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The Journal of Hip Surgery 2022; 06(01): 035-042
DOI: 10.1055/s-0041-1742280
Original Article

Rate of Revision Hip Arthroscopy for Pediatric Femoroacetabular Impingement: A Systematic Review

Edward S. Mojica
1   Department of Orthopaedic Surgery, Division of Sports Medicine, NYU Langone Health, New York, New York
,
Teren Yedikian
1   Department of Orthopaedic Surgery, Division of Sports Medicine, NYU Langone Health, New York, New York
,
Brittany DeClouette
1   Department of Orthopaedic Surgery, Division of Sports Medicine, NYU Langone Health, New York, New York
,
Eoghan T. Hurley
1   Department of Orthopaedic Surgery, Division of Sports Medicine, NYU Langone Health, New York, New York
,
Aaron Gipsman
1   Department of Orthopaedic Surgery, Division of Sports Medicine, NYU Langone Health, New York, New York
,
Pablo Castañeda
1   Department of Orthopaedic Surgery, Division of Sports Medicine, NYU Langone Health, New York, New York
,
Thomas Youm
1   Department of Orthopaedic Surgery, Division of Sports Medicine, NYU Langone Health, New York, New York
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Abstract

Femoroacetabular impingement (FAI) can cause pain, dysfunction, and early arthritic progression in young patients. The purpose of this study was to systematically review the evidence in literature to determine patient-reported outcomes and failure rates as defined by the need for revision surgery, following hip arthroscopy for pediatric patients with FAI. The literature search was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Clinical studies evaluating the outcomes following primary hip arthroscopy for pediatric patients with FAI were included. Clinical outcomes evaluated included revisions, complications, functional outcome scores (modified Hip Harris Score [mHHS], Non-Arthritis Hip Score, and Visual Analogue Score), and return to play. Statistical analysis was performed using GraphPad Prism version 7. This study is a level IV systematic review. Overall, 20 clinical studies with 1,136 patients (1,223 hips) were included in this review, with an average age of 16.3 years. Overall, 8.6% patients experienced revision surgery. The mHHS was the most widely used metric, present in 17 of the 20 studies. The mHHS was reported as excellent (> 90) in six of these studies and good (80–89) in 11. The weighted mean of the post-operative mHHS found across reporting studies was 84.3, from a baseline score of 58.1. The overall return to play rate was 91%. This study reports excellent post-hip arthroscopy clinical outcomes for FAI and labral tears in the pediatric population. However, revision rates for this surgical procedure are higher than previously documented.

