年轻业余运动员髋关节镜下盂唇修复术后重返运动和临床结果：至少 2 年随访。
Return to Sport and Clinical Outcomes After Hip Arthroscopic Labral Repair in Young Amateur Athletes: Minimum 2-Year Follow-Up.
机构信息
Department of Orthopedic Surgery and Sports Medicine Center, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.
Department of Orthopedic Surgery and Sports Medicine Center, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A..
出版信息
Arthroscopy. 2017 Sep;33(9):1679-1684. doi: 10.1016/j.arthro.2017.03.011. Epub 2017 May 10.
PURPOSE
To determine the rate of return of young amateur athletes to sport after hip arthroscopy, their clinical outcomes, and pathologic risk factors for worse outcomes 2 years after surgery.
METHODS
This study included all patients between age 13 and 23 who participated in a sport prior to surgery with intent to return who underwent hip arthroscopy after failure of comprehensive nonoperative management for whom 2-year outcome scores were available. Outcomes collected retrospectively included modified Harris Hip Score (mHHS) and the Hip Outcome Scores (HOS) subscales for activities of daily living (ADL) and sport (HOS Sport). In addition, sport played, return to sport rates, and Tegner Scores were measured preinjury and postoperatively. Descriptive statistics were used to present demographic data. A priori analysis was used to determine the sample size needed to show minimal clinically important differences for mHHS, HOS ADL, and HOS Sport.
RESULTS
The study population included 50 patients with a mean age of 17.8 years. Athletes returned to sport at a rate of 92% (46/50). At a mean follow-up of 34 months, the mean mHHS, HOS ADL, and HOS Sport outcome scores were 85, 91, and 80 for the entire study group; 87, 92, and 84 for the group that returned to sport; and 67, 82, and 41 for the group that did not return to sport, respectively. Median preinjury and postoperative Tegner levels were 8 and 7, respectively. Labral takedown and reattachment was associated with lower HOS ADL (P = .01) and HOS Sport scores (P = .02).
CONCLUSIONS
Athletes returned to sport at a high rate (92%; 46/50) after hip arthroscopy and perform activities at near preinjury levels. In this group of athletes, arthroscopic labral repair with chondrolabral preservation, which reflected less severe chondrolabral pathology, performed better than labral repair with takedown and reattachment.
LEVEL OF EVIDENCE
Level IV, therapeutic case series.
目的
确定髋关节镜术后年轻业余运动员重返运动的比例、临床结果，以及术后 2 年手术结局较差的病理危险因素。
方法
本研究纳入了所有在术前参加运动、有重返运动意愿、且在综合非手术治疗失败后接受髋关节镜手术的年龄在 13 岁至 23 岁之间的患者，且在术后 2 年获得了可用的结局评分。回顾性收集的结局包括改良 Harris 髋关节评分（mHHS）和髋关节结局评分（HOS）日常生活活动（ADL）和运动（HOS 运动）亚量表。此外，术前和术后还测量了运动项目、重返运动率和 Tegner 评分。使用描述性统计来呈现人口统计学数据。使用预先分析来确定显示 mHHS、HOS ADL 和 HOS 运动最小临床重要差异所需的样本量。
结果
研究人群包括 50 名平均年龄为 17.8 岁的患者。运动员的重返运动率为 92%（46/50）。在平均 34 个月的随访中，整个研究组的平均 mHHS、HOS ADL 和 HOS 运动结局评分分别为 85、91 和 80；重返运动组分别为 87、92 和 84；未重返运动组分别为 67、82 和 41。术前和术后的中位数 Tegner 水平分别为 8 和 7。盂唇切除和再附着与较低的 HOS ADL（P=0.01）和 HOS 运动评分（P=0.02）相关。
结论
髋关节镜术后，运动员重返运动的比例较高（92%；46/50），运动能力接近术前水平。在这群运动员中，关节镜下盂唇修复保留了软骨盂唇，反映了较轻的软骨盂唇病理，其表现优于盂唇切除和再附着修复。
证据等级
IV 级，治疗性病例系列。
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