Haughom Bryan D, Plummer Darren R, Hellman Michael D, Nho Shane J, Rosenberg Aaron G, Della Valle Craig J
Department of Orthopaedic Surgery, Rush University, Chicago, Illinois.
Department of Orthopaedic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
J Arthroplasty. 2016 Jul;31(7):1516-8. doi: 10.1016/j.arth.2016.01.008. Epub 2016 Jan 21.
Hip arthroscopy utilization is on the rise in the United States. Thus, determining the impact of prior hip arthroscopy on subsequent total hip arthroplasty (THA) is important to understand.
A retrospective review of a high-volume orthopedic surgery practice's billing database yielded 42 hip arthroscopies that underwent subsequent THA. An age-, sex-, and body mass index (2:1)-matched cohort of primary THAs was used for comparison.
No difference was observed in the postoperative Harris Hip Score between groups (92.1 ± 10.9 vs 90.1 ± 6.6, P = .20); however, there was greater overall improvement in Harris Hip Score in the control group (40.4 ± 18.4 vs 45.1 ± 8.7, P = .05). There were no differences observed in the complication (P = .5) or revision rates (P = .4).
With the numbers available, prior hip arthroscopy does not appear to have an impact on the functional outcomes of a subsequent THA.
在美国，髋关节镜检查的应用正在增加。因此，了解先前的髋关节镜检查对后续全髋关节置换术（THA）的影响很重要。
对一家大型骨科手术机构的计费数据库进行回顾性研究，筛选出42例接受了后续THA的髋关节镜检查病例。采用年龄、性别和体重指数（2:1）匹配的初次THA队列作为对照组。
两组术后Harris髋关节评分无差异（92.1±10.9 vs 90.1±6.6，P = 0.20）；然而，对照组Harris髋关节评分的总体改善更大（40.4±18.4 vs 45.1±8.7，P = 0.05）。并发症发生率（P = 0.5）和翻修率（P = 0.4）无差异。
就现有数据而言，先前的髋关节镜检查似乎对后续THA的功能结果没有影响。
