成人股骨髋臼撞击症手术治疗的结果
Outcomes for Surgical Treatment of Femoroacetabular Impingement in Adults.
作者信息
Chambers Caitlin C, Zhang Alan L
机构信息
Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Ave, Minneapolis, MN, 55454, USA.
Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA.
出版信息
Curr Rev Musculoskelet Med. 2019 Jul 10;12(3):271-280. doi: 10.1007/s12178-019-09567-1.
Abstract
PURPOSE OF REVIEW
To assess the outcomes of modern techniques for arthroscopic surgery in the treatment of femoroacetabular impingement.
RECENT FINDINGS
While initially approached by means of open surgical hip dislocation, recent literature has shown generally good outcomes of arthroscopic treatment for femoroacetabular impingement. Modern advances in hip arthroscopy technique and implants now allow for labral repair or reconstruction when indicated. Arthroscopic treatment of femoroacetabular impingement results in significant improvements in patient pain and function, with low complication rates and high patient satisfaction. A majority of improvements in these patients occur within 1 to 2 years post-operatively. Hip arthroscopy for femoroacetabular impingement yields the best results in patients without significant arthritis or hip dysplasia.
摘要
综述目的
评估现代关节镜手术技术治疗股骨髋臼撞击症的效果。
最新发现
虽然最初通过开放手术髋关节脱位来处理，但近期文献表明，关节镜治疗股骨髋臼撞击症总体效果良好。髋关节镜技术和植入物的现代进展现在允许在有指征时进行盂唇修复或重建。关节镜治疗股骨髋臼撞击症可显著改善患者疼痛和功能，并发症发生率低，患者满意度高。这些患者的大多数改善在术后1至2年内出现。对于无明显关节炎或髋关节发育不良的患者，髋关节镜治疗股骨髋臼撞击症效果最佳。
相似文献
1
Outcomes for Surgical Treatment of Femoroacetabular Impingement in Adults.
Curr Rev Musculoskelet Med. 2019 Jul 10;12(3):271-280. doi: 10.1007/s12178-019-09567-1.
2
Surgical Hip Dislocation in the Era of Hip Arthroscopy Demonstrates High Survivorship and Improvements in Patient-reported Outcomes for Complex Femoroacetabular Impingement.
Clin Orthop Relat Res. 2024 Sep 1;482(9):1671-1682. doi: 10.1097/CORR.0000000000003032. Epub 2024 Mar 21.
3
Editorial Commentary: Indications for Performing Hip Arthroscopy in Addition to Periacetabular Osteotomy for the Treatment of Developmental Dysplasia of the Hip Require Clarification.
Arthroscopy. 2025 Jul;41(7):2392-2393. doi: 10.1016/j.arthro.2025.01.002. Epub 2025 Jan 6.
4
Open surgical dislocation versus arthroscopy for femoroacetabular impingement: a comparison of clinical outcomes.
Arthroscopy. 2011 Feb;27(2):270-8. doi: 10.1016/j.arthro.2010.11.008.
5
Midterm Outcomes in Patients After Central Acetabular Decompression for Central Acetabular Stenosis: A Comparison With a Matched Control Group.
Am J Sports Med. 2025 Jul;53(8):1849-1859. doi: 10.1177/03635465251338064. Epub 2025 May 22.
6
Short-term Outcomes of Hip Arthroscopy for the Treatment of Femoroacetabular Impingement and Labral Tears in Underweight Patients.
Am J Sports Med. 2025 Jul;53(9):2223-2230. doi: 10.1177/03635465251343299. Epub 2025 Jun 7.
7
Labral tears in hip dysplasia and femoroacetabular impingement: A systematic review.
Orthop Traumatol Surg Res. 2023 Jun;109(4):103539. doi: 10.1016/j.otsr.2022.103539. Epub 2022 Dec 29.
8
How Is Variability in Femoral and Acetabular Version Associated With Presentation Among Young Adults With Hip Pain?
Clin Orthop Relat Res. 2024 Sep 1;482(9):1565-1579. doi: 10.1097/CORR.0000000000003076. Epub 2024 May 7.
9
Arthroscopic Versus Open Treatment of Femoroacetabular Impingement: A Systematic Review of Medium- to Long-Term Outcomes.
Am J Sports Med. 2016 Apr;44(4):1062-8. doi: 10.1177/0363546515587719. Epub 2015 Jun 9.
10
Outcomes and complications of hip arthroscopy for femoroacetabular impingement syndrome: A narrative review.
J Clin Orthop Trauma. 2024 Oct 29;58:102797. doi: 10.1016/j.jcot.2024.102797. eCollection 2024 Nov.
引用本文的文献
1
Review of femoroacetabular impingement syndrome.
J Hip Preserv Surg. 2024 Oct 15;11(4):315-322. doi: 10.1093/jhps/hnae034. eCollection 2024 Dec.
