定义改良 Harris 髋关节评分、非关节炎髋关节评分、疼痛视觉模拟评分和国际髋关节结局工具-12 在髋关节镜治疗股骨髋臼撞击综合征和盂唇撕裂中的最大结局改善。
Defining the Maximum Outcome Improvement of the Modified Harris Hip Score, the Nonarthritic Hip Score, the Visual Analog Scale For Pain, and the International Hip Outcome Tool-12 in the Arthroscopic Management for Femoroacetabular Impingement Syndrome and Labral Tear.
机构信息
Kerlan-Jobe Othopaedic Institute, Los Angeles, California, USA.
American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
出版信息
Arthroscopy. 2021 May;37(5):1477-1485. doi: 10.1016/j.arthro.2021.01.002. Epub 2021 Jan 13.
PURPOSE
To determine the respective percent thresholds for achieving the maximal outcome improvement (MOI) for the modified Harris Hip Score (mHHS), the Nonarthritic Hip Score (NAHS), the visual analog scale (VAS) for pain, and the International Hip Outcome Tool-12 (iHOT-12) that were associated with satisfaction following hip arthroscopy for femoroacetabular impingement syndrome and labral tear, and to identify preoperative predictors of reaching the mHHS, NAHS, VAS, and the iHOT-12 thresholds for achieving the MOI.
METHODS
An anchor question was provided to patients who underwent hip arthroscopy between April 2008 and April 2019. Patients were included if they answered the anchor question and had minimum 1-year follow-up. Patients were excluded if they had a previous ipsilateral hip surgery, a Tönnis grade >1, hip dysplasia, or a previous hip condition. Receiver operating characteristic analysis was used to determine the thresholds for the percentage of the MOI predictive of satisfaction. Multivariate logistic regression was used to determine predictors of achieving the MOI threshold.
RESULTS
In total, 407 hips (375 patients) were included, with 279 female patients (68.6%). The average age, body mass index, and follow-up time were 38.8 ± 13.7 years, 26.6 ± 5.8, and 51.8 ± 33.2 months, respectively. Satisfaction with the current state of their hip was reported in 77.9% (317) of the cases. It was determined that 54.8%, 52.5%, 55.5%, and 55.8% of MOI were the thresholds for maximal predictability of satisfaction for mHHS, NAHS, VAS, and iHOT-12, respectively. Predictors of achieving MOI were not identified.
CONCLUSIONS
Following hip arthroscopy in the context of femoroacetabular impingement syndrome and labral tear, the thresholds for achieving the MOI for the mHHS, NAHS, VAS for pain, and iHOT-12 were 54.8%, 52.5%, 55.5%, and 55.8% respectively. No preoperative predictors of achieving the MOI were identified.
LEVEL OF EVIDENCE
IV, case-series.
目的
确定改良 Harris 髋关节评分（mHHS）、非关节炎髋关节评分（NAHS）、疼痛视觉模拟评分（VAS）和国际髋关节结局工具-12 （iHOT-12）达到最大结局改善（MOI）的各自百分比阈值，这些评分与髋关节镜治疗股骨髋臼撞击综合征和盂唇撕裂后的满意度相关，并确定达到 mHHS、NAHS、VAS 和 iHOT-12 达到 MOI 阈值的术前预测指标。
方法
为 2008 年 4 月至 2019 年 4 月期间接受髋关节镜手术的患者提供了一个锚定问题。如果患者回答了锚定问题且随访时间至少为 1 年，则将其纳入研究。如果患者存在同侧髋关节手术史、Tönnis 分级>1、髋关节发育不良或既往髋关节疾病，则将其排除在外。使用受试者工作特征曲线分析确定预测满意度的 MOI 百分比阈值。使用多变量逻辑回归确定达到 MOI 阈值的预测因素。
结果
共纳入 407 髋（375 例患者），其中 279 例为女性（68.6%）。平均年龄、体重指数和随访时间分别为 38.8±13.7 岁、26.6±5.8 岁和 51.8±33.2 个月。77.9%（317 例）的患者报告对当前髋关节状况满意。结果确定，mHHS、NAHS、VAS 和 iHOT-12 的 MOI 最大预测满意度的百分比阈值分别为 54.8%、52.5%、55.5%和 55.8%。未确定达到 MOI 的预测因素。
结论
在股骨髋臼撞击综合征和盂唇撕裂的背景下进行髋关节镜手术后，mHHS、NAHS、疼痛 VAS 和 iHOT-12 达到 MOI 的阈值分别为 54.8%、52.5%、55.5%和 55.8%。未确定达到 MOI 的术前预测因素。
证据水平
IV，病例系列研究。
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