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髋关节镜联合骨髓浓缩物治疗后 2 年的随访结果。

Outcomes at 2-Years Follow-Up After Hip Arthroscopy Combining Bone Marrow Concentrate.

机构信息

Department of Orthopaedic Surgery, Hospital Quirónsalud, Barcelona, Spain.

Garcia-Cugat Fundation, Barcelona, Spain.

出版信息

J Invest Surg. 2020 Aug;33(7):655-663. doi: 10.1080/08941939.2018.1535010. Epub 2019 Apr 7.

DOI:10.1080/08941939.2018.1535010
PMID:30957569
Abstract

The cartilage injuries are related to femoroacetabular impingement (FAI). The prognostic of the injury depends on the grade of itself. Using bone marrow concentrate (BMC), which contains stem cells, is related to the improvement in diverse tissues. The purpose of this study was to evaluate the improvement of the patients after a FAI arthroscopic intervention using BMC. We compared the results to those of a previous cohort of patients who had identical surgery but without BMC. A cohort study was conducted between 2015 and 2017. Forty patients with FAI that underwent hip arthroscopy surgery combined with BMC were included. A control group of 40 patients with identical characteristics operated without BMC therapy. VAS, mHHS, and iHOT-33 preoperatively and at 3, 6, 12, and 24 months data were obtained and analyzed. Significant differences between two groups where found at 12 and 24 months of follow-up. VAS values were significantly lower ( = 0.007 and  = 0.000). Pain and functional scales mHHS ( = 0.004 and  = 0.001) and iHOT ( = 0.033 and  = 0.024) were significantly higher in the study group. The use of BMC as coadyuvant in arthroscopic intervention of FAI injuries results in pain reduction and improvement in functionality as showed in VAS, mHHS, and iHOT-33 scores at 12 and 24 months of follow-up. : Level of Evidence III, Case control study.

摘要

软骨损伤与股骨髋臼撞击症(FAI)有关。损伤的预后取决于其自身的严重程度。使用含有干细胞的骨髓浓缩物(BMC)与多种组织的改善有关。本研究的目的是评估 FAIA 关节镜干预后使用 BMC 患者的改善情况。我们将结果与之前接受相同手术但未使用 BMC 治疗的患者队列进行比较。

一项队列研究于 2015 年至 2017 年进行。共纳入 40 例接受髋关节镜手术联合 BMC 的 FAI 患者。40 例具有相同特征的患者作为对照组接受单纯髋关节镜手术治疗。获得并分析术前及术后 3、6、12 和 24 个月的 VAS、mHHS 和 iHOT-33 数据。

在 12 和 24 个月的随访中发现两组之间存在显著差异。VAS 值显著降低( = 0.007 和  = 0.000)。研究组的 mHHS( = 0.004 和  = 0.001)和 iHOT( = 0.033 和  = 0.024)疼痛和功能评分显著升高。在 FAI 损伤的关节镜介入中使用 BMC 作为辅助治疗,可降低疼痛并改善功能,这在 VAS、mHHS 和 iHOT-33 评分中得到了 12 和 24 个月的随访结果。:证据水平 III,病例对照研究。

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