{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T20:51:53Z","timestamp":1783975913604,"version":"3.55.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"13","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Only a few studies have explored return to recreational sport activity after arthroscopic microfracture for full-thickness acetabular lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>Recreational athletes undergoing acetabular microfracture, in addition to general hip arthroscopy procedures, would not achieve similar sport activity to recreational athletes undergoing hip arthroscopy without microfracture at the 5-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review was conducted of a prospectively collected multicenter hip arthroscopy database of patients undergoing acetabular microfracture for full-thickness chondral lesions. Inclusion criteria were patients between 18 and 50 years of age who had participated in recreational sports before surgery, a diagnosis of femoroacetabular impingement, arthroscopic microfracture for full-thickness chondral lesion, labral repair, complete clinical patient-reported outcomes (PROs), radiographic measurements, and at least 5 years of postoperative follow-up. For each patient included in the study, 1 patient without chondral damage was paired at a 1:1 ratio based on age and sex. The following were assessed: radiographic evaluation, primary preoperative sport, Tegner activity scale score, self-administered Hip Outcome Score (HOS) questionnaire with Activities of Daily Living Subscale (ADL) and Sports-Specific Subscale (SSS) scores, and self-administered short version of the 12-item International Hip Outcome Tool (iHOT-12) score. Clinical relevance was measured using the minimal clinically important difference (MCID), Patient Acceptable Symptom State (PASS), and substantial clinical benefit (SCB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 33 patients met the inclusion criteria and were matched with 33 patients without chondral damage. There were no patients lost to follow-up. Both groups showed significant improvement from preoperative PROs to 5-year follow-up. There was no difference in the frequency of patients achieving the MCID, PASS, and SCB for PROs. Return to sport at the 5-year follow-up was similar between groups. Sixteen patients (66.7%) in the microfracture group changed the type of sport they participated in, compared with 9 patients (34.6%) in control group; this difference was statistically significant. The Tegner activity scale score decreased significantly in both groups, but there was no difference between them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Recreational athletes with full-thickness chondral lesions treated with arthroscopy acetabular microfracture experienced similar return to play to recreational athletes without chondral lesions at the 5-year follow-up. However, a statistically significantly higher rate of athletes in the microfracture group changed the type of sport they participated in.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465251381784","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T05:27:42Z","timestamp":1759987662000},"page":"3215-3222","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Return to Sport After Hip Arthroscopy With Full-Thickness Acetabular Chondral Defect Treated With Microfracture"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8276-7402","authenticated-orcid":false,"given":"Javier","family":"Sanz-Reig","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, HLA Clinica Vistahermosa, Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesus","family":"Mas-Martinez","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, HLA Clinica Vistahermosa, Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9674-1297","authenticated-orcid":false,"given":"Marc","family":"Tey-Pons","sequence":"additional","affiliation":[{"name":"Hip Unit, iMove Traumatolog\u00eda, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Castel-O\u00f1ate","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, University Hospital Principe de Asturias, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7814-5766","authenticated-orcid":false,"given":"Oliver","family":"Marin-Pe\u00f1a","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Traumatology Department, University Hospital Infanta Leonor, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.11.019"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.05.013"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.01.047"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.05.034"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.11.018"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3758\/bf03193146"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.02.027"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512465400"},{"issue":"2","key":"e_1_3_2_10_2","first-page":"123","article-title":"Four-year outcomes following arthroscopic microfracture of the hip in patients with advanced chondral lesions","volume":"78","author":"Kester BS","year":"2020","unstructured":"Kester BS, Begly JP, Capogna B, Chenard K, Youm T. 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