Suppr超能文献

髋臼股骨撞击症患者在关节镜下骨成形术前和术后的体育和娱乐活动

Sports and recreation activity of patients with femoroacetabular impingement before and after arthroscopic osteoplasty.

作者信息

Brunner Alexander, Horisberger Monika, Herzog Richard F

机构信息

Department of Orthopaedic Surgery, Cantonal Hospital Lucerne, Wolhusen, Switzerland.

出版信息

Am J Sports Med. 2009 May;37(5):917-22. doi: 10.1177/0363546508330144. Epub 2009 Feb 26.

Abstract

BACKGROUND

Hip arthroscopy represents a new and minimally invasive method of treating patients with femoroacetabular impingement (FAI). However, participation in popular sports after this procedure has not yet been analyzed.

HYPOTHESES

Arthroscopic treatment of FAI increases the level of popular sports activities, and this level of activity correlates with the clinical outcome in terms of pain and function.

STUDY DESIGN

Case series; Level of evidence, 4.

METHODS

Fifty-three patients (41 male, 12 female) were evaluated preoperatively and after a mean follow-up of 2.4 years (range, 2-3.2 years) after arthroscopic osteoplasty for cam and mixed FAI. Evaluation included the type and level of sports activities (sports frequency score [SFS]) as well as clinical outcome in terms of pain (VAS) and function (nonarthritic hip score [NAHS]).

RESULTS

Forty-five of the 53 patients had regularly participated in popular sports until the first occurrence of FAI symptoms. Preoperatively, only 4 of these 45 patients had maintained their accustomed level of activity. At the final follow-up, 31 patients had returned to their full accustomed level of activity. None of the patients who had not been active in sports before the first occurrence of symptoms of FAI (n = 8) had begun participation in sports after arthroscopic osteoplasty. The SFS significantly increased from 0.78 to 1.84 (P < .001), and the mean VAS pain score significantly improved from 5.7 (range, 1-9) to 1.5 (range, 0-6) points (P < .001). The NAHS improved from 54.4 (range, 28.75-92.5) to 85.7 (range, 47.5-100) (P < .001). There was no significant correlation between SFS and NAHS (r = .051, P = .35), as well as between SFS and VAS pain score (r = .159, P = .140) preoperatively, but a significant correlation was seen at the time of the last postoperative follow-up (SFS/NAHS: r = .392, P = .003; SFS/VAS: r = .242, P = .049). The 3 most frequent sports activities postoperatively were biking, hiking, and fitness.

CONCLUSION

Arthroscopic osteoplasty can significantly improve the rate and level of popular sports activities in patients with FAI. The level of postoperative sports activity directly correlates with the clinical outcome in terms of pain and function.

摘要

背景

髋关节镜检查是治疗股骨髋臼撞击症(FAI)患者的一种新型微创方法。然而,该手术后参与大众体育运动的情况尚未得到分析。

假设

关节镜下治疗FAI可提高大众体育活动水平,且这种活动水平与疼痛和功能方面的临床结果相关。

研究设计

病例系列;证据等级,4级。

方法

对53例患者(41例男性,12例女性)进行术前评估,并在关节镜下对凸轮型和混合型FAI进行截骨术后平均随访2.4年(范围2 - 3.2年)。评估包括体育活动的类型和水平(运动频率评分[SFS])以及疼痛(视觉模拟评分法[VAS])和功能(非关节炎髋关节评分[NAHS])方面的临床结果。

结果

53例患者中有45例在首次出现FAI症状之前经常参与大众体育活动。术前,这45例患者中只有4例维持了他们习惯的活动水平。在末次随访时,31例患者恢复到了他们完全习惯的活动水平。在首次出现FAI症状之前不参加体育活动的患者(n = 8)在关节镜下截骨术后均未开始参加体育活动。SFS从0.78显著提高到1.84(P < .001),VAS疼痛评分均值从5.7(范围1 - 9)显著改善至1.5(范围0 - 6)分(P < .001)。NAHS从54.4(范围28.75 - 92.5)提高到85.7(范围47.5 - 100)(P < .001)。术前SFS与NAHS之间(r = .051,P = .35)以及SFS与VAS疼痛评分之间(r = .159,P = .140)无显著相关性,但在术后末次随访时存在显著相关性(SFS/NAHS:r = .392,P = .003;SFS/VAS:r = .242,P = .049)。术后最常进行的三项体育活动是骑自行车、徒步旅行和健身。

结论

关节镜下截骨术可显著提高FAI患者参与大众体育活动的比例和水平。术后体育活动水平与疼痛和功能方面的临床结果直接相关。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验