Xie Zongping, Jin Dongxu, Shen Jiagen, Zhang Changqing
Department of Orthopedics, the Sixth People's Hospital of Shanghai, Affiliated to Shanghai Jiaotong University, Shanghai, 200233,
Department of Orthopedics, the Sixth People's Hospital of Shanghai, Affiliated to Shanghai Jiaotong University, Shanghai, 200233, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Feb 15;32(2):129-133. doi: 10.7507/1002-1892.201710046.
To assess the mid-term effectiveness of arthroscopic surgery in treatment of femoroacetabular impingement (FAI).
Between July 2014 and December 2015, 131 patients (132 hips) with FAI were enrolled in this study. There were 68 males and 63 females with an average age of 42.5 years (range, 17-68 years). The FAI was located at left hip in 72 cases, right hip in 58 cases, and bilateral hips in 1 case. The mean disease duration was 35 months (range, 3-120 months). Under arthroscopy, the femoral neck osteoplasty and/or acetabular rim trimming were performed, then the torn labrum was repaired. At the same time, the iliopsoas tendon was divided and the torn round ligament was debrided. The effectiveness was assessed by the visual analogue scale (VAS) and the Harris hip score (HHS).
After operation, the perineum nerve palsy and numbness of dorsal feet occurred in 2 cases and 3 cases, respectively. There was no other complication. All patients were followed up 20-36 months (mean, 27.7 months). There were significant differences in the VAS scores and HHS scores between pre-operation, post-operative 3 months, and the last follow-up ( <0.05). Imaging examination showed that joint interspace of the involved hip was normal, and there was no sign of impingement and osteoarthritis in the femoral neck or acetabulum.
Arthroscopic labral repair and osteoplasty is an effective and safe management for FAI in the mid-term follow-up.
评估关节镜手术治疗股骨髋臼撞击症（FAI）的中期疗效。
2014年7月至2015年12月，本研究纳入131例（132髋）FAI患者。其中男性68例，女性63例，平均年龄42.5岁（范围17 - 68岁）。FAI位于左髋72例，右髋58例，双侧髋1例。平均病程35个月（范围3 - 120个月）。在关节镜下，进行股骨颈截骨成形术和/或髋臼缘修整，然后修复撕裂的盂唇。同时，切断髂腰肌肌腱并清理撕裂的圆韧带。通过视觉模拟评分法（VAS）和Harris髋关节评分（HHS）评估疗效。
术后分别有2例出现会阴部神经麻痹和3例出现足背麻木。无其他并发症。所有患者均随访20 - 36个月（平均27.7个月）。术前、术后3个月及末次随访时的VAS评分和HHS评分差异有统计学意义（<0.05）。影像学检查显示患髋关节间隙正常，股骨颈或髋臼无撞击及骨关节炎迹象。
关节镜下盂唇修复和截骨成形术在中期随访中是治疗FAI的一种有效且安全的方法。
