Polesello Giancarlo C, Lima Filipe R, Guimaraes Rodrigo P, Ricioli Walter, Queiroz Marcelo C
Faculty of Medical Sciences of Santa Casa de São Paulo, São Paulo - Brazil.
Hip Int. 2014 Jul-Aug;24(4):381-6. doi: 10.5301/hipint.5000135. Epub 2014 May 19.
To evaluate the clinical outcomes of an arthroscopic treatment of femoroacetabular impingement at a minimum of a five-year follow-up.
A case series with 24 subjects (26 hips) was conducted. Subjects that were submitted to an arthroscopic procedure for the treatment of femoroacetabular impingement, at a minimum of five years, were evaluated. Subjects completed the modified Harris Hip Score (mHHS), the pain numeric rating scale and a general questionnaire accessing sports practice and satisfaction.
Twenty-one of the 24 subjects (87.5%) were male and the average age at the time of surgery was 34.6 ± 9.5 years old (range 13-51). Of the 27 subjects submitted to hip arthroscopy, three (11.1%) could not be contacted. Follow-up was 6.1 ± 0.8 years, and at this time the average mHHS was 90.6 ± 11.6. Pain numeric rating scale was 2.6 ± 1.9 and 11 hips (42.3%) reported no pain. Of the 14 subjects that complained of hip pain during sports activities prior to surgery, 10 (71.4%) returned to normal sports activities while four (28.6%) subjects could not return to preoperative activities. Three patients had to be submitted to a new surgical procedure. All 24 subjects were satisfied with their procedure and would repeat it if necessary.
Arthroscopic treatment of femoroacetabular impingement, at five years follow-up, revealed good results in terms of improved function, pain relief and satisfaction.
评估关节镜治疗股骨髋臼撞击症至少五年随访的临床结果。
进行了一项包含24名受试者（26个髋关节）的病例系列研究。对接受关节镜手术治疗股骨髋臼撞击症且随访至少五年的受试者进行评估。受试者完成改良Harris髋关节评分（mHHS）、疼痛数字评定量表以及一份关于运动实践和满意度的一般问卷。
24名受试者中有21名（87.5%）为男性，手术时的平均年龄为34.6±9.5岁（范围13 - 51岁）。在接受髋关节镜检查的27名受试者中，有3名（11.1%）无法取得联系。随访时间为6.1±0.8年，此时mHHS的平均值为90.6±11.6。疼痛数字评定量表评分为2.6±1.9，11个髋关节（42.3%）报告无疼痛。在术前运动活动时抱怨髋关节疼痛的14名受试者中，10名（71.4%）恢复了正常运动活动，而4名（28.6%）受试者无法恢复到术前活动水平。3名患者不得不接受再次手术。所有24名受试者对手术都很满意，如有必要会再次接受手术。
关节镜治疗股骨髋臼撞击症，在五年随访时，在功能改善、疼痛缓解和满意度方面显示出良好结果。
