Przybył Michał, Walenczak Krzysztof, Lebiedziński Radosław, Domżalski Marcin
Orthopedic and Trauma Surgery Department, M. Curie-Skłodowska Regional Specialist Hospital in Zgierz, Poland.
Paediatric Orthopedics and Traumatology Ward, Central Teaching Hospital of Medical University in Łódź, Poland.
Ortop Traumatol Rehabil. 2017 May 10;19(3):249-261.
[b]Background. [/b]This paper analyses the outcomes of treatment of avascular necrosis (AVN), femoroacetabular impingement (FAI), hip labral tear (HLT) and snapping hip syndrome (SHS). Moreover, the results of individual groups are also compared.
The study group consisted of 70 persons (surgeries of 72 hips). AVN - 14 patients, FAI - 38 patients (39 hips), HLT - 12 patients (13 hips), SHS - 6 patients. Two questionnaires, namely the MHHS (Modified Harris Hip Score) and NAHS (Non Arthritic Hip Score), were used to evaluate the patients before the surgery and at 6- and 12-month follow-up.[b]Results. [/b]AVN : local improvement was recorded at both 6 and 12 months, FAI: local improvement was recorded at both 6 and 12 months, HLT: local improvement was recorded at both 6 and 12 months, SHS: local improvement was recorded at both 6 and 12 months. Comparison of the results between the groups showed that: At baseline, local status in AVN was poorer than in FAI. At 6- and 12-month follow-up, local status in AVN was poorer than in FAI, HLT and SHS.[b]Conclusions.[/b] AVN Group 1. The study demonstrates that arthroscopic treatment of avascular necrosis produced fairly good outcomes at 6 and 12 months after the surgery. 2. Treatment of avascular necrosis showed significantly poorer results than therapy of femoroacetabular impingement, hip labral tear and snapping hip syndrome at 6 and 12 months. FAI Group 1. Arthroscopic treatment of femoroacetabular impingement produced good outcomes at 6 and 12 months after the surgery. HLT Group 1. Arthroscopic treatment of hip labral tear produced excellent outcomes at 6 and 12 months after the surgery. SHS Group 1. Arthroscopic treat ment of snapping hip syndrome produced excellent outcomes at 6 and 12 months after the surgery.Additional conclusions. 1. Studies showing long-term effect of arthroscopic treatment of selected conditions are necessary to further assess the effectiveness of this treatment. 2. It is necessary to evaluate the influence of the patients' age and severity of osteo arthritis on treatment outcomes in FAI. 3. It is necessary to assess the influence of the severity of pre-operative necrosis according to Ficat and Arlet classification on treatment outcomes in AVN.
[b]背景。[/b]本文分析了股骨头缺血性坏死（AVN）、股骨髋臼撞击症（FAI）、髋关节盂唇撕裂（HLT）和弹响髋综合征（SHS）的治疗结果。此外，还对各个组的结果进行了比较。
研究组由70人组成（72例髋关节手术）。AVN患者14例，FAI患者38例（39髋），HLT患者12例（13髋），SHS患者6例。使用两份问卷，即改良Harris髋关节评分（MHHS）和非关节炎髋关节评分（NAHS），在手术前以及术后6个月和12个月对患者进行评估。[b]结果。[/b]AVN：在6个月和12个月时均记录到局部改善；FAI：在6个月和12个月时均记录到局部改善；HLT：在6个月和12个月时均记录到局部改善；SHS：在6个月和12个月时均记录到局部改善。组间结果比较显示：基线时，AVN的局部状况比FAI差。在术后6个月和12个月的随访中，AVN的局部状况比FAI、HLT和SHS差。[b]结论。[/b]AVN组1. 研究表明，股骨头缺血性坏死的关节镜治疗在术后6个月和12个月产生了相当好的效果。2. 在术后6个月和12个月时，股骨头缺血性坏死的治疗效果明显比股骨髋臼撞击症、髋关节盂唇撕裂和弹响髋综合征的治疗效果差。FAI组1. 股骨髋臼撞击症的关节镜治疗在术后6个月和12个月产生了良好的效果。HLT组1. 髋关节盂唇撕裂的关节镜治疗在术后6个月和12个月产生了优异的效果。SHS组1. 弹响髋综合征的关节镜治疗在术后6个月和12个月产生了优异的效果。其他结论。1. 有必要进行研究以显示关节镜治疗特定病症的长期效果，从而进一步评估这种治疗方法的有效性。2. 有必要评估患者年龄和骨关节炎严重程度对FAI治疗结果的影响。3. 有必要根据Ficat和Arlet分类评估术前坏死严重程度对AVN治疗结果的影响。
