{"id":"https://openalex.org/W7224088718","doi":"https://doi.org/10.1002/arj.70627","title":"Femoral Head Osteochondral Lesions Predict Lower Survivorship but Not Inferior Patient\u2010Reported Outcomes After Hip Arthroscopy at a Minimum 10\u2010Year Follow\u2010Up","display_name":"Femoral Head Osteochondral Lesions Predict Lower Survivorship but Not Inferior Patient\u2010Reported Outcomes After Hip Arthroscopy at a Minimum 10\u2010Year Follow\u2010Up","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224088718","doi":"https://doi.org/10.1002/arj.70627","pmid":"https://pubmed.ncbi.nlm.nih.gov/42949407"},"language":"en","primary_location":{"id":"doi:10.1002/arj.70627","doi":"https://doi.org/10.1002/arj.70627","is_oa":true,"landing_page_url":"https://doi.org/10.1002/arj.70627","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/arj.70627","source":{"id":"https://openalex.org/S107905979","display_name":"Arthroscopy The Journal of Arthroscopic and Related Surgery","issn_l":"0749-8063","issn":["0749-8063","1526-3231"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-3","ki-jl-3","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/arj.70627","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5085865664","display_name":"Itay Perets","orcid":"https://orcid.org/0000-0001-9630-0152","observed_orcids":["https://orcid.org/0000-0001-9630-0152"]},"institutions":[{"id":"https://openalex.org/I197251160","display_name":"Hebrew University of Jerusalem","ror":"https://ror.org/03qxff017","country_code":"IL","type":"education","lineage":["https://openalex.org/I197251160"]},{"id":"https://openalex.org/I2799899409","display_name":"Hadassah Medical Center","ror":"https://ror.org/01cqmqj90","country_code":"IL","type":"healthcare","lineage":["https://openalex.org/I2799899409"]}],"countries":["IL"],"is_corresponding":false,"raw_author_name":"Itay Perets","raw_affiliation_strings":["Department of Orthopedics Hadassah Hebrew University Hospital  Jerusalem Israel"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics Hadassah Hebrew University Hospital  Jerusalem Israel","institution_ids":["https://openalex.org/I197251160","https://openalex.org/I2799899409"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094097302","display_name":"Roger Quesada-Jimenez","orcid":"https://orcid.org/0000-0002-2164-5583","observed_orcids":["https://orcid.org/0000-0002-2164-5583"]},"institutions":[{"id":"https://openalex.org/I4210165344","display_name":"American Hip Institute","ror":"https://ror.org/05p336k36","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210165344"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Roger Quesada\u2010Jimenez","raw_affiliation_strings":["American Hip Institute Research Foundation  Chicago Illinois U.S.A"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"American Hip Institute Research Foundation  Chicago Illinois U.S.A","institution_ids":["https://openalex.org/I4210165344"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121003072","display_name":"Shahar R. Barda","orcid":"https://orcid.org/0009-0004-9838-1039","observed_orcids":["https://orcid.org/0009-0004-9838-1039"]},"institutions":[{"id":"https://openalex.org/I4210165344","display_name":"American Hip Institute","ror":"https://ror.org/05p336k36","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210165344"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shahar R. Barda","raw_affiliation_strings":["American Hip Institute Research Foundation  Chicago Illinois U.S.A"],"raw_orcid":"https://orcid.org/0009-0004-9838-1039","affiliations":[{"raw_affiliation_string":"American Hip Institute Research Foundation  Chicago Illinois U.S.A","institution_ids":["https://openalex.org/I4210165344"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5150771076","display_name":"Wonjin Ko","orcid":"https://orcid.org/0009-0004-6073-8290","observed_orcids":["https://orcid.org/0009-0004-6073-8290"]},"institutions":[{"id":"https://openalex.org/I4210165344","display_name":"American Hip Institute","ror":"https://ror.org/05p336k36","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210165344"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Wonjin Ko","raw_affiliation_strings":["American Hip Institute Research Foundation  Chicago Illinois