Vassalo Carlos César, Barros Antônio Augusto Guimarães, Costa Lincoln Paiva, Guedes Euler de Carvalho, de Andrade Marco Antônio Percope
Departamento de Ortopedia, Hospital Madre Teresa, Belo Horizonte, MG, Brazil.
Departamento do Aparelho Locomotor da Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
BMJ Open Sport Exerc Med. 2018 May 18;4(1):e000328. doi: 10.1136/bmjsem-2017-000328. eCollection 2018.
To evaluate the primary clinical outcomes of arthroscopic labral repair.
All patients who underwent arthroscopic repair of the acetabular labrum performed by a senior surgeon between October 2010 and December 2013 were invited to participate in this prospective study. Patients included were those who had a preoperative diagnosis of labral tears, a lateral centre edge greater than 25° and a labral tear believed to be suturable during the intraoperative evaluation. Patients with Tönnis grade 2 or grade 3 hip osteoarthritis and those who had undergone a previous hip surgery were excluded. All patients were evaluated using the modified Harris Hip Score (mHHS) during the final appointment before surgery, 4 months after surgery and at the final evaluation. Interviews were conducted by the senior surgeon.
Eighty-four patients (90 hips) underwent arthroscopic repair. The mean age was 44.2 years and the mean follow-up period was 43.0 months (minimum of 25 months and maximum of 59 months). The mean mHHS was 80.4 preoperatively, 95.0 at 4 months postoperatively and 96.6 at final evaluation. A statistically significant difference existed among these scores (p<0.001).
Arthroscopic labral repair was associated with a clinically significant improvement in mHHS after short-term (4 months) and medium-term (43 months) follow-up.
Level IV, therapeutic case series.
评估关节镜下盂唇修复的主要临床疗效。
邀请2010年10月至2013年12月期间由一位资深外科医生进行髋臼盂唇关节镜修复的所有患者参与这项前瞻性研究。纳入的患者为术前诊断为盂唇撕裂、外侧中心边缘大于25°且术中评估认为盂唇撕裂可缝合的患者。排除Tönnis 2级或3级髋骨关节炎患者以及既往有髋关节手术史的患者。所有患者在术前最后一次预约、术后4个月及最终评估时均使用改良Harris髋关节评分（mHHS）进行评估。由资深外科医生进行访谈。
84例患者（90髋）接受了关节镜修复。平均年龄为44.2岁，平均随访期为43.0个月（最短25个月，最长59个月）。术前mHHS平均为80.4，术后4个月为95.0，最终评估时为96.6。这些评分之间存在统计学显著差异（p<0.001）。
关节镜下盂唇修复在短期（4个月）和中期（43个月）随访后与mHHS的临床显著改善相关。
IV级，治疗性病例系列。
