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Hip Arthroscopy With Labral Repair and Capsular Closure in Patients With Joint Hypermobility Does Not Result in
Joseph J Ruzbarsky1, Spencer M Comfort2, Trevor J Shelton1
1Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.
Purpose:
To compare patient-reported outcomes between patients with and without joint hypermobility after primary hip arthroscopy with labral repair for femoroacetabular impingement syndrome.
Methods:
Patients undergoing primary hip arthroscopy with labral repair for femoroacetabular impingement syndrome between January 2016 and December 2018 were identified. Exclusion criteria included prior ipsilateral hip surgery or a center-edge angle less than 20°. At minimum 2-year follow-up, the Hip Outcome Score-Activities of Daily Living (HOS-ADL), Hip Outcome Score-Sport (HOS-Sport), modified Harris Hip Score (mHHS), 12-Item Short Form (SF-12) Physical Component Score, SF-12 Mental Component Score, Western Ontario and McMaster Universities Osteoarthritis Index, minimal clinically important difference (MCID), patient acceptable symptom state (PASS), Tegner Activity Scale score, and satisfaction rating were compared between the hypermobility (HM) group (Beighton score ≥ 5) and non-hypermobility (NHM) group (Beighton score < 5).
Results:
A total of 221 patients met the inclusion criteria, with 218 (98.6%) completing the minimum follow-up. The HM group included 24 patients with a mean follow-up period of 4.18 ± 1.3 years, and the NHM group comprised 194 patients with a mean follow-up period of 5.21 ± 1.65 years. There were no significant differences in mean postoperative HOS-ADL (92 ± 12 vs 87 ± 19), HOS-Sport (81 ± 24 vs 77 ± 29), mHHS (87 ± 14 vs 87 ± 13), SF-12 Physical Component Score (53 ± 8 vs 49 ± 12), SF-12 Mental Component Score (54 ± 7 vs 54 ± 9), or Western Ontario and McMaster Universities Osteoarthritis Index (9 ± 11 vs 10 ± 12) between the NHM and HM groups (P > .05). The NHM group attained the MCID for the HOS-ADL at a higher rate (P = .04). No difference in PASS attainment for the HOS-ADL or in PASS or MCID attainment for the HOS-Sport or mHHS was observed (P > .05). The median satisfaction rating was 8.50 (range, 1-10) in the HM group and 10 (range, 1-10) in the NHM group.
Conclusions:
At minimum 2-year follow-up, patient-reported outcomes, reoperation rates, and total hip arthroplasty rates were similar between patients with Beighton scores of less than 5 and those with scores of 5 or more undergoing hip arthroscopy with labral repair and capsular plication.
Level Of Evidence:
Level III, retrospective comparative case series.
