Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, U.S.A..
Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, U.S.A.
Arthroscopy. 2019 Mar;35(3):837-842.e1. doi: 10.1016/j.arthro.2018.10.113. Epub 2019 Feb 6.
To evaluate return to play (RTP) and performance-based outcomes in professional athletes across 4 major North American team sports following hip arthroscopy.
Professional athletes of the National Football League, Major League Baseball (MLB), National Basketball Association, and National Hockey League (NHL) who underwent hip arthroscopy were identified using an established protocol of public reports. Sport-specific statistics were collected before and after hip arthroscopy for each athlete, leading to a performance score. RTP was defined as the first regular or postseason game played following surgery.
A total of 151 arthroscopic hip procedures were performed on 131 professional athletes. The overall RTP rate after arthroscopic hip surgery was found to be 88.7% (134 of 151 arthroscopic hip surgeries), with no significant difference between sports. The median number of seasons played after hip arthroscopy were 2.7, 2.3, 1.1, and 0.9 for the National Football League, National Basketball Association, MLB, and NHL cohorts, respectively, with no significant difference between sports. MLB and NHL cohorts experienced a decrease in games played in the first season following hip arthroscopy (P = .04, P = .01), whereas NHL players also experienced a decrease in games played in seasons 2 and 3 postoperatively (P = .001). Performance scores decreased in the NHL cohort for all seasons postoperatively (P < .001, P = .003). No other statistically significant differences were found when comparing players of different sports.
Although professional athletes demonstrate a high rate of RTP following hip arthroscopy across the 4 major North American team sports, hockey players demonstrate the worst prognosis following hip arthroscopy, with sustained decreases in games played and performance in the first 3 seasons postoperatively.
Level III, retrospective comparative therapeutic trial.
评估 4 种主要北美团队运动项目中髋关节镜术后职业运动员的重返赛场（RTP）和基于表现的结果。
使用已建立的公开报告方案，确定接受髋关节镜手术的国家橄榄球联盟、美国职棒大联盟（MLB）、美国国家篮球协会（NBA）和国家冰球联盟（NHL）的职业运动员。为每位运动员收集了髋关节镜手术前后的专项运动统计数据，得出表现得分。RTP 定义为手术后首次参加常规赛或季后赛。
共对 131 名职业运动员的 151 例髋关节镜手术进行了分析。髋关节镜手术后的总体 RTP 率为 88.7%（151 例髋关节镜手术中的 134 例），各运动项目之间无显著差异。髋关节镜手术后，运动员平均再参加 2.7 个、2.3 个、1.1 个和 0.9 个赛季，分别为国家橄榄球联盟、美国国家篮球协会、美国职棒大联盟和国家冰球联盟的运动员，各运动项目之间无显著差异。美国职棒大联盟和国家冰球联盟的运动员在髋关节镜手术后的第一个赛季比赛场次减少（P =.04，P =.01），而 NHL 球员在手术后的第 2 个和第 3 个赛季的比赛场次也减少（P =.001）。NHL 运动员在手术后的所有赛季的表现得分均下降（P <.001，P =.003）。比较不同运动项目的运动员时，未发现其他具有统计学意义的差异。
尽管在 4 种主要的北美团队运动项目中，职业运动员髋关节镜术后的 RTP 率较高，但冰球运动员髋关节镜术后的预后最差，在手术后的前 3 个赛季，比赛场次和表现持续下降。
三级，回顾性比较治疗试验。