2
Decreased volume of rectus femoris and iliocapsularis in patients with femoroacetabular impingement syndrome after primary hip arthroscopy.
BMC Musculoskelet Disord. 2024 Oct 24;25(1):841. doi: 10.1186/s12891-024-07965-2.
3
Predicting Outcomes in Hip Arthroscopy for Femoroacetabular Impingement Syndrome.
Curr Rev Musculoskelet Med. 2024 Mar;17(3):59-67. doi: 10.1007/s12178-023-09880-w. Epub 2024 Jan 6.
4
Relationship between Spinopelvic Parameters and Hip Function in Patients with Femoroacetabular Impingement at Diagnosis: A Cross-Sectional Study.
Hip Pelvis. 2023 Mar;35(1):6-14. doi: 10.5371/hp.2023.35.1.6. Epub 2023 Mar 6.
5
Patient-Perceived Outcomes Improve Faster Than Hip Strength in Recovery After Surgical Correction for Symptomatic Femoroacetabular Impingement.
HSS J. 2023 Feb;19(1):97-106. doi: 10.1177/15563316221093614. Epub 2022 May 25.
6
Failure to Achieve Threshold Scores on Patient-Reported Outcome Measures Within 1 Year Has a Predictive Risk of Subsequent Hip Surgery Within 5 Years of Primary Hip Arthroscopy: A Case-Control Study.
Orthop J Sports Med. 2021 Nov 16;9(11):23259671211053012. doi: 10.1177/23259671211053012. eCollection 2021 Nov.
7
Effect of Baseline Mental Health on 1-Year Outcomes After Hip Arthroscopy: A Prospective Cohort Study.
Orthop J Sports Med. 2021 Aug 31;9(8):23259671211025526. doi: 10.1177/23259671211025526. eCollection 2021 Aug.
8
Correlation of hip capsule morphology with patient symptoms from femoroacetabular impingement.
J Orthop Res. 2021 Mar;39(3):590-596. doi: 10.1002/jor.24788. Epub 2020 Jul 6.
本文引用的文献
1
Periportal Capsulotomy: A Technique for Limited Violation of the Hip Capsule During Arthroscopy for Femoroacetabular Impingement.
Arthrosc Tech. 2019 Jan 28;8(2):e205-e208. doi: 10.1016/j.eats.2018.10.015. eCollection 2019 Feb.
2
Periportal Capsulotomy: Technique and Outcomes for a Limited Capsulotomy During Hip Arthroscopy.
Arthroscopy. 2019 Apr;35(4):1120-1127. doi: 10.1016/j.arthro.2018.10.142. Epub 2019 Mar 11.
3
Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial.
BMJ. 2019 Feb 7;364:l185. doi: 10.1136/bmj.l185.
4
In Revision Hip Arthroscopy, Labral Reconstruction Can Address a Deficient Labrum, but Labral Repair Retains Its Role for the Reparable Labrum: A Matched Control Study.
Am J Sports Med. 2018 Dec;46(14):3437-3445. doi: 10.1177/0363546518809063. Epub 2018 Nov 12.
5
Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears in Patients Younger than 50 Years: Minimum Five-year Outcomes, Survivorship, and Risk Factors for Reoperations.
J Am Acad Orthop Surg. 2019 Feb 15;27(4):e173-e183. doi: 10.5435/JAAOS-D-17-00258.
6
When Do Patients Improve After Hip Arthroscopy for Femoroacetabular Impingement? A Prospective Cohort Analysis.
Am J Sports Med. 2018 Nov;46(13):3111-3118. doi: 10.1177/0363546518795696. Epub 2018 Sep 18.
7
Arthroscopic Treatment of Acetabular Retroversion With Acetabuloplasty and Subspine Decompression: A Matched Comparison With Patients Undergoing Arthroscopic Treatment for Focal Pincer-Type Femoroacetabular Impingement.
Orthop J Sports Med. 2018 Jul 11;6(7):2325967118783741. doi: 10.1177/2325967118783741. eCollection 2018 Jul.
8
Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial.
Lancet. 2018 Jun 2;391(10136):2225-2235. doi: 10.1016/S0140-6736(18)31202-9. Epub 2018 Jun 1.
9
Minimum Five-Year Outcomes of Hip Arthroscopy for the Treatment of Femoroacetabular Impingement and Labral Tears in Patients with Obesity: A Match-Controlled Study.
J Bone Joint Surg Am. 2018 Jun 6;100(11):965-973. doi: 10.2106/JBJS.17.00892.
10
Midterm Outcomes and Return to Sports Among Athletes Undergoing Hip Arthroscopy.
Am J Sports Med. 2018 Jun;46(7):1661-1667. doi: 10.1177/0363546518765969. Epub 2018 May 4.
Zotero 插件