Wu Ziying, Chen Shiyi, Li Yunxia, Li Hong, Chen Jiwu
Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Int Orthop. 2016 Jul;40(7):1427-32. doi: 10.1007/s00264-015-2923-3. Epub 2015 Jul 29.
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.
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).
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).
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°.
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。
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。
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)。
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。