{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:53:56Z","timestamp":1792148036312,"version":"4.4.0"},"reference-count":52,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"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 patients \u226560\u2009years and \u226440\u2009years old undergoing contemporary hip arthroscopy for femoroacetabular impingement syndrome managed with labral repair and capsular closure using a propensity score\u2010matched cohort design controlling for sex, body mass index, and T\u00f6nnis grade.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single\u2010center retrospective review identified patients \u226560\u2009years undergoing primary hip arthroscopy for femoroacetabular impingement syndrome (January 2015\u2010May 2024) with a minimum 12\u2010month follow\u2010up. Exclusion criteria included prior ipsilateral surgery, non\u2010femoroacetabular impingement syndrome pathology, T\u00f6nnis grade \u22652, concomitant procedures, osteotomy, Ehlers\u2010Danlos syndrome, and isolated labral debridement. Patients were matched 1:2 by sex, body mass index, and T\u00f6nnis grade to those aged 18 to 40\u2009years. Patient\u2010reported outcomes included pre\u2010 and postoperative Hip Outcome Score\u2010Activities of Daily Living (HOS\u2010ADL), Hip Outcome Score Sports\u2010Specific subscale, and 12\u2010Item International Hip Outcome Tool. Cohort\u2010specific minimal clinically important difference, patient acceptable symptom state (PASS), and reoperation\u2010free survivorship were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010eight patients (48 hips) \u226560\u2009years (63.7\u2009\u00b1\u20093.6\u2009years; follow\u2010up 27.1 [12.0\u201072.0] months) were matched to 91 patients (95 hips) 18 to 40\u2009years (31.6\u2009\u00b1\u20093.5\u2009years; follow\u2010up 27.5 [12.0\u201065.2] months). Both groups improved across all patient\u2010reported outcomes (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Hip Outcome Score Sports\u2010Specific subscale and 12\u2010Item International Hip Outcome Tool were comparable pre\u2010 and postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u2009.05). The \u226560 cohort had lower HOS\u2010ADL at baseline (53.0\u2009\u00b1\u200921.3 vs 63.8\u2009\u00b1\u200918.2,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.006) and postoperatively (76.8\u2009\u00b1\u200923.2 vs 87.3\u2009\u00b1\u200914.5,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.002). Minimal clinically important difference achievement and score improvements were similar (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u2009.05), as were PASS rates for Hip Outcome Score Sports\u2010Specific subscale and 12\u2010Item International Hip Outcome Tool. HOS\u2010ADL PASS was lower in the \u226560 cohort (47.6% vs 71.6%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.015). Survivorship was 93.8% in the \u226560 cohort versus 100% in controls, with reoperations occurring in patients with baseline T\u00f6nnis grade 1, bipolar cartilage lesions, and grade \u22652 cartilage lesions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients \u226560\u2009years achieved comparable improvement and minimal clinically important difference rates but lower absolute function and HOS\u2010ADL PASS rates. Survivorship was 94% at 27\u2009months (minimum 12), with failure driven by cartilage damage. Meaningful improvement is achievable in appropriately selected older patients, although expectations and outcome thresholds may differ by age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70631","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:42:37Z","timestamp":1792147357000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patients Aged \u226560 Years Achieve Comparable Improvement but Lower Patient Acceptable Symptom States After Hip Arthroscopy for Femoroacetabular Impingement Syndrome Using Contemporary Techniques: A Propensity Score\u2010Matched Cohort Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1083-6329","authenticated-orcid":false,"given":"Tom\u00e1s F.","family":"Vega","sequence":"first","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1490-1905","authenticated-orcid":false,"given":"Chandler A.","family":"Sparks","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2526-7725","authenticated-orcid":false,"given":"Felipe","family":"Casanova","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1703-6232","authenticated-orcid":false,"given":"Andrew S.","family":"Bi","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."},{"name":"NYU Langone Orthopedic Hospital  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9100-9948","authenticated-orcid":false,"given":"Samuel","family":"Alfonsi","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shane J.","family":"Nho","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9194-1150","authenticated-orcid":false,"given":"Jorge","family":"Chahla","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"2307","DOI":"10.1016\/j.arthro.2015.06.008","article-title":"Age\u2010related trends in hip arthroscopy: A large cross\u2010sectional analysis","volume":"31","author":"Sing DC","year":"2015","journal-title":"Arthroscopy."},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","first-page":"3445","DOI":"10.1016\/j.arthro.2021.04.017","article-title":"Hip arthroscopy volume and reoperations in a large cross\u2010sectional population: High rate of subsequent revision hip arthroscopy in young patients and total hip arthroplasty in older patients","volume":"37","author":"Cevallos N","year":"2021","journal-title":"Arthroscopy."},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.arthro.2011.07.004","article-title":"Hip arthroscopy for femoroacetabular 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