Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Orkuhusid Orthopaedic Clinic, Reykjavik, Iceland.
Knee Surg Sports Traumatol Arthrosc. 2020 Apr;28(4):1311-1316. doi: 10.1007/s00167-019-05429-y. Epub 2019 Apr 10.
The purpose of the present study was to evaluate the outcome of arthroscopic treatment for femoroacetabular impingement (FAI) syndrome 5 years post-surgery using patient-reported outcome scores (PROMs) validated for a young and active population with hip complaints.
Patients were prospectively included in the study. A total of 184 patients [males = 110 (59.8%), females = 74 (40.2%)], with mean age 38.0, underwent arthroscopic treatment for FAI syndrome and were analysed. Preoperatively and at the 5-year follow-up, patients completed a set of self-administered web-based PROMs consisting of the International Hip Outcome Tool (iHOT-12), the Copenhagen Hip and Groin Outcome Score (HAGOS), the Hip Sports Activity Scale (HSAS), the EuroQoL-5 Dimension Questionnaire (EQ-5D), the EQ-Visual Analogue Scale (VAS) and the VAS for overall hip function and overall satisfaction. The Wilcoxon signed rank test was used to compare preoperative PROM values with those obtained at the 5-year follow-up.
A comparison of preoperative PROM scores and those obtained at the 5-year follow-up revealed statistically significant improvements for all outcome scores (p < 0.05), except for the HSAS score, which were unchanged; iHOT-12 (42.9 vs 67.2), HAGOS different subscales (50.2 vs 69.6, 55.7 vs 76.1, 59.2 vs 72.3, 41.1 vs 66.4, 30.8 vs 60.2, 31.6 vs 60.4), EQ-5D (0.570 vs 0.742), EQ-VAS (66.6 vs 74.4), HSAS (3.13 vs 3.17) and VAS for overall hip function (47.9 vs 69.2). At the 5-year follow-up, 154 patients reported that they were satisfied with surgery (84.6%). Survivorship at the 5-year follow-up was 86.4%.
Arthroscopic treatment for FAI syndrome yields good patient-reported outcome at the 5-year follow-up.
II.
本研究旨在使用针对髋关节主诉的年轻、活跃人群的经过验证的患者报告结局评分（PROMs）评估髋关节撞击综合征（FAI）患者接受关节镜治疗后的 5 年结局。
前瞻性纳入患者。共 184 例患者（男性 110 例[59.8%]，女性 74 例[40.2%]），平均年龄 38.0 岁，接受关节镜 FAI 治疗，并进行分析。术前和 5 年随访时，患者完成了一套自我管理的网络 PROM，包括国际髋关节结果工具（iHOT-12）、哥本哈根髋关节和腹股沟结局评分（HAGOS）、髋关节运动活动量表（HSAS）、欧洲五维健康量表（EQ-5D）、EQ 视觉模拟量表（VAS）和髋关节整体功能和整体满意度 VAS。采用 Wilcoxon 符号秩检验比较术前 PROM 值与 5 年随访时的 PROM 值。
与术前 PROM 评分相比，所有结局评分在 5 年随访时均有统计学显著改善（p<0.05），除 HSAS 评分无变化外；iHOT-12（42.9 比 67.2）、HAGOS 不同亚量表（50.2 比 69.6，55.7 比 76.1，59.2 比 72.3，41.1 比 66.4，30.8 比 60.2，31.6 比 60.4）、EQ-5D（0.570 比 0.742）、EQ-VAS（66.6 比 74.4）、HSAS（3.13 比 3.17）和髋关节整体功能 VAS（47.9 比 69.2）。5 年随访时，154 例患者（84.6%）报告对手术满意。5 年随访时的生存率为 86.4%。
髋关节镜治疗 FAI 综合征在 5 年随访时可获得良好的患者报告结局。
II 级。
