From the American Hip Institute, Des Plaines, IL.
J Am Acad Orthop Surg. 2020 Jun 15;28(12):501-510. doi: 10.5435/JAAOS-D-19-00459.
Previous hip arthroscopy may affect the outcomes of subsequent hip arthroplasty. The purpose is to compare mid-term patient-reported outcomes (PROs) and complication rates in patients who had previous ipsilateral hip arthroscopy (PA) with those without a previous surgery.
A minimum 5-year PROs, complications, and revision surgery rates were compared between total hip arthroplasty (THA) recipients who received PA and those without. Available intraoperative findings, procedures, and conversion time of arthroscopies were reported. The relative risk (RR) of complications and revision THAs were reported. A Kaplan-Meier analysis assessed survivorship of revision THA.
There were 34 cases (33 patients) of PA that were matched to 89 control cases (87 patients). Both cohorts reported similar scores for Harris hip score, Forgotten Joint Score, pain, and patient satisfaction. No differences in the outcomes were found based on the arthroplasty approach. A higher postoperative complication rate {RR, 2.617 (95% confidence interval [CI], 0.808 to 8.476)} and revision THA rate (RR, 13.088 [95% CI, 1.59 to 107.99]) were found in the PA group.
Patients with PA demonstrated similar levels of PROs as those without previous ipsilateral hip arthroscopy. There may, however, be a higher rate of complications and revision surgery in the PA group.
III.
既往髋关节镜检查可能会影响后续髋关节置换术的结果。本研究旨在比较有既往同侧髋关节镜检查（PA）史和无既往手术史的患者的中期患者报告结局（PRO）和并发症发生率。
比较接受全髋关节置换术（THA）的患者中接受 PA 与未接受 PA 的患者的最低 5 年 PRO、并发症和翻修手术率。报告了术中发现、手术过程和关节镜转换时间。报告了并发症和翻修 THA 的相对风险（RR）。Kaplan-Meier 分析评估了翻修 THA 的生存率。
有 34 例（33 例患者）PA 患者与 89 例对照患者（87 例患者）相匹配。两组的 Harris 髋关节评分、遗忘关节评分、疼痛和患者满意度评分相似。根据关节置换术入路，未发现结果存在差异。PA 组的术后并发症发生率（RR，2.617 [95%置信区间，0.808 至 8.476]）和翻修 THA 率（RR，13.088 [95%置信区间，1.59 至 107.99]）较高。
有 PA 史的患者的 PRO 水平与无既往同侧髋关节镜检查史的患者相似。然而，PA 组可能有更高的并发症和翻修手术率。
III 级。
