The Severity of Acetabular Retroversion Does Not Influence Outcomes of Arthroscopic Management of FAI
Objectives: Controversy exists regarding optimal treatment of FAI in the setting of acetabular retroversion. The purpose of this study was to investigate changes in pain and function among patients with acetabular retroversion treated with hip arthroscopy. Secondarily, to assess if the severity of p...
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| Veröffentlicht in: | Orthopaedic journal of sports medicine 2021-07, Vol.9 (7_suppl4) |
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| creator | Day, Molly Seiffert, Kayla An, Qiang Larson, Christopher Westermann, Robert |
| description | Objectives:
Controversy exists regarding optimal treatment of FAI in the setting of acetabular retroversion. The purpose of this study was to investigate changes in pain and function among patients with acetabular retroversion treated with hip arthroscopy. Secondarily, to assess if the severity of posterior wall deficiency influences post-operative outcomes following hip arthroscopy.
Methods:
A retrospective review of patients with acetabular retroversion with hip arthroscopic surgery at a single institution was performed. Acetabular retroversion was defined by three radiographic criteria: the presence of crossover sign, ischial spine sign, and posterior wall sign. Anteroposterior radiographs were used to measure lateral center edge angle (LCEA), Tonnis grade, anterior wall index (AWI) and posterior wall index (PWI), and alpha angle. Patient-reported outcome (PROs) included modified Harris Hip Score (MHHS), visual analog scale (VAS) and quality of life with Veterans RAND-12 (VR-12). Spearman correlation coefficients were used to determine correlation of PWI with pre- and post-PROs. Multivariate analysis was performed and generalized estimating equation was used to determine independent predictors for outcome scores. Significance was set at p |
| doi_str_mv | 10.1177/2325967121S00228 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8327026</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2325967121S00228</sage_id><sourcerecordid>2626862386</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2048-f26514798f0297616df3baf7ee32931c2f8735e3b11c915a2e4465f9f223b8953</originalsourceid><addsrcrecordid>eNp1UUtLAzEQXkRBUe8eA55Xk0k3yV6EUl-FakHrOWTTiV1pNzXZLfTfm6XiC8xlwvfKZCbLzhi9YEzKS-BQlEIyYM-UAqi97KiH8h7b_3E_zE5jfKPpqIKVXB5lOFsgecYNhrrdEu_I0GJrqm5pAnnCNvjExNo35NpjJI--JePGLTtsLJJp11q_SnBvC-0i-Gj9urbkwTTmFVfYtD11OxyfZAfOLCOeftbj7OX2Zja6zyfTu_FoOMkt0IHKHYiCDWSpHIVSCibmjlfGSUQOJWcWnJK8QF4xZktWGMDBQBSudAC8UmXBj7OrXe66q1Y4t6mDYJZ6HeqVCVvtTa1_M0290K9-oxUHSUGkgPPPgODfO4ytfvNdaFLPGgQIJYCrXkV3Kpu-HAO6rxcY1f1C9N-FJEu-s8Q0me_Qf_UfKG6Kqg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2626862386</pqid></control><display><type>article</type><title>The Severity of Acetabular Retroversion Does Not Influence Outcomes of Arthroscopic Management of FAI</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Day, Molly ; Seiffert, Kayla ; An, Qiang ; Larson, Christopher ; Westermann, Robert</creator><creatorcontrib>Day, Molly ; Seiffert, Kayla ; An, Qiang ; Larson, Christopher ; Westermann, Robert</creatorcontrib><description>Objectives:
Controversy exists regarding optimal treatment of FAI in the setting of acetabular retroversion. The purpose of this study was to investigate changes in pain and function among patients with acetabular retroversion treated with hip arthroscopy. Secondarily, to assess if the severity of posterior wall deficiency influences post-operative outcomes following hip arthroscopy.
Methods:
A retrospective review of patients with acetabular retroversion with hip arthroscopic surgery at a single institution was performed. Acetabular retroversion was defined by three radiographic criteria: the presence of crossover sign, ischial spine sign, and posterior wall sign. Anteroposterior radiographs were used to measure lateral center edge angle (LCEA), Tonnis grade, anterior wall index (AWI) and posterior wall index (PWI), and alpha angle. Patient-reported outcome (PROs) included modified Harris Hip Score (MHHS), visual analog scale (VAS) and quality of life with Veterans RAND-12 (VR-12). Spearman correlation coefficients were used to determine correlation of PWI with pre- and post-PROs. Multivariate analysis was performed and generalized estimating equation was used to determine independent predictors for outcome scores. Significance was set at p<0.05.
