Lund Bent, Mygind-Klavsen Bjarne, Grønbech Nielsen Torsten, Maagaard Niels, Kraemer Otto, Hölmich Per, Winge Søren, Lind Martin
Department of Orthopedics, Horsens Regional Hospital, 8700 Horsens, Denmark.
Department of Orthopedics, Aarhus University Hospital THG, 8000 Aarhus C, Denmark.
J Hip Preserv Surg. 2017 Apr 4;4(2):170-177. doi: 10.1093/jhps/hnx009. eCollection 2017 Jul.
The Danish Hip Arthroscopy Registry (DHAR) was initiated in January 2012 as a web-based prospective registry. The purpose of this study was to evaluate and report the first registry based outcome data of a national population with radiological and clinical femoroacetabular impingement (FAI) undergoing hip arthroscopic treatment. Our primary hypothesis was that patients undergoing hip arthroscopy would improve significantly in pain, quality of life and sports related outcome measurements in Patient Related Outcome Measures (PROM). Peri-operative data and Patient Reported Outcome Measures (PROM) data from DHAR between January 2012 and November 2015 were extracted. Radiological pincer-type FAI was defined as LCE > 35° and cam FAI as alpha-angle > 55°. These data were combined with FAI surgical data such as osteochondroplasty and labral repair or resection. PROMs consisting of HAGOS, EQ-5 D, HSAS and NRS pain scores were submitted online by the patients pre-operatively and at 1 and 2-years follow-up. 2054 FAI procedures in 1835 patients were included in this study (219 patients had bilateral procedures performed). HAGOS demonstrated significant improvement in all subscales at follow up. EQ-5 D demonstrated improvement after 1 and 2 years from 0.66 pre-op to 0.78 at 2 years. HSAS improved significantly from 2.5 to 3.3. Pain score data demonstrated improvement in NRS-rest 39 to 17 and NRS Walk 49 to 22 at follow-up. We conclude that patients with FAI undergoing hip arthroscopy experience improvement in pain, quality of life and also in function and sports related outcome measures during the first 2 years after surgery.
丹麦髋关节镜注册中心（DHAR）于2012年1月启动，是一个基于网络的前瞻性注册中心。本研究的目的是评估并报告全国接受髋关节镜治疗的有放射学和临床股骨髋臼撞击症（FAI）患者的注册中心首次结局数据。我们的主要假设是，接受髋关节镜手术的患者在患者报告结局量表（PROM）中的疼痛、生活质量和与运动相关的结局测量方面将有显著改善。提取了2012年1月至2015年11月期间DHAR的围手术期数据和患者报告结局量表（PROM）数据。放射学钳夹型FAI定义为外侧中心边缘角（LCE）＞35°，凸轮型FAI定义为α角＞55°。这些数据与FAI手术数据相结合，如骨软骨成形术和盂唇修复或切除术。由髋关节骨关节炎结局评分（HAGOS）、欧洲五维度健康量表（EQ-5D）、髋关节症状和活动量表（HSAS）和数字疼痛评分量表（NRS）疼痛评分组成的PROM在术前、术后1年和2年由患者在线提交。本研究纳入了1835例患者的2054例FAI手术（219例患者接受了双侧手术）。随访时HAGOS的所有子量表均有显著改善。EQ-5D在术后1年和2年有所改善，从术前的0.66提高到2年时的0.78。HSAS从2.5显著提高到3.3。疼痛评分数据显示，随访时静息NRS从39降至17，行走NRS从49降至22。我们得出结论，接受髋关节镜手术的FAI患者在术后的前2年中，疼痛、生活质量以及功能和与运动相关的结局测量均有改善。
