Institute of Sports Medicine, Peking University Third Hospital, Beijing, China.
Cartilage. 2021 Dec;13(1_suppl):1324S-1330S. doi: 10.1177/1947603520912316. Epub 2020 Mar 20.
Evaluate the clinical outcomes after arthroscopic treatment of synovial chondromatosis (SC) of the hip.
We evaluated patients who underwent arthroscopic management for SC of the hip from November 2008 to March 2017. Radiographic evaluation was made before and after surgery. The modified Harris Hip Score (mHHS), Hip Disability and Osteoarthritis Outcome Score (HOOS), visual analogue scale (VAS) score, and patient self-reported satisfaction were collected and analyzed before and after surgery. Complications and recurrence that occurred after surgery were recorded.
Forty-one patients (27 men and 14 women) were the study cohort. The mHHS improved from 67.0 to 83.7, HOOS-Symptoms improved from 78.8 to 93.3, HOOS-Pain improved from 80.9 to 93.6, HOOS-Activity Limitations-Daily Living improved from 84.5 to 95.1, HOOS-Sport improved from 50.3 to 80.6, and HOOS-Quality of Life improved from 62.2 to 86.7. VAS scores decreased from 3.9 to 1.1. All results demonstrated significant improvement ( < 0.05). Thirty-three (80.5%) patients thought the outcome of surgery was "excellent," 7 (17.0%) thought it was "good," 1 (2.4%) thought it was "fair," and no one thought it was "poor". Two patients underwent revision surgery.
Hip arthroscopy for SC treatment of the hip showed good clinical results, good satisfaction from patients, and low recurrent prevalence.
评估髋关节滑膜软骨瘤病（SC）关节镜治疗后的临床疗效。
我们评估了 2008 年 11 月至 2017 年 3 月期间接受髋关节 SC 关节镜治疗的患者。术前和术后均进行影像学评估。收集并分析术前和术后改良 Harris 髋关节评分（mHHS）、髋关节残疾和骨关节炎结果评分（HOOS）、视觉模拟评分（VAS）和患者自我报告满意度。记录术后并发症和复发情况。
41 例患者（27 例男性，14 例女性）为研究对象。mHHS 从 67.0 提高到 83.7，HOOS-症状从 78.8 提高到 93.3，HOOS-疼痛从 80.9 提高到 93.6，HOOS-日常活动受限从 84.5 提高到 95.1，HOOS-运动从 50.3 提高到 80.6，HOOS-生活质量从 62.2 提高到 86.7。VAS 评分从 3.9 降至 1.1。所有结果均有显著改善（<0.05）。33 例（80.5%）患者认为手术效果“优秀”，7 例（17.0%）认为“良好”，1 例（2.4%）认为“一般”，无人认为“差”。2 例患者接受了翻修手术。
髋关节镜治疗髋关节 SC 疗效良好，患者满意度高，复发率低。
