Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Arthroscopy. 2012 Oct;28(10):1567-76. doi: 10.1016/j.arthro.2012.03.016. Epub 2012 Jul 13.
A systematic review was conducted to identify, assess, and summarize the available evidence pertaining to surgical intervention for femoroacetabular impingement (FAI) in athletes. Summary estimates of treatment effect (proportion with 95% confidence interval [CI]) were calculated specifically for the rate of return to sport.
Electronic databases (Medline, Embase, and Cochrane Library) were searched from inception to November 2011. The references of included articles were reviewed for eligible studies. The inclusion criteria were clinical studies, studies involving humans, minimum 6 months' follow-up, exclusive FAI treatment, and focus on athletes. Exclusion criteria were review articles, basic science investigations, radiologic studies, arthroplasty, and nonathlete clinical studies. A quality assessment of the included articles was conducted by 2 reviewers using a quality assessment tool developed by Yang et al. We used a random-effects model (DerSimonian-Laird method) to calculate weighted proportions. Percentages with 95% CIs are reported.
Nine articles met the inclusion and exclusion criteria in this review. There was 72% agreement (95% CI, 0% to 94%) between the 2 independent reviewers for inclusion and quality assessment of the studies. A total of 418 athletes were surgically treated for FAI and were available for assessment. The rate of return to sport was 92% (95% CI, 87% to 96%), and the rate of return to the previous level of competition was 88% (95% CI, 80% to 94%).
Despite the limitations of our systematic review, the findings suggest that surgical treatment for FAI resulted in a high return to preinjury activity levels of sports.
Level IV, systematic review of Level IV studies (case series).
系统评价旨在确定、评估和总结与运动员髋关节撞击综合征（FAI）手术干预相关的现有证据。具体针对重返运动的比例，计算了治疗效果的综合估计值（比例及 95%置信区间[CI]）。
从创建至 2011 年 11 月，电子数据库（Medline、Embase 和 Cochrane 图书馆）进行了检索。对纳入文章的参考文献进行了审查，以寻找符合条件的研究。纳入标准为临床研究、涉及人类的研究、至少 6 个月的随访、专门的 FAI 治疗以及以运动员为重点。排除标准为综述文章、基础科学研究、放射学研究、关节置换术以及非运动员临床研究。2 名评审员使用 Yang 等人开发的质量评估工具对纳入的文章进行了质量评估。我们使用随机效应模型（DerSimonian-Laird 方法）计算加权比例。报告了带有 95%CI 的百分比。
本综述共纳入了 9 篇符合纳入和排除标准的文章。两名独立评审员在纳入和研究质量评估方面有 72%的一致性（95%CI，0%至 94%）。共有 418 名运动员因 FAI 接受了手术治疗，并可进行评估。重返运动的比例为 92%（95%CI，87%至 96%），重返先前比赛水平的比例为 88%（95%CI，80%至 94%）。
尽管我们的系统评价存在局限性，但研究结果表明，FAI 的手术治疗可使运动员恢复到受伤前的运动水平。
IV 级，对 IV 级研究（病例系列）的系统评价。