Keywords

FAI - pediatric - systematic review - revision


Publikationsverlauf

Eingereicht: 07. Juli 2021

Angenommen: 17. Dezember 2021

Artikel online veröffentlicht:
04. Februar 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Cetinkaya S, Toker B, Ozden VE, Dikmen G, Taser O. Arthroscopic labral repair versus labral debridement in patients with femoroacetabular impingement: a minimum 2.5 year follow-up study. Hip Int 2016; 26 (01) 20-24
    CrossrefPubMedGoogle Scholar
  • 2 Espinosa N, Rothenfluh DA, Beck M, Ganz R, Leunig M. Treatment of femoro-acetabular impingement: preliminary results of labral refixation. J Bone Joint Surg Am 2006; 88 (05) 925-935
    PubMedGoogle Scholar
  • 3 Fukui K, Briggs KK, Trindade CA, Philippon MJ. Outcomes after labral repair in patients with femoroacetabular impingement and borderline dysplasia. Arthroscopy 2015; 31 (12) 2371-2379
    CrossrefPubMedGoogle Scholar
  • 4 Jayakumar P, Ramachandran M, Youm T, Achan P. Arthroscopy of the hip for paediatric and adolescent disorders: current concepts. J Bone Joint Surg Br 2012; 94 (03) 290-296
    CrossrefPubMedGoogle Scholar
  • 5 McCarthy JC, Noble PC, Schuck MR, Wright J, Lee J. The Otto E. Aufranc Award: the role of labral lesions to development of early degenerative hip disease. Clin Orthop Relat Res 2001; (393) 25-37
    CrossrefPubMedGoogle Scholar
  • 6 Akel I, Songür M, Karahan S, Yilmaz G, Demirkıran HG, Tümer Y. Acetabular index values in healthy Turkish children between 6 months and 8 years of age: a cross-sectional radiological study. Acta Orthop Traumatol Turc 2013; 47 (01) 38-42
    CrossrefPubMedGoogle Scholar
  • 7 Kuo FC, Kuo SJ, Ko JY. Overgrowth of the femoral neck after hip fractures in children. J Orthop Surg Res 2016; 11 (01) 50
    CrossrefPubMedGoogle Scholar
  • 8 Awad MAH, Bajwa AK, Slaunwhite E, Logan KJ, Wong IH. Indications for hip arthroscopy in pediatric patients a systematic review. J Hip Preserv Surg 2019; 6 (04) 304-315
    CrossrefPubMedGoogle Scholar
  • 9 Shapira J, Kyin C, Go C. et al. Indications and outcomes of secondary hip procedures after failed hip arthroscopy: a systematic review. Arthroscopy 2020; 36 (07) 1992-2007
    CrossrefPubMedGoogle Scholar
  • 10 Nasser R, Domb B. Hip arthroscopy for femoroacetabular impingement. EFORT Open Rev 2018; 3 (04) 121-129
    CrossrefPubMedGoogle Scholar
  • 11 Wylie JD, Kim Y-J. The natural history of femoroacetabular impingement. J Pediatr Orthop 2019; 39 (6, Supplement 1 Suppl 1) S28-S32
    CrossrefPubMedGoogle Scholar
  • 12 Pennock AT, Bomar JD, Johnson KP, Randich K, Upasani VV. Nonoperative management of femoroacetabular impingement: a prospective study. Am J Sports Med 2018; 46 (14) 3415-3422
    CrossrefPubMedGoogle Scholar
  • 13 Chen SL, Maldonado DR, Go CC, Kyin C, Lall AC, Domb BG. Outcomes of hip arthroscopic surgery in adolescents with a subanalysis on return to sport: a systematic review. Am J Sports Med 2020; 48 (06) 1526-1534
    CrossrefPubMedGoogle Scholar
  • 14 Migliorini F, Maffulli N. Arthroscopic management of femoroacetabular impingement in adolescents: a systematic review. Am J Sports Med 2021; 49 (13) 3708-3715
    CrossrefPubMedGoogle Scholar
  • 15 Jakobsen RB, Engebretsen L, Slauterbeck JR. An analysis of the quality of cartilage repair studies. J Bone Joint Surg Am 2005; 87 (10) 2232-2239
    PubMedGoogle Scholar
  • 16 Arashi T, Murata Y, Utsunomiya H. et al. Higher risk of cam regrowth in adolescents undergoing arthroscopic femoroacetabular impingement correction: a retrospective comparison of 33 adolescent and 74 adults. Acta Orthop 2019; 90 (06) 547-553
    CrossrefPubMedGoogle Scholar
  • 17 Ashberg L, Walsh JP, Yuen LC, Perets I, Chaharbakhshi EO, Domb BG. Outcomes of hip arthroscopy in adolescents: a comparison of acute versus chronic presentation. Two-year minimum follow-up. J Pediatr Orthop 2018; 38 (02) e50-e56
    CrossrefPubMedGoogle Scholar
  • 18 Beck EC, Nwachuckwu BU, Jan K, Nho SJ. Hip arthroscopy for femoroacetabular impingement syndrome in adolescents provides clinically significant outcome benefit at minimum 5-year follow-up. Arthroscopy 2021; 37 (05) 1467-1473.e2 DOI: 10.1016/j.arthro.2020.12.188. . Epub: 2020 Dec 24. PMID: 33359159
    CrossrefPubMedGoogle Scholar
  • 19 Byrd JW, Jones KS, Gwathmey FW. Arthroscopic management of femoroacetabular impingement in adolescents. Arthroscopy 2016; 32 (09) 1800-1806
    CrossrefPubMedGoogle Scholar
  • 20 Chandrasekaran S, Darwish N, Chaharbakhshi EO, Lodhia P, Suarez-Ahedo C, Domb BG. Arthroscopic treatment of labral tears of the hip in adolescents: patterns of clinical presentation, intra-articular derangements, radiological associations and minimum 2-year outcomes. Arthroscopy 2017; 33 (07) 1341-1351
    CrossrefPubMedGoogle Scholar
  • 21 Cvetanovich GL, Weber AE, Kuhns BD. et al. Clinically meaningful improvements after hip arthroscopy for femoroacetabular impingement in adolescent and young adult patients regardless of gender. J Pediatr Orthop 2018; 38 (09) 465-470
