ArticleOrthopaedic journal of sports medicine2025
Age and Preoperative Anterior Hip Capsule Thickness May Affect Capsule Healing in Patients With Femoroacetabular Impingement Syndrome Undergoing Arthroscopic Surgery Without Capsule Repair.
Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The capacity of an unrepaired joint capsule to heal after primary hip arthroscopic surgery in patients with femoroacetabular impingement syndrome (FAIS) remains uncertain. The factors that may contribute to nonhealing of the joint capsule are yet to be elucidated. Purpose: To report the healing rate of the unrepaired joint capsule after primary hip arthroscopic surgery and to identify factors that may contribute to nonhealing. Study Design: Case-control study; Level of evidence, 3. Methods: Data collected between August 2015 and October 2023 were reviewed. Patients with FAIS aged 18 to 65 years who underwent hip arthroscopic surgery without capsule repair and had a minimum 6-month follow-up were included. Patient demographic data were collected including age at the time of surgery, sex, body mass index, laterality of the affected hip, follow-up duration, FAIS type, and intraoperative procedures. Capsule thickness was measured on preoperative magnetic resonance imaging. The status of capsule healing was evaluated on magnetic resonance imaging at least 6 months after surgery. The correlation between an unhealed capsule and various clinical factors was also evaluated. Results: A total of 64 patients (66 hips) were included for analysis (48 hips in the healed group and 18 hips in the unhealed group). Age (44.50 ± 11.36 vs 38.44 ± 10.52 years, respectively; Conclusion: At a minimum 6-month follow-up, 27.2% of patients with FAIS who underwent primary arthroscopic surgery had unhealed anterior hip capsules. Both higher age and lower preoperative anterior hip capsule thickness may affect capsule healing in patients with FAIS who undergo primary arthroscopic surgery without capsule repair.
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