Results:
Between 2013 and 2019, 138 patients with FAI and acetabular retroversion underwent hip arthroscopy, 67% were female. The average follow-up was 29 months, with minimum of 6 months. Average preoperative LCEA 28, alpha angle 70.1, postoperative alpha angle 44.6 (p<0.05). All PROs demonstrated significant improvement from preoperative baseline to follow-up scores (MHHS (59.5 +/- 14.7 vs 80.8 +/- 18.8), VAS (6.3 +/- 1.7 vs 3.0 +/- 2.7), p<0.0001). Four patients (3%) underwent revision procedures. Upon multivariate analysis, no association between PWI and PROs was not found. Preoperative mHHS was the strongest predictor of clinical outcome.
Conclusions:
This is the largest study of patients with acetabular retroversion assessing for a correlation between PWI on patient-reported outcomes following arthroscopic management of FAI. In patients with acetabular retroversion, outcomes are good following arthroscopic management with low complication and revision rate following hip arthroscopy. Posterior wall deficiency was not a predictor of poor outcome in patients with acetabular retroversion. In this single surgeon selected series, the severity of retroversion (measured by PWI) does not appear to have a threshold or any correlation with postoperative outcomes in following FAI treatment.</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/2325967121S00228</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Multivariate analysis ; Orthopedics ; Patients ; Sports medicine</subject><ispartof>Orthopaedic journal of sports medicine, 2021-07, Vol.9 (7_suppl4)</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2021 2021 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327026/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8327026/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,21945,27830,27901,27902,44921,45309,53766,53768</link.rule.ids></links><search><creatorcontrib>Day, Molly</creatorcontrib><creatorcontrib>Seiffert, Kayla</creatorcontrib><creatorcontrib>An, Qiang</creatorcontrib><creatorcontrib>Larson, Christopher</creatorcontrib><creatorcontrib>Westermann, Robert</creatorcontrib><title>The Severity of Acetabular Retroversion Does Not Influence Outcomes of Arthroscopic Management of FAI</title><title>Orthopaedic journal of sports medicine</title><description>Objectives:
Controversy exists regarding optimal treatment of FAI in the setting of acetabular retroversion. The purpose of this study was to investigate changes in pain and function among patients with acetabular retroversion treated with hip arthroscopy. Secondarily, to assess if the severity of posterior wall deficiency influences post-operative outcomes following hip arthroscopy.
Methods:
A retrospective review of patients with acetabular retroversion with hip arthroscopic surgery at a single institution was performed. Acetabular retroversion was defined by three radiographic criteria: the presence of crossover sign, ischial spine sign, and posterior wall sign. Anteroposterior radiographs were used to measure lateral center edge angle (LCEA), Tonnis grade, anterior wall index (AWI) and posterior wall index (PWI), and alpha angle. Patient-reported outcome (PROs) included modified Harris Hip Score (MHHS), visual analog scale (VAS) and quality of life with Veterans RAND-12 (VR-12). Spearman correlation coefficients were used to determine correlation of PWI with pre- and post-PROs. Multivariate analysis was performed and generalized estimating equation was used to determine independent predictors for outcome scores. Significance was set at p<0.05.
Results:
Between 2013 and 2019, 138 patients with FAI and acetabular retroversion underwent hip arthroscopy, 67% were female. The average follow-up was 29 months, with minimum of 6 months. Average preoperative LCEA 28, alpha angle 70.1, postoperative alpha angle 44.6 (p<0.05). All PROs demonstrated significant improvement from preoperative baseline to follow-up scores (MHHS (59.5 +/- 14.7 vs 80.8 +/- 18.8), VAS (6.3 +/- 1.7 vs 3.0 +/- 2.7), p<0.0001). Four patients (3%) underwent revision procedures. Upon multivariate analysis, no association between PWI and PROs was not found. Preoperative mHHS was the strongest predictor of clinical outcome.
