Ortiz-Declet Victor, Yuen Leslie C, Maldonado David R, Schwarzman Garrett, Laseter Joseph R, Domb Benjamin G
Orthopedics. 2018 Jul 1;41(4):e545-e549. doi: 10.3928/01477447-20180524-02. Epub 2018 May 30.
There are approximately 25 million amateur golfers in the United States, making up almost 10% of the entire US population. The purpose of this study was to evaluate short-term outcomes and rates of return to sport among recreational golfers who underwent hip arthroscopy for the treatment of labral tears. Data were prospectively collected and retrospectively reviewed for patients who underwent hip arthroscopy by one surgeon between August 2008 and February 2015. Exclusion criteria were previous ipsilateral hip surgeries or conditions, preoperative Tönnis osteoarthritis grade greater than 1, or workers' compensation status. Patients who played golf at a recreational level within 1 year prior to their surgery, attempted to return to golf postoperatively, and had preoperative and minimum 2-year postoperative measures for the modified Harris hip score, Nonarthritic Hip Score, Hip Outcome Score-Sports Specific Subscale, and visual analog scale for pain were included in the final cohort. Data on return to sport, surgical complications, and secondary surgeries were recorded. Of the 49 patients eligible for inclusion, 40 (81.6%) had minimum 2-year follow-up at a mean of 51.0 months. Mean age at surgery was 49.1 years. All patient-reported outcomes and visual analog scale scores were significantly improved at latest follow-up. Thirty-six (90%) of the 40 patients returned to golf after surgery. Hip arthroscopy leads to significant improvement in patient-reported outcomes and a high rate of return to sport for recreational golfers presenting with labral tears. Therefore, it is a good treatment option for this patient population. [Orthopedics. 2018; 41(4):e545-e549.].
美国约有2500万业余高尔夫球手,几乎占美国总人口的10%。本研究的目的是评估接受髋关节镜手术治疗盂唇撕裂的休闲高尔夫球手的短期疗效和恢复运动的比例。对2008年8月至2015年2月间由一名外科医生实施髋关节镜手术的患者进行前瞻性数据收集和回顾性分析。排除标准为既往同侧髋关节手术史或疾病史、术前Tönnis骨关节炎分级大于1级或工伤赔偿状态。最终队列纳入术前1年内进行休闲水平高尔夫运动、术后试图恢复高尔夫运动且有术前及术后至少2年改良Harris髋关节评分、非关节炎髋关节评分、髋关节结果评分-运动特定子量表以及疼痛视觉模拟量表测量值的患者。记录恢复运动、手术并发症和二次手术的数据。49例符合纳入标准的患者中,40例(81.6%)进行了至少2年的随访,平均随访时间为51.0个月。手术时的平均年龄为49.1岁。在最近一次随访时,所有患者报告的结局和视觉模拟量表评分均有显著改善。40例患者中有36例(90%)术后恢复了高尔夫运动。髋关节镜手术可显著改善患者报告的结局,对于出现盂唇撕裂的休闲高尔夫球手,恢复运动的比例较高。因此,对于该患者群体而言,这是一个很好的治疗选择。[《骨科学》。2018年;41(4):e545-e549。]