Giordano Brian D, Suarez-Ahedo Carlos, Gui Chengcheng, Darwish Nader, Lodhia Parth, Domb Benjamin G
University of Rochester Medical Center, Hinsdale, IL 6052.
American Hip Institute, Hinsdale, IL 6052.
J Hip Preserv Surg. 2017 Oct 10;5(1):66-72. doi: 10.1093/jhps/hnx031. eCollection 2018 Jan.
This study aims to investigate the influence of the acetabular rim fractures on outcomes of hip arthroscopy at minimum 2-year follow-up. Between January 2009 and August 2012, data were prospectively collected on all patients undergoing hip arthroscopy. Anatomic findings, including presence of rim fractures, were recorded intraoperatively. Patients were assessed preoperatively and at 3 months, 1 year and minimum 2 years postoperatively with four patient-reported outcome measures: modified Harris Hip Score, Non-Arthritic Hip Score, Hip Outcome Score-Activities of Daily Living and Hip Outcome Score-Sport Specific Subscales. Pain was estimated using a visual analog scale. Satisfaction was measured on a scale from 0 to 10. Patients with rim fractures were identified and retrospectively matched to a control group based on gender, BMI category, and age at surgery within 3 years and compared in terms of demographic factors, intraoperative findings, procedures and outcomes. Twenty-one patients with rim fractures were matched to a control group of 21 patients with symptomatic femoroacetabular impingement without rim fractures. No significant differences were detected with respect to demographic characteristics, surgical procedures (besides the removal of rim fractures), or in terms of preoperative, postoperative, or improvement in patient-reported outcome scores and satisfaction. The presence or absence of an acetabular rim fracture does not significantly influence clinical outcomes at minimum 2-year follow-up after hip arthroscopy. Case-control study design is used in this study.
本研究旨在调查髋臼缘骨折对至少随访2年的髋关节镜手术结果的影响。在2009年1月至2012年8月期间，前瞻性收集了所有接受髋关节镜手术患者的数据。术中记录包括髋臼缘骨折情况在内的解剖学发现。术前以及术后3个月、1年和至少2年时，使用四项患者报告的结局指标对患者进行评估：改良Harris髋关节评分、非关节炎髋关节评分、髋关节结局评分-日常生活活动以及髋关节结局评分-运动特定子量表。使用视觉模拟量表评估疼痛程度。满意度采用0至10分的评分标准。识别出有髋臼缘骨折的患者，并根据性别、BMI类别和手术时年龄在3年内回顾性匹配对照组，比较两组在人口统计学因素、术中发现、手术操作和结局方面的差异。21例有髋臼缘骨折的患者与21例有症状性股骨髋臼撞击症但无髋臼缘骨折的对照组患者进行匹配。在人口统计学特征、手术操作（除髋臼缘骨折的处理外）、患者报告的结局评分及满意度的术前、术后或改善情况方面，未检测到显著差异。在至少随访2年的髋关节镜手术后，髋臼缘骨折的有无并未显著影响临床结局。本研究采用病例对照研究设计。