Conclusions:
This is the largest study of patients with acetabular retroversion assessing for a correlation between PWI on patient-reported outcomes following arthroscopic management of FAI. In patients with acetabular retroversion, outcomes are good following arthroscopic management with low complication and revision rate following hip arthroscopy. Posterior wall deficiency was not a predictor of poor outcome in patients with acetabular retroversion. In this single surgeon selected series, the severity of retroversion (measured by PWI) does not appear to have a threshold or any correlation with postoperative outcomes in following FAI treatment.</description><subject>Multivariate analysis</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Sports medicine</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>BENPR</sourceid><recordid>eNp1UUtLAzEQXkRBUe8eA55Xk0k3yV6EUl-FakHrOWTTiV1pNzXZLfTfm6XiC8xlwvfKZCbLzhi9YEzKS-BQlEIyYM-UAqi97KiH8h7b_3E_zE5jfKPpqIKVXB5lOFsgecYNhrrdEu_I0GJrqm5pAnnCNvjExNo35NpjJI--JePGLTtsLJJp11q_SnBvC-0i-Gj9urbkwTTmFVfYtD11OxyfZAfOLCOeftbj7OX2Zja6zyfTu_FoOMkt0IHKHYiCDWSpHIVSCibmjlfGSUQOJWcWnJK8QF4xZktWGMDBQBSudAC8UmXBj7OrXe66q1Y4t6mDYJZ6HeqVCVvtTa1_M0290K9-oxUHSUGkgPPPgODfO4ytfvNdaFLPGgQIJYCrXkV3Kpu-HAO6rxcY1f1C9N-FJEu-s8Q0me_Qf_UfKG6Kqg</recordid><startdate>20210730</startdate><enddate>20210730</enddate><creator>Day, Molly</creator><creator>Seiffert, Kayla</creator><creator>An, Qiang</creator><creator>Larson, Christopher</creator><creator>Westermann, Robert</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20210730</creationdate><title>The Severity of Acetabular Retroversion Does Not Influence Outcomes of Arthroscopic Management of FAI</title><author>Day, Molly ; Seiffert, Kayla ; An, Qiang ; Larson, Christopher ; Westermann, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2048-f26514798f0297616df3baf7ee32931c2f8735e3b11c915a2e4465f9f223b8953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Multivariate analysis</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Sports medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Day, Molly</creatorcontrib><creatorcontrib>Seiffert, Kayla</creatorcontrib><creatorcontrib>An, Qiang</creatorcontrib><creatorcontrib>Larson, Christopher</creatorcontrib><creatorcontrib>Westermann, Robert</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Day, Molly</au><au>Seiffert, Kayla</au><au>An, Qiang</au><au>Larson, Christopher</au><au>Westermann, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Severity of Acetabular Retroversion Does Not Influence Outcomes of Arthroscopic Management of FAI</atitle><jtitle>Orthopaedic journal of sports medicine</jtitle><date>2021-07-30</date><risdate>2021</risdate><volume>9</volume><issue>7_suppl4</issue><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Objectives:
Controversy exists regarding optimal treatment of FAI in the setting of acetabular retroversion. The purpose of this study was to investigate changes in pain and function among patients with acetabular retroversion treated with hip arthroscopy. Secondarily, to assess if the severity of posterior wall deficiency influences post-operative outcomes following hip arthroscopy.
Methods:
A retrospective review of patients with acetabular retroversion with hip arthroscopic surgery at a single institution was performed. Acetabular retroversion was defined by three radiographic criteria: the presence of crossover sign, ischial spine sign, and posterior wall sign. Anteroposterior radiographs were used to measure lateral center edge angle (LCEA), Tonnis grade, anterior wall index (AWI) and posterior wall index (PWI), and alpha angle. Patient-reported outcome (PROs) included modified Harris Hip Score (MHHS), visual analog scale (VAS) and quality of life with Veterans RAND-12 (VR-12). Spearman correlation coefficients were used to determine correlation of PWI with pre- and post-PROs. Multivariate analysis was performed and generalized estimating equation was used to determine independent predictors for outcome scores. Significance was set at p<0.05.
Results:
Between 2013 and 2019, 138 patients with FAI and acetabular retroversion underwent hip arthroscopy, 67% were female. The average follow-up was 29 months, with minimum of 6 months. Average preoperative LCEA 28, alpha angle 70.1, postoperative alpha angle 44.6 (p<0.05). All PROs demonstrated significant improvement from preoperative baseline to follow-up scores (MHHS (59.5 +/- 14.7 vs 80.8 +/- 18.8), VAS (6.3 +/- 1.7 vs 3.0 +/- 2.7), p<0.0001). Four patients (3%) underwent revision procedures. Upon multivariate analysis, no association between PWI and PROs was not found. Preoperative mHHS was the strongest predictor of clinical outcome.
Conclusions:
This is the largest study of patients with acetabular retroversion assessing for a correlation between PWI on patient-reported outcomes following arthroscopic management of FAI. In patients with acetabular retroversion, outcomes are good following arthroscopic management with low complication and revision rate following hip arthroscopy. Posterior wall deficiency was not a predictor of poor outcome in patients with acetabular retroversion. In this single surgeon selected series, the severity of retroversion (measured by PWI) does not appear to have a threshold or any correlation with postoperative outcomes in following FAI treatment.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/2325967121S00228</doi><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Multivariate analysis Orthopedics Patients Sports medicine |
| title | The Severity of Acetabular Retroversion Does Not Influence Outcomes of Arthroscopic Management of FAI |
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