up. The preoperative scores showed significant differences in terms of mHHS (60.34 vs 62.90, P = 0.031) and HOS‐ADL (61.45 vs 64.74, P = 0.022) scores between two groups, and the improvement of HOS‐ADL score was significantly higher in global group (P = 0.027). However, the postoperative scores, including VAS, mHHS, HOS‐ADL, and iHOT‐12 scores, showed no significant differences between two groups. And there were no significant differences in the rate of meeting the PASS and MCID between groups. One (3.0%) in the global group and six (3.6%) patients in the focal group underwent revision arthroscopy respectively, with no significant difference (P = 0.876). There were no conversions to THA in both groups. Conclusions Arthroscopic management of global pincer FAI can achieve excellent functional scores at minimum 2‐year follow‐up. The outcomes were similar to focal pincer FAI patients with a low rate of secondary procedure.

show abstract

Remnant preserving ACL reconstruction with a functional remnant is related to improved laxity but not to improved clinical outcomes in comparison to a nonfunctional remnant

Franciozi

Minami

Ambra

et al. 2021

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose The Anterior cruciate ligament (ACL) remnant has been pointed out as a ligamentization enhancer. Nonetheless, the remaining tissue can be functional if it still provides some stability or nonfunctional. This study intends to compare the clinical results and knee stability of functional vs. nonfunctional remnant preservation ACL reconstruction (ACLR). Methods One hundred and seventy-ive patients with ACL injuries were included and underwent remnant preservation ACLR. They were divided into two groups accordingly to remnant tissue functionality: functional (Group F) and nonfunctional (Group NF). Primary outcome was deined as patient reported outcomes measured with Lysholm, IKDC and Tegner continuous scales and improvements. Secondary outcomes comprised of Lachman test, anterior drawer test, pivot shift test, extension and lexion deicit, graft coverage by remnant preserved tissue and failure rate (persistent instability or new ACL lesion). Menisci lesions, cartilage lesions and time to surgery were also recorded for each group.

show abstract

Asymptomatic gluteal tendinosis does not influence outcome in arthroscopic treatment of femoroacetabular impingement syndrome

Cited by 14 publications

References 24 publications

Relationship between the Depth of Acetabuloplasty and Outcomes of Hip Arthroscopy in Patients with Global Pincer Femoroacetabular Impingement: Study with a Minimum Follow‐Up Period of 2 Years

Relationship between the Depth of Acetabuloplasty and Outcomes of Hip Arthroscopy in Patients with Global Pincer Femoroacetabular Impingement: Study with a Minimum Follow‐Up Period of 2 Years

Outcomes in Patients with Global Pincer Versus Focal Pincer Femoroacetabular Impingement Treated with Hip Arthroscopy: A Retrospective Study with a Minimum 2‐Year Follow‐Up

Remnant preserving ACL reconstruction with a functional remnant is related to improved laxity but not to improved clinical outcomes in comparison to a nonfunctional remnant

Contact Info

Product

Resources

About