Naal Florian D, Schär Michael, Miozzari Hermes H, Nötzli Hubert P
Department of Orthopaedic Surgery, Schulthess Clinic, Zurich, Switzerland Department of Orthopaedic Surgery, Spital Netz Bern-Ziegler, Bern, Switzerland
Department of Orthopaedic Surgery, Spital Netz Bern-Ziegler, Bern, Switzerland Department of Orthopaedic Surgery, Sonnenhof Clinic, Bern, Switzerland.
Am J Sports Med. 2014 Jul;42(7):1690-5. doi: 10.1177/0363546514531552. Epub 2014 Apr 29.
Several studies indicate that professional athletes can successfully return to competition after surgical treatment of femoroacetabular impingement (FAI). However, little is known about sports and activity levels after FAI surgery in the general patient population.
HYPOTHESIS/PURPOSE: The purpose was to determine the sports behavior, satisfaction with sports ability, and activity levels in a consecutive cohort of patients with FAI who were treated by surgical hip dislocation. The hypothesis was that the majority of patients (>75%) would be active in sports at follow-up.
Case series; Level of evidence, 4.
This retrospective study included 153 patients (mean age, 30.0 years; 40.5% female) with 192 hips treated. Sports behavior and satisfaction were determined at a mean follow-up of 59.4 months with the use of a questionnaire. Activity levels at follow-up were assessed by the Hip Sports Activity Scale (HSAS) and the University of California, Los Angeles (UCLA) activity scale.
Of 126 patients who were regularly active in sports before surgery, 107 (85%) were so at follow-up. Nineteen patients (12.4%) stopped participating in regular sports, and 8 (5.2%) commenced with sports after the operation. The most popular activities before surgery were skiing (22%), cycling (22%), jogging (20%), and soccer (13%). At follow-up, most patients were engaged in cycling (23%), fitness/weight training (20%), skiing (18%), and jogging (11%). Of all patients, 75% were satisfied with their sports ability, and 25% were not. Moreover, 60.3% stated that their sports ability had improved after surgery, 20.5% declared no change, and 19.2% were subjectively deteriorated. The mean pain level during sports was rated to be 2.1 according to the visual analog scale. The mean HSAS score was 3.5 (range, 0-8), and the mean UCLA score was 7.7 (range, 3-10); male patients reported significantly higher scores than did female patients on the HSAS (4.1 vs 2.7, respectively) and UCLA scale (8.2 vs 7.0, respectively).
The vast majority of patients with FAI who are treated by surgical hip dislocation return to sports activities, and most patients are satisfied with their sports ability at midterm follow-up. Activity levels are significantly higher in male patients, but this does not yield higher satisfaction rates.
多项研究表明，职业运动员在接受股骨髋臼撞击症（FAI）手术治疗后能够成功重返赛场。然而，对于普通患者群体在FAI手术后的运动和活动水平却知之甚少。
假设/目的：目的是确定一组连续接受髋关节脱位手术治疗的FAI患者的运动行为、对运动能力的满意度以及活动水平。假设是大多数患者（>75%）在随访时会积极参与运动。
病例系列；证据等级，4级。
这项回顾性研究纳入了153例患者（平均年龄30.0岁；40.5%为女性），共治疗了192个髋关节。使用问卷在平均59.4个月的随访时确定运动行为和满意度。随访时的活动水平通过髋关节运动活动量表（HSAS）和加利福尼亚大学洛杉矶分校（UCLA）活动量表进行评估。
在术前经常参加运动的126例患者中，107例（85%）在随访时仍保持运动。19例患者（12.4%）停止参加常规运动，8例（5.2%）在术后开始运动。术前最受欢迎的活动是滑雪（22%）、骑自行车（22%）、慢跑（20%）和足球（13%）。随访时，大多数患者从事骑自行车（23%）、健身/重量训练（20%）、滑雪（18%）和慢跑（11%）。在所有患者中，75%对自己的运动能力满意，25%不满意。此外，60.3%表示术后运动能力有所提高，20.5%称无变化，19.2%主观感觉运动能力下降。根据视觉模拟量表，运动时的平均疼痛评分为2.1。HSAS平均得分为3.5（范围0 - 8），UCLA平均得分为7.7（范围3 - 10）；男性患者在HSAS量表（分别为4.1和2.7）和UCLA量表（分别为8.2和7.0）上的得分显著高于女性患者。
绝大多数接受髋关节脱位手术治疗的FAI患者能够恢复体育活动，并且大多数患者在中期随访时对自己的运动能力满意。男性患者的活动水平显著更高，但满意度并未更高。
