{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:58:33Z","timestamp":1790398713478,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To (1) compare 5\u2010year survivorship (avoiding repeat hip arthroscopy (HA)\/total hip replacement conversion) between those undergoing routine capsular repair compared with where no repair was performed; (2) compare patient\u2010reported outcome measures (PROMs) and achievability of metrics of clinically important improvement between these groups; and (3) evaluate the moderating influence of age and sex on outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Review of prospectively collected data from an institutional hip preservation registry, of cases undergoing hip arthroscopy (HA) for femoroacetabular impingement between January 2011 and September 2018, with minimum 5\u2010year follow\u2010up, was undertaken. Cases undergoing routine interportal capsular repair (CR) were matched in a 1:1 ratio (age \u00b1 2 years, sex, T\u00f6nnis grade) to hips with no capsular repair (NR). Exclusion criteria were dysplasia, T\u00f6nnis grade &gt;1, age &gt;50 years, and concomitant hip pathologies. Group survival was evaluated using Kaplan\u2010Meier analysis and for levels of sex and age. Where revision surgery (repeat HA\/total hip replacement) was avoided, PROMs (modified Harris Hip Score, University of California and Los Angeles Activity Scale [UCLA], Short Form 36 [SF\u201036]) were assessed at minimum 5 years, and proportion of cases achieving minimal clinically important difference (MCID) and substantial clinical benefit (SCB) determined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 285 CR cases were matched with 285 NR cases. The average age was 27.0 \u00b1 5.9 years, and most patients (90%) were male. The overall total hip replacement rate was 0.7% (0.4% NR; 0.9% CR,\n                      <jats:italic>P<\/jats:italic>\n                      = .619) and was not significantly different between groups when adjusting for sex (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 0.474,\n                      <jats:italic>P<\/jats:italic>\n                      = .491), or age (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 0.463,\n                      <jats:italic>P<\/jats:italic>\n                      = .496). The overall repeat HA rate was 12.0% (12.9% NR; 11.1% CR,\n                      <jats:italic>P<\/jats:italic>\n                      = .538), which was not significantly different between groups when adjusting for sex (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 0.479,\n                      <jats:italic>P<\/jats:italic>\n                      = .489), or age (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 0.448,\n                      <jats:italic>P<\/jats:italic>\n                      = .503). Significant improvement in all PROMs was noted for both the NR and CR groups (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001 for all). At 5 years postoperatively, SF\u201036 was marginally greater for the NR group (\n                      <jats:italic>P<\/jats:italic>\n                      = .006, r = 0.169). No significant difference between groups at 5 years postoperatively were found: modified Harris Hip Score (\n                      <jats:italic>P<\/jats:italic>\n                      = .476), UCLA (\n                      <jats:italic>P<\/jats:italic>\n                      = .188). A greater proportion of CR cases achieved MCID in UCLA (69.4% vs 56.5%,\n                      <jats:italic>P<\/jats:italic>\n                      = .032, \u03a6 = 0.131). MCID achievement rates were similar between groups for all other PROMs (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05). A greater proportion of patients in the NR group achieved SCB in SF\u201036 (54.0% vs 41.9%,\n                      <jats:italic>P<\/jats:italic>\n                      = .049, \u03a6 = 0.127). SCB achievement rates were similar between groups for all other PROMs (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Routine repair of an interportal capsulotomy makes no difference to survivorship at minimum 5 years post\u2010HA compared with nonrepair, with marginal differences in PROMs, and achievability of MCID and SCB thresholds of clinically significant improvement. The impact of capsular management (repair\/nonrepair) may be more apparent for specific patient cohorts rather than routine repair in all cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective matched comparative case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.04.034","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T11:17:15Z","timestamp":1745579835000},"page":"4529-4541","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Similar Rates of Survivorship and Marginal Clinical Impact of Routine Interportal Capsular Repair Versus No Repair at 5 Years After Arthroscopic Correction of Femoroacetabular Impingement"],"prefix":"10.1002","volume":"41","author":[{"given":"David","family":"Filan","sequence":"first","affiliation":[{"name":"Hip Preservation Institute UPMC Whitfield Waterford Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Mullins","sequence":"additional","affiliation":[{"name":"UPMC Sports Medicine SETU Arena Waterford Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Carton","sequence":"additional","affiliation":[{"name":"Hip Preservation Institute UPMC Whitfield Waterford Ireland"},{"name":"UPMC Sports Medicine SETU Arena Waterford 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America\u00e9","name":"copyright","label":"Copyright"}]}}