Lee Jeong-Kil, Hwang Deuk-Soo, Kang Chan, Hwang Jung-Mo, Lee Gi-Soo, Zeng Long, Park Young-Cheol
Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Daejeon, Korea.
Department of Orthopaedic Surgery, Yanbian University Hospital, Yanji, China.
Hip Pelvis. 2020 Mar;32(1):17-25. doi: 10.5371/hp.2020.32.1.17. Epub 2020 Feb 26.
Although the number of hip arthroscopies is rapidly increasing in non-elderly patients, outcomes of this procedure in middle-aged patients are not well documented or clearly understood. The purpose of this study was to evaluate the clinical and radiological outcomes after hip arthroscopy in middle-aged patients with early osteoarthritis.
This retrospective study analyzed 189 patients with early osteoarthritis of various diagnoses aged 40 years or older who underwent hip arthroscopy between January 2010 and December 2015. Clinical (e.g., modified Harris hip score [mHHS], hip outcome score-activities of daily living [HOS-ADL], visual analogue scale [VAS] for pain, range of motion) and radiological (change of Tönnis grade) outcomes were assessed at a minimum of 3-year follow-up.
The mean preoperative and final mHHS and HOS-ADL improved from 61.2 and 60.6 to 79.5 and 81.8, respectively, while the VAS pain score decreased from 6.3 to 3.2 (<0.001). Although the mean range of internal rotation and flexion increased from 14.2 and 100.7° preoperatively to 30.4 and 110.6° at 1-year postoperatively, they decreased slightly to 27.4 and 105.4° at the final follow-up, respectively. Eight cases (4.2%) underwent revision arthroscopic surgery and three cases (1.6%) were converted to total hip arthroplasty.
Patients with early-stage osteoarthritis of various diagnoses achieved improved clinical outcomes. Therefore, using hip arthroscopy in middle-aged patients with early osteoarthritis, it is possible to achieve good surgical options.
尽管非老年患者髋关节镜手术的数量在迅速增加，但该手术在中年患者中的结果尚未得到充分记录或清晰理解。本研究的目的是评估早期骨关节炎中年患者髋关节镜检查后的临床和放射学结果。
这项回顾性研究分析了2010年1月至2015年12月期间接受髋关节镜检查的189例40岁及以上各种诊断的早期骨关节炎患者。在至少3年的随访中评估临床（如改良Harris髋关节评分[mHHS]、髋关节日常生活活动结果评分[HOS-ADL]、疼痛视觉模拟量表[VAS]、活动范围）和放射学（Tönnis分级变化）结果。
术前和最终的mHHS和HOS-ADL平均分别从61.2和60.6提高到79.5和81.8，而VAS疼痛评分从6.3降至3.2（<0.001）。尽管内旋和屈曲的平均活动范围术前分别为14.2°和100.7°，术后1年增加到30.4°和110.6°，但在最终随访时分别略有下降至27.4°和105.4°。8例（4.2%）接受了关节镜翻修手术，3例（1.6%）转为全髋关节置换术。
各种诊断的早期骨关节炎患者临床结果得到改善。因此，对于早期骨关节炎的中年患者，使用髋关节镜手术可以获得良好的手术选择。
