White Brian J, Stapleford Andrea B, Hawkes Tara K, Finger Michael J, Herzog Mackenzie M
Western Orthopaedics, Denver, Colorado, U.S.A..
Western Orthopaedics, Denver, Colorado, U.S.A.
Arthroscopy. 2016 Jan;32(1):26-32. doi: 10.1016/j.arthro.2015.07.016. Epub 2015 Oct 1.
To present minimum 2-year outcomes in patients who underwent a modified technique for arthroscopic labral reconstruction using iliotibial band allograft tissue and a front-to-back fixation.
From April 2011 to July 2012, all consecutive arthroscopic labral reconstruction patients were included in this Institutional Review Board-approved, prospective case series study. Inclusion criteria were arthroscopic iliotibial band allograft labral reconstruction performed by a single surgeon, age ≥16 years at the time of arthroscopy, and a minimum of 2 years of follow-up. Patients completed subjective questionnaires both preoperatively and postoperatively, including Modified Harris Hip Score (MHHS), the Lower Extremity Function Score (LEFS), Visual Analogue Scale (VAS) pain scores, and patient satisfaction. A modified front-to-back fixation technique for labral reconstruction was used.
One hundred fifty-two hips (142 patients) met the inclusion criteria for this study; 131 hips (86.2%) had complete follow-up at a minimum of 2 years, and 21 hips (13.8%) were lost to follow-up or had incomplete data during the study period. Seventy hips had concomitant procedures performed; 27 microfracture, 30 chondroplasty, 26 psoas release, 5 os acetabuli resection, and 3 Ganz osteotomy. Overall, 18 hips (13.7%) required revision procedures at a mean of 17 months (range, 1 to 37 months) after the labral reconstruction. In the remaining 113 hips, there was significant improvement in all outcome measures from preoperative to most recent follow-up (P < .0001). The mean MHHS improved by 34 points (P < .0001), and the mean LEFS improved by 27 points (P < .0001). The mean VAS pain score improved by 3 points at rest (P < .0001), 4 points with average pain with daily activities (P < .0001), and 5 points with sport (P < .0001). Patients reported an overall satisfaction of 9 (range, 1 to 10).
Arthroscopic iliotibial band allograft labral reconstruction of the hip shows promising outcomes at minimum 2-year follow-up.
Level IV, therapeutic case series.
介绍采用同种异体髂胫束组织和前后固定改良技术进行髋关节镜下盂唇重建患者的至少2年随访结果。
2011年4月至2012年7月，所有连续接受髋关节镜下盂唇重建的患者均纳入本机构审查委员会批准的前瞻性病例系列研究。纳入标准为：由单一外科医生进行髋关节镜下同种异体髂胫束盂唇重建；关节镜检查时年龄≥16岁；至少随访2年。患者在术前和术后均完成主观问卷调查，包括改良Harris髋关节评分（MHHS）、下肢功能评分（LEFS）、视觉模拟量表（VAS）疼痛评分和患者满意度。采用改良的前后固定技术进行盂唇重建。
152例髋关节（142例患者）符合本研究的纳入标准；131例髋关节（86.2%）至少有2年的完整随访，21例髋关节（13.8%）在研究期间失访或数据不完整。70例髋关节同时进行了其他手术；27例微骨折、30例软骨成形术、26例腰大肌松解、5例髋臼骨切除和3例Ganz截骨术。总体而言，18例髋关节（13.7%）在盂唇重建后平均17个月（范围1至37个月）需要翻修手术。在其余113例髋关节中，从术前到最近一次随访，所有结局指标均有显著改善（P <.0001）。平均MHHS提高了34分（P <.0001），平均LEFS提高了27分（P <.0001）。静息时平均VAS疼痛评分提高了3分（P <.0001），日常活动平均疼痛时提高了4分（P <.0001），运动时提高了5分（P <.0001）。患者报告总体满意度为9分（范围1至10分）。
髋关节镜下同种异体髂胫束盂唇重建在至少2年的随访中显示出良好的结果。
IV级，治疗性病例系列。
