{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T11:34:54Z","timestamp":1792668894852,"version":"4.5.0"},"reference-count":48,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare 2\u2010year minimum outcomes of hip arthroscopic management with capsular plication in patients with microinstability with propensity\u2010matched controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched primary hip arthroscopies undertaken between August 2009 and December 2020 from a single\u2010surgeon database, excluding those with lateral center\u2010edge angle &lt;18\u00b0, for those with intraoperatively confirmed microinstability: having either increased ease of distraction under anesthesia, an isolated straight anterior labral tear, inside\u2010out chondral lesion, or lateral Seldes 2 or 3 labral tear without cam or pincer morphology. Patient\u2010reported outcome scores were prospectively collected at 6\u2010month, 12\u2010month, and minimum 2\u2010year follow\u2010up: International Hip Outcome Tool 12\u2010Item, Non\u2010Arthritic Hip, and Hip Disability and Osteoarthritis Outcome Score. Scores and rates of revision\/reoperation or conversion to hip arthroplasty were compared with control hips matched for gender, age, lateral center\u2010edge angle, and degree of chondral defect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Scores for 208 microinstability hips (aged 30.9\u2009\u00b1\u200910.4 years, 201 women) were comparable to 208 controls (aged 30.6\u2009\u00b110.5 years, 200 women); only the Hip Disability and Osteoarthritis Outcome Score\u2010Sports subscale showed a minor between\u2010group difference in the trajectory of change in scores from preoperative to 2\u2010year minimum follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.045 for time point\u2009\u00d7\u2009group interaction), with shorter follow\u2010up duration for microinstability group (2.2\u2009\u00b1\u20090.4 years) versus control group (2.7\u2009\u00b1\u20091.9 years;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Proportions attaining minimal clinically important difference, 0.5\u00d7 preoperative standard deviation (70.6%\u201084.8%), patient acceptable symptom state (54.7%\u201059.7%), and substantial clinical benefit (48.3%\u201062.3%) did not differ between groups for any scores (all\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &gt;\u2009.1). Surgery occurred 2.61 years later in the microinstability group than in the control group (\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &lt;\u2009.001). Annual rates of revision\/reoperative procedures and conversion to arthroplasty did not differ between groups; the combined\u2010group rates were 1.65%\/year and 0.27%\/year, respectively, after 6.2\u2009\u00b1\u20092.9\u2009years (mean\u2009\u00b1 standard deviation) of follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with surgically identified microinstability can be successfully managed with capsular plication as part of hip arthroscopy, achieving surgical and patient\u2010reported outcomes similar to those of other arthroscopy patients of comparable sex, age, and surgical characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, case\u2010control study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70558","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T04:37:07Z","timestamp":1789706227000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of Capsular Plication as Part of Hip Arthroscopic Management for Surgically Identified Microinstability Are Comparable to Outcomes in Matched Controls"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2275-7082","authenticated-orcid":false,"given":"Catherine J.","family":"Bacon","sequence":"first","affiliation":[{"name":"Orthosports North Harbour Ltd., Millennium Centre  Auckland New Zealand"},{"name":"School of Nursing Faculty of Medical and Health Sciences University of Auckland\/Waipapa Taumata Rau  Auckland New Zealand"},{"name":"Faculty of Medicine and Health Sciences University of Auckland\/Waipapa Taumata Rau  Auckland New 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Ltd., Millennium Centre  Auckland New Zealand"},{"name":"Apex Sports Clinic  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6339-229X","authenticated-orcid":false,"given":"Man","family":"Lu","sequence":"additional","affiliation":[{"name":"Orthosports North Harbour Ltd., Millennium Centre  Auckland New Zealand"},{"name":"School of Nursing Faculty of Medical and Health Sciences University of Auckland\/Waipapa Taumata Rau  Auckland New Zealand"},{"name":"Faculty of Medicine and Health Sciences University of Auckland\/Waipapa Taumata Rau  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2856-1593","authenticated-orcid":false,"given":"Abbey C.","family":"Lissaman","sequence":"additional","affiliation":[{"name":"Orthosports North Harbour Ltd., Millennium Centre  Auckland New 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Surg Sports Traumatol Arthrosc."},{"key":"e_1_2_9_47_1","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.arthro.2018.07.048","article-title":"The utility of hip arthroscopy in the setting of acetabular dysplasia: A systematic review","volume":"35","author":"Adler KL","year":"2019","journal-title":"Arthroscopy."},{"key":"e_1_2_9_48_1","first-page":"e37320","article-title":"Patient\u2010reported outcomes and factors impacting success of the periacetabular osteotomy","volume":"15","author":"Akhtar M","year":"2023","journal-title":"Cureus."},{"key":"e_1_2_9_49_1","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.2106\/JBJS.18.01387","article-title":"Periacetabular osteotomy for developmental dysplasia of the hip and femoroacetabular impingement: A study using the U.K. non\u2010arthroplasty hip registry (NAHR) data set","volume":"102","author":"Holleyman R","year":"2020","journal-title":"J Bone Joint Surg 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