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髋臼中心边缘角对关节镜下髋臼盂唇清创术后临床及生活质量结果的影响。

Effect of centre-edge angle on clinical and quality of life outcomes after arthroscopic acetabular labral debridement.

作者信息

Wu Ziying, Chen Shiyi, Li Yunxia, Li Hong, Chen Jiwu

机构信息

Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.

出版信息

Int Orthop. 2016 Jul;40(7):1427-32. doi: 10.1007/s00264-015-2923-3. Epub 2015 Jul 29.

Abstract

PURPOSE

The aim of this study was to compare clinical and quality of life outcomes following arthroscopic acetabular labral debridement between patients with different centre-edge (CE) angle.

METHODS

A total of 79 patients who underwent hip labral debridement were enrolled in this study. Radiographic measurements of CE angle were collected, and patients were assigned into a normal group (25° < CE angle <40°, n = 68) and dysplasia group (CE angle <20°, n = 11). Clinical outcomes were evaluated by modified Harris Hip Score (mHHS), Hip Outcome Score (HOS) for activities of daily living (ADL) and sports and Short Form 12 (SF-12).

RESULTS

At the final follow-up, the normal group showed significant improvements in mHHS, HOS (ADL and sports) and SF-12 (P < 0.05). However, the dysplasia group revealed significant improvements in mHHS, HOS (ADL) and SF-12 physical component summary (PCS) (P < 0.05) and no significant changes in HOS sports and SF-12 mental component summary (MCS) (P > 0.05). Additionally, there was a greater improvement in clinical scores post-operatively in the normal group compared with the dysplasia group (P < 0.05).

CONCLUSIONS

Arthroscopic acetabular labral debridement resulted in significantly greater clinical and quality of life outcomes in patients with CE angle >25° compared with patients with CE angle < 20°.

摘要

目的

本研究旨在比较不同中心边缘(CE)角患者行关节镜下髋臼盂唇清创术后的临床及生活质量结果。

方法

本研究共纳入79例行髋关节盂唇清创术的患者。收集CE角的影像学测量数据,并将患者分为正常组(25°<CE角<40°,n = 68)和发育异常组(CE角<20°,n = 11)。通过改良Harris髋关节评分(mHHS)、日常生活活动(ADL)和运动的髋关节结果评分(HOS)以及简短健康调查问卷12项(SF - 12)评估临床结果。

结果

在末次随访时,正常组在mHHS、HOS(ADL和运动)及SF - 12方面有显著改善(P<0.05)。然而,发育异常组在mHHS、HOS(ADL)及SF - 12身体成分总结(PCS)方面有显著改善(P<0.05),而HOS运动及SF - 12心理成分总结(MCS)无显著变化(P>0.05)。此外,正常组术后临床评分的改善程度大于发育异常组(P<0.05)。

结论

与CE角<20°的患者相比,关节镜下髋臼盂唇清创术使CE角>25°的患者在临床及生活质量方面有更显著的改善。

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