24.2.5 - Athletes Given Capsular Repair Have Successful Outcomes: A Propensity-Matched Analysis With Minimum 2-Year Follow-Up
- P. Padilla (Des Plaines, US)
- A. Jimenez (Des Plaines, US)
- B. Domb (Des Plaines, US)
- M. Lee (Des Plaines, US)
- D. Radwanski (Des Plaines, US)
- J. Owens (Des Plaines, US)
- B. Saks (Des Plaines, US)
- D. Maldonado (Des Plaines, US)
- A. Lall (Des Plaines, US)
- T. Harris (Des Plaines, US)
- P. Sabetian (Des Plaines, US)
- P. Padilla (Des Plaines, US)
Abstract
Purpose
To compare minimum 2-year patient reported outcome scores (PROs) and return to sport (RTS) between high-level athletes who undergo primary hip arthroscopy with a capsular repair and high-level athletes undergoing primary hip arthroscopy with an unrepaired interportal capsulotomy.
Methods and Materials
Data on all professional, collegiate, and high-school athletes who underwent primary hip arthroscopy between February 2012 and December 2018 were collected. Athletes were divided into 2 groups based on whether they received a capsular repair (R) or an unrepaired interportal capsulotomy (UR). Minimum 2-year PROs were collected for the Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), visual analog scale (VAS) for pain, and RTS status. R athletes were propensity-score matched to UR athletes for comparison.
Results
A total of 53 UR athletes (53 hips) with an average follow-up time of 36.5 ± 10.2 months were propensity-score matched to 84 R athletes (84 hips) with an average follow-up time of 41.3 ± 9.4 months. R athletes demonstrated significantly greater magnitude of improvement from preoperative to minimum 2-year postoperative scores for NAHS (P = 0.01), HOS-SSS (P = 0.001), and VAS (P = 0.01). Further, R athletes demonstrated significantly higher rates of achieving MCID for NAHS (73.8% vs 54.7%, P = 0.034) and HOS-SSS (65.5% vs 37.7%, P = 0.003) compared to UR athletes. RTS rates were higher in R athletes compared to the UR athletes, but this did not reach statistical significance (80.6% vs 65.9%, P = 0.170).
Conclusion
High-level athletes who undergo primary hip arthroscopy and capsular repair demonstrated significantly greater magnitude of improvement in PROs (NAHS, HOS-SSS, and VAS) compared to a control group athletes with an unrepaired interportal capsulotomy.