Department of Orthopaedics, University Clinic Aachen, RWTH Aachen University Clinic, Aachen, Germany.
Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081, Baronissi, SA, Italy; School of Pharmacy and Bioengineering, Keele University Faculty of Medicine, Thornburrow Drive, Stoke on Trent, England, UK; Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, 275 Bancroft Road, London E1 4DG, England, UK.
Surgeon. 2022 Oct;20(5):e225-e230. doi: 10.1016/j.surge.2021.02.013. Epub 2021 Apr 3.
The present systematic review investigated return to sport, patient reported outcome measures (PROMs), complications and subsequent progression to total hip arthroplasty (THA) in patients undergoing arthroscopic labral repair for FAI.
Following the PRISMA statement, the literature search was performed in February 2021. The outcomes of interest were: rate of return to sport, modified Harris Hip Score (mHHS), the subscales Activities of Daily Living and Sport-Specific Subscale of the Hip Outcome Score (HOS-ADL and HOS-SSS, respectively). Complications, revision surgeries and progression to total hip arthroplasty were recorded.
Data from 210 procedures were retrieved. The mean follow-up was 34.0 (24.0-42.5) months. The mean age of the patients was 32.0 (20.0-47.0) years, while the mean BMI was 20.9 (20.1-21.7) kg/m. 52.8% (111 of 210 patients) were women. At 24-month follow-up, 100% of the patients had returned to sport. At a mean of 34 months follow-up, the mean mHHS increased by 25.5% (P = 0.02), the mean HOS-ADL by 23.0% (P = 0.03), the mean HOS-SSS by 32.8% (P = 0.001). No complications were observed. The rate of revision was 4.3% (9 of 210 procedures). At a mean of 37.9 ± 7.5 months, 1.9% of patients (4/210) underwent THA.
Arthroscopic labral refixation for FAI yields reliably positive clinical outcomes, with a low rate of revision and conversion to THA.
本系统评价研究了接受关节镜下盂唇修复术治疗 FAI 的患者的运动回归、患者报告的结局测量（PROMs）、并发症以及随后进展为全髋关节置换术（THA）的情况。
根据 PRISMA 声明，于 2021 年 2 月进行文献检索。感兴趣的结局包括：运动回归率、改良 Harris 髋关节评分（mHHS）、髋关节结局评分的日常生活活动和运动特异性亚量表（HOS-ADL 和 HOS-SSS）。记录并发症、翻修手术和进展为全髋关节置换术的情况。
共检索到 210 例手术的数据。平均随访时间为 34.0（24.0-42.5）个月。患者的平均年龄为 32.0（20.0-47.0）岁，平均 BMI 为 20.9（20.1-21.7）kg/m²。52.8%（111/210 例）为女性。在 24 个月随访时，100%的患者已重返运动。在平均 34 个月的随访时，mHHS 平均增加 25.5%（P=0.02），HOS-ADL 平均增加 23.0%（P=0.03），HOS-SSS 平均增加 32.8%（P=0.001）。未观察到并发症。翻修率为 4.3%（210 例中有 9 例）。在平均 37.9±7.5 个月时，1.9%（4/210）的患者接受了 THA。
关节镜下盂唇修复术治疗 FAI 可获得可靠的临床效果，翻修率和转为 THA 的比例较低。