U.S.A"],"raw_orcid":"https://orcid.org/0009-0004-6073-8290","affiliations":[{"raw_affiliation_string":"American Hip Institute Research Foundation  Chicago Illinois U.S.A","institution_ids":["https://openalex.org/I4210165344"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5152043549","display_name":"Andr\u00e9s Maldonado\u2010Rosales","orcid":"https://orcid.org/0009-0004-5970-4800","observed_orcids":["https://orcid.org/0009-0004-5970-4800"]},"institutions":[{"id":"https://openalex.org/I4210165344","display_name":"American Hip Institute","ror":"https://ror.org/05p336k36","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210165344"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andr\u00e9s Maldonado\u2010Rosales","raw_affiliation_strings":["American Hip Institute Research Foundation  Chicago Illinois U.S.A"],"raw_orcid":"https://orcid.org/0009-0004-5970-4800","affiliations":[{"raw_affiliation_string":"American Hip Institute Research Foundation  Chicago Illinois U.S.A","institution_ids":["https://openalex.org/I4210165344"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5042869209","display_name":"Benjamin Gilbert Domb","orcid":"https://orcid.org/0000-0002-3937-8647","observed_orcids":["https://orcid.org/0000-0002-3937-8647"]},"institutions":[{"id":"https://openalex.org/I4210165344","display_name":"American Hip Institute","ror":"https://ror.org/05p336k36","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210165344"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Benjamin G. Domb","raw_affiliation_strings":["American Hip Institute  Chicago Illinois U.S.A","American Hip Institute Research Foundation  Chicago Illinois U.S.A"],"raw_orcid":"https://orcid.org/0000-0002-3937-8647","affiliations":[{"raw_affiliation_string":"American Hip Institute  Chicago Illinois U.S.A","institution_ids":["https://openalex.org/I4210165344"]},{"raw_affiliation_string":"American Hip Institute Research Foundation  Chicago Illinois U.S.A","institution_ids":["https://openalex.org/I4210165344"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5042869209"],"corresponding_institution_ids":["https://openalex.org/I4210165344"],"apc_list":{"value":3500,"currency":"USD","value_usd":3500},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89305996,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11218","display_name":"Hip disorders and treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11218","display_name":"Hip disorders and treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11018","display_name":"Lower Extremity Biomechanics and Pathologies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hip-arthroscopy","display_name":"hip arthroscopy","score":0.9440000057220459},{"id":"https://openalex.org/keywords/femoroacetabular-impingement","display_name":"femoroacetabular impingement","score":0.9739999771118164},{"id":"https://openalex.org/keywords/labral-tears","display_name":"labral tears","score":0.9769999980926514},{"id":"https://openalex.org/keywords/conversion-to-total-hip-arthroplasty","display_name":"conversion to total hip arthroplasty","score":0.9139999747276306},{"id":"https://openalex.org/keywords/long-term-survivorship","display_name":"long-term survivorship","score":0.8980000019073486},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.9929999709129333},{"id":"https://openalex.org/keywords/cartilage-damage","display_name":"cartilage damage","score":0.6269999742507935},{"id":"https://openalex.org/keywords/propensity-score-matching","display_name":"propensity score matching","score":0.5230000019073486}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9498000144958496},{"id":"https://openalex.org/C2780485590","wikidata":"https://www.wikidata.org/wiki/Q5767996","display_name":"Hip arthroscopy","level":3,"score":0.8634999990463257},{"id":"https://openalex.org/C2779961238","wikidata":"https://www.wikidata.org/wiki/Q1910771","display_name":"Femoroacetabular impingement","level":2,"score":0.8202999830245972},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6797000169754028},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.52920001745224},{"id":"https://openalex.org/C172400760","wikidata":"https://www.wikidata.org/wiki/Q332796","display_name":"Survivorship