髋关节镜治疗股骨髋臼撞击症后运动员的患者报告结局：重返运动和运动水平的亚分析：系统评价。
Patient-Reported Outcomes in Athletes Following Hip Arthroscopy for Femoroacetabular Impingement With Subanalysis on Return to Sport and Performance Level: A Systematic Review.
机构信息
American Hip Institute Research Foundation, Chicago.
American Hip Institute Research Foundation, Chicago; AMITA Health St. Alexius Medical Center, Hoffman Estates; American Hip Institute, Chicago, Illinois, U.S.A.
出版信息
Arthroscopy. 2021 Aug;37(8):2657-2676. doi: 10.1016/j.arthro.2021.03.064. Epub 2021 Apr 19.
PURPOSE
To identify present trends in demographics, surgical indications, preoperative findings, and surgical treatment of athletes undergoing hip arthroscopy for femoroacetabular impingement and (2) to investigate the outcomes in this patient population, including patient-reported outcome scores (PROS), return-to-sport, complications, and reoperation data at minimum 2-year follow-up in the athletic population.
METHODS
Cochrane, Embase, and PubMed databases were searched according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines to distinguish articles that reported PROS after hip arthroscopy in athletes. Athletes were defined as anyone who played a sport for minimum 2 years at any level. The standardized mean difference was calculated to compare the effect size of hip arthroscopy on various PROS.
RESULTS
Eighteen studies, with 904 athlete hips and a collective study period of January 1993 to April 2017, were included in this systematic review. Across all studies, the mean age and body mass index ranged from 15.7-36.7 years and 20.3-26.3, respectively. The follow-up range was 24-240 months. Mean preoperative alpha angle ranged from 57.7° to 80.0°. Athletes most commonly underwent femoroplasty and labral management. At latest follow-up, the modified Harris Hip Score were excellent in 6 studies (range, 92.1-98), good in 10 studies (range, 84.2-88.5), and fair in 1 study (77.1). Each studies' individual athletic cohort showed significant improvement on the modified Harris Hip Score, Nonarthritic Hip Score, the Hip Outcome Score-Activities of Daily Living, the Hip Outcome Score-Sport-Specific Subscale, visual analog scale for pain, and International Hip Outcome Tool at latest follow-up (P < .05). The return-to-sport rate ranged from 72.7% to 100%, with 74.2-100% of these athletes returning to preinjury or greater level.
CONCLUSIONS
Athletes undergoing arthroscopic hip surgery in the setting of femoroacetabular impingement, not only exhibit significant functional improvement, but also have a high rate of return to sport at the same or greater competition level compared with preinjury level.
LEVEL OF EVIDENCE
IV, systematic review of Level III and IV studies.
目的
确定髋关节镜治疗股骨髋臼撞击症的运动员的人口统计学、手术适应证、术前发现和手术治疗的当前趋势，并调查该患者人群的结果，包括至少 2 年随访时的患者报告结局评分（PROS）、重返运动、并发症和再次手术数据。
方法
根据系统评价和荟萃分析的首选报告项目，对 Cochrane、Embase 和 PubMed 数据库进行搜索，以区分报告髋关节镜治疗运动员后 PROS 的文章。运动员被定义为任何在任何水平上至少进行 2 年运动的人。计算标准化均数差以比较髋关节镜对各种 PROS 的影响大小。
结果
共纳入 18 项研究，904 例运动员髋关节，研究期间为 1993 年 1 月至 2017 年 4 月。所有研究中，平均年龄和体重指数范围分别为 15.7-36.7 岁和 20.3-26.3。随访范围为 24-240 个月。平均术前 alpha 角范围为 57.7°至 80.0°。运动员最常接受股骨成形术和盂唇处理。