    CrossrefPubMedGoogle Scholar
  • 22 Degen RM, Mayer SW, Fields KG, Coleman SH, Kelly BT, Nawabi DH. Functional outcomes and cam recurrence after arthroscopic treatment of femoroacetabular impingement in adolescents. Arthroscopy 2017; 33 (07) 1361-1369
    CrossrefPubMedGoogle Scholar
  • 23 Fabricant PD, Heyworth BE, Kelly BT. Hip arthroscopy improves symptoms associated with FAI in selected adolescent athletes. Clin Orthop Relat Res 2012; 470 (01) 261-269
    CrossrefPubMedGoogle Scholar
  • 24 Larson CM, Giveans MR, Stone RM. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement: mean 3.5-year follow-up. Am J Sports Med 2012; 40 (05) 1015-1021
    CrossrefPubMedGoogle Scholar
  • 25 Litrenta J, Mu BH, Ortiz-Declet V. et al. Response to hip arthroscopy successfully treats femoroacetabular impingement in adolescent athletes. J Pediatr Orthop 2021; 41 (01) e98-e99
    CrossrefPubMedGoogle Scholar
  • 26 McConkey MO, Chadayammuri V, Garabekyan T, Mayer SW, Kraeutler MJ, Mei-Dan O. Simultaneous bilateral hip arthroscopy in adolescent athletes with symptomatic femoroacetabular impingement. J Pediatr Orthop 2019; 39 (04) 193-197
    CrossrefPubMedGoogle Scholar
  • 27 Menge TJ, Briggs KK, Dornan GJ, McNamara SC, Philippon MJ. Survivorship and outcomes 10 years following hip arthroscopy for femoroacetabular impingement: labral debridement compared with labral repair. J Bone Joint Surg Am 2017; 99 (12) 997-1004
    CrossrefPubMedGoogle Scholar
  • 28 Mohan R, Johnson NR, Hevesi M, Gibbs CM, Levy BA, Krych AJ. Return to sport and clinical outcomes after hip arthroscopic labral repair in young amateur athletes: minimum 2-year follow-up. Arthroscopy 2017; 33 (09) 1679-1684
    CrossrefPubMedGoogle Scholar
  • 29 Newman JT, Briggs KK, McNamara SC, Philippon MJ. Outcomes after revision hip arthroscopic surgery in adolescent patients compared with a matched cohort undergoing primary arthroscopic surgery. Am J Sports Med 2016; 44 (12) 3063-3069
    CrossrefPubMedGoogle Scholar
  • 30 Nwachukwu BU, Chang B, Kahlenberg CA. et al. Arthroscopic treatment of femoroacetabular impingement in adolescents provides clinically significant outcome improvement. Arthroscopy 2017; 33 (10) 1812-1818
    CrossrefPubMedGoogle Scholar
  • 31 Philippon MJ, Yen YM, Briggs KK, Kuppersmith DA, Maxwell RB. Early outcomes after hip arthroscopy for femoroacetabular impingement in the athletic adolescent patient: a preliminary report. J Pediatr Orthop 2008; 28 (07) 705-710
    CrossrefPubMedGoogle Scholar
  • 32 Richard HM, Cerza SP, De La Rocha A, Podeszwa DA. Preoperative mental health status is a significant predictor of postoperative outcomes in adolescents treated with hip preservation surgery. J Child Orthop 2020; 14 (04) 259-265
    CrossrefPubMedGoogle Scholar
  • 33 Tran P, Pritchard M, O'Donnell J. Outcome of arthroscopic treatment for cam type femoroacetabular impingement in adolescents. ANZ J Surg 2013; 83 (05) 382-386
    CrossrefPubMedGoogle Scholar
  • 34 Willimon SC, Johnson MM, Herzog MM, Busch MT. Time to return to school after 10 common orthopaedic surgeries among children and adolescents. J Pediatr Orthop 2019; 39 (06) 322-327
    CrossrefPubMedGoogle Scholar
  • 35 Youngman TR, Wagner III KJ, Montanez B. et al. The association of α angle on disease severity in adolescent femoroacetabular impingement. J Pediatr Orthop 2021; 41 (02) 88-92
    CrossrefPubMedGoogle Scholar
  • 36 Chahal J, Thiel GSV, Mather RC, Lee S, Salata MJ, Nho SJ. The minimal clinical important difference (MCID) and patient acceptable symptomatic state (PASS) for the modified harris hip score and hip outcome score among patients undergoing surgical treatment for femoroacetabular impingement. Orthop J Sports Med 2014; 2 (2 Suppl) 2325967114S00105 DOI: 10.1177/2325967114S00105.
    CrossrefPubMedGoogle Scholar
  • 37 de Sa D, Cargnelli S, Catapano M. et al. Femoroacetabular impingement in skeletally immature patients: a systematic review examining indications, outcomes, and complications of open and arthroscopic treatment. Arthroscopy 2015; 31 (02) 373-384
    CrossrefPubMedGoogle Scholar
  • 38 Levy DM, Kuhns BD, Chahal J, Philippon MJ, Kelly BT, Nho SJ. Hip arthroscopy outcomes with respect to patient acceptable symptomatic state and minimal clinically important difference. Arthroscopy 2016; 32 (09) 1877-1886
    CrossrefPubMedGoogle Scholar
  • 39 West CR, Bedard NA, Duchman KR, Westermann RW, Callaghan JJ. Rates and risk factors for revision hip arthroscopy. Iowa Orthop J 2019; 39 (01) 95-99
    PubMedGoogle Scholar
  • 40 Nepple JJ, Carlisle JC, Nunley RM, Clohisy JC. Clinical and radiographic predictors of intra-articular hip disease in arthroscopy. Am J Sports Med 2011; 39 (02) 296-303
    CrossrefPubMedGoogle Scholar
  • 41 Nicholls AS, Kiran A, Pollard TC. et al. The association between hip morphology parameters and nineteen-year risk of end-stage osteoarthritis of the hip: a nested case-control study. Arthritis Rheum 2011; 63 (11) 3392-3400
    CrossrefPubMedGoogle Scholar