curve","level":3,"score":0.4991999864578247},{"id":"https://openalex.org/C2779162959","wikidata":"https://www.wikidata.org/wiki/Q708232","display_name":"Arthroscopy","level":2,"score":0.49300000071525574},{"id":"https://openalex.org/C2779100257","wikidata":"https://www.wikidata.org/wiki/Q582849","display_name":"Femoral head","level":2,"score":0.49059998989105225},{"id":"https://openalex.org/C2777337764","wikidata":"https://www.wikidata.org/wiki/Q16868231","display_name":"Osteoplasty","level":2,"score":0.35659998655319214},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.3463999927043915},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.3303000032901764},{"id":"https://openalex.org/C2778275304","wikidata":"https://www.wikidata.org/wiki/Q76469","display_name":"Tears","level":2,"score":0.3260999917984009},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.32109999656677246},{"id":"https://openalex.org/C2909674901","wikidata":"https://www.wikidata.org/wiki/Q938793","display_name":"Cartilage damage","level":5,"score":0.32030001282691956},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.3000999987125397},{"id":"https://openalex.org/C3019025420","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Total hip arthroplasty","level":2,"score":0.28459998965263367},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.28279998898506165},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.2800999879837036},{"id":"https://openalex.org/C17923572","wikidata":"https://www.wikidata.org/wiki/Q7250160","display_name":"Propensity score matching","level":2,"score":0.27869999408721924},{"id":"https://openalex.org/C2992051495","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Hip surgery","level":3,"score":0.2703000009059906},{"id":"https://openalex.org/C2781032047","wikidata":"https://www.wikidata.org/wiki/Q938793","display_name":"Articular cartilage damage","level":5,"score":0.2639999985694885},{"id":"https://openalex.org/C2780550940","wikidata":"https://www.wikidata.org/wiki/Q502730","display_name":"Cartilage","level":2,"score":0.25130000710487366}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1002/arj.70627","doi":"https://doi.org/10.1002/arj.70627","is_oa":true,"landing_page_url":"https://doi.org/10.1002/arj.70627","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/arj.70627","source":{"id":"https://openalex.org/S107905979","display_name":"Arthroscopy The Journal of Arthroscopic and Related Surgery","issn_l":"0749-8063","issn":["0749-8063","1526-3231"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-3","ki-jl-3","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy","raw_type":"journal-article"},{"id":"pmid:42949407","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42949407","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1002/arj.70627","doi":"https://doi.org/10.1002/arj.70627","is_oa":true,"landing_page_url":"https://doi.org/10.1002/arj.70627","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/arj.70627","source":{"id":"https://openalex.org/S107905979","display_name":"Arthroscopy The Journal of Arthroscopic and Related Surgery","issn_l":"0749-8063","issn":["0749-8063","1526-3231"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-3","ki-jl-3","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arthroscopy","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224088718.pdf","grobid_xml":"https://content.openalex.org/works/W7224088718.grobid-xml"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W44356346","https://openalex.org/W1983554527","https://openalex.org/W2025377848","https://openalex.org/W2027865916","https://openalex.org/W2058279796","https://openalex.org/W2063086887","https://openalex.org/W2088893559","https://openalex.org/W2098860390","https://openalex.org/W2113596381","https://openalex.org/W2152575748","https://openalex.org/W2168034454","https://openalex.org/W2265452680","https://openalex.org/W2347576618","https://openalex.org/W2623181756","https://openalex.org/W2742018433","https://openalex.org/W2767115935","https://openalex.org/W2800758477","https://openalex.org/W2895605590","https://openalex.org/W2911908170","https://openalex.org/W2912681790","https://openalex.org/W2937259422","https://openalex.org/W3011931650","https://openalex.org/W3114533945","https://openalex.org/W3136792262","https://openalex.org/W3173621660","https://openalex.org/W4211007715","https://openalex.org/W4236836760","https://openalex.org/W4382181336","https://openalex.org/W4382646034","https://openalex.org/W4390506967","https://openalex.org/W4391612572","https://openalex.org/W4392742433","https://openalex.org/W4392752736","https://openalex.org/W4399118404","https://openalex.org/W4401527990","https://openalex.org/W4402789235","https://openalex.org/W4410788841"],"related_works":["https://openalex.org/W2742018433","https://openalex.org/W7220438484","https://openalex.org/W2811200582","https://openalex.org/W7165477970","https://openalex.org/W4392742433","https://openalex.org/W4405516742","https://openalex.org/W3125838359","https://openalex.org/W7116750277","https://openalex.org/W7220455664","https://openalex.org/W7116803755"],"abstract_inverted_index":{"PURPOSE:":[0],"To":[1],"evaluate":[2],"the":[3,150,176,180,190],"long-term":[4,276,297],"outcomes":[5,89,173],"of":[6,38,143,155,207,233,270,296],"patients":[7,39,52,157],"undergoing":[8],"hip":[9,56,211,249,300],"arthroscopy":[10,57,250],"for":[11,51,58,251],"femoroacetabular":[12,59,252],"impingement":[13,60,253],"syndrome":[14,61,254],"and":[15,28,62,68,134,141,255],"labral":[16,63,128,256],"tears":[17,64,257],"who":[18,53,247],"were":[19,48,72,99,109,147,161],"found":[20],"to":[21,29,33,113,145,209,268,283],"have":[22],"femoral":[23],"head":[24],"(FH)":[25],"cartilage":[26,42],"lesions":[27,105,262],"compare":[30],"these":[31],"results":[32],"a":[34,91,203,271,293],"matched":[35,111,272],"control":[36,177,273],"group":[37,165,178,201,274],"without":[40,115],"FH":[41,103,116,164,199,226,260,290],"damage.":[43],"METHODS:":[44],"Prospectively":[45],"collected":[46],"data":[47],"retrospectively":[49],"reviewed":[50],"underwent":[54,248],"primary":[55],"between":[65],"February":[66],"2008":[67],"April":[69],"2014.":[70],"Patients":[71,94,101,246],"included":[73,148],"if":[74],"they":[75],"had":[76,202],"completed":[77],"preoperative":[78],"questionnaires,":[79],"with":[80,95,102,175,186,258],"follow-up":[81,135,182],"defined":[82],"as":[83,229,292],"having":[84],"minimum":[85],"10-year":[86],"postoperative":[87],"patient-reported":[88,172],"or":[90],"documented":[92],"endpoint.":[93],"T\u00f6nnis":[96],"grade":[97,107],">1":[98],"excluded.":[100],"osteochondral":[104,261],"(Outerbridge":[106],"\u22652)":[108],"propensity":[110],"1:1":[112],"controls":[114],"damage":[117,227,291],"based":[118],"on":[119],"age,":[120],"sex,":[121],"body":[122],"mass":[123],"index,":[124],"lateral":[125],"center-edge":[126],"angle,":[127],"treatment,":[129],"capsular":[130],"management,":[131],"acetabular":[132],"Outerbridge,":[133],"time.":[136],"Clinically":[137],"relevant":[138],"thresholds,":[139],"survivorship,":[140],"predictors":[142],"conversion":[144,208,234,281],"arthroplasty":[146,212,284],"in":[149,169],"analysis.":[151],"RESULTS:":[152],"A":[153],"total":[154,210],"188":[156],"(94":[158],"per":[159],"group)":[160],"included.":[162],"The":[163,198],"showed":[166,263],"comparable":[167,267],"improvements":[168,266],"all":[170],"evaluated":[171],"compared":[174],"at":[179,195,275],"latest":[181],"(P":[183],"<":[184],".01),":[185],"both":[187],"groups":[188],"achieving":[189],"minimal":[191],"clinically":[192],"important":[193],"thresholds":[194],"similar":[196],"rates.":[197],"lesion":[200],"significantly":[204],"higher":[205,280],"rate":[206,282],"(23.4%":[213],"vs":[214],"11.7%,":[215],"P":[216,242],"=":[217,243],".03).":[218],"Multivariable":[219],"Cox":[220],"proportional":[221],"hazards":[222],"regression":[223,287],"identified":[224],"increasing":[225],"severity":[228],"an":[230],"independent":[231],"predictor":[232],"(hazard":[235],"ratio":[236],"3.9,":[237],"95%":[238],"confidence":[239],"interval":[240],"1.73-9.13,":[241],".001).":[244],"CONCLUSIONS:":[245],"concomitant":[259],"significant":[264],"functional":[265],"those":[269],"follow-up.":[277],"However,":[278],"their":[279],"supported":[285],"by":[286],"analysis":[288],"highlights":[289],"key":[294],"determinant":[295],"survivorship":[298],"after":[299],"arthroscopy.":[301],"LEVEL":[302],"OF":[303],"EVIDENCE:":[304],"Level":[305],"III,":[306],"retrospective":[307],"cohort":[308],"study.":[309]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2026-10-29T00:00:00"}