{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T04:52:35Z","timestamp":1789620755610,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To analyze minimum 5\u2010year outcomes after arthroscopic treatment of femoroacetabular impingement syndrome (FAIS) utilizing the periportal capsulotomy technique for joint access without capsular closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of a prospectively collected database of patients undergoing primary hip arthroscopy for FAIS without clinical signs of hypermobility was performed to analyze patients who underwent hip arthroscopy utilizing the periportal capsulotomy technique without capsule closure with minimum 5\u2010year follow\u2010up. Periportal capsulotomy was utilized for joint access, and arthroscopic labral treatment and osteochondroplasty were completed as indicated without capsular closure. Patient demographics, surgical details, and complications were recorded. Pre\u2010 and postoperatively, patients completed the modified Harris Hip Score, Hip Disability and Osteoarthritis Outcome Score (HOOS), 12\u2010item Short\u2010Form survey (SF\u201012 physical and mental components), and visual analog scale (VAS). Achievement of clinically significant outcomes (CSO) including minimal clinically important difference (MCID), patient acceptable symptom state (PASS), and substantial clinical benefit (SCB) was calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and sixty\u2010six hips from 161 patients (mean age, 34.1 \u00b1 11.2; body mass index, 24.1 \u00b1 3.6; 54% female) were included. There were no major postoperative complications including hip instability, revision arthroscopy, or conversion to total hip arthroplasty. Mean patient\u2010reported outcome scores (PROs) were significantly improved from preoperative scores to 5\u2010year postoperative scores (VAS, HOOS symptoms, pain, activities of daily life, sport, quality of life, and SF\u201012 physical component, all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Overall, 96.9% of patients achieved at least one of the CSO thresholds with 94.0% achieving MCID in at least one PROs, 86.7% meeting PASS in at least one PROs, and 80.1% achieving SCB in at least one PROs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients undergoing arthroscopic FAIS treatment utilizing periportal capsulotomy for hip capsule management show high rates for CSO achievement at midterm 5\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective therapeutic case series.<\/jats:p>\n                  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Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3840-1243","authenticated-orcid":false,"given":"Zachary G.","family":"Brumm","sequence":"additional","affiliation":[{"name":"University of California \u2010 San Francisco School of Medicine  San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9893-4623","authenticated-orcid":false,"given":"Kyla A.","family":"Petrie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California \u2010 San Francisco  San Francisco California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayden","family":"Sampson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California \u2010 San Francisco  San Francisco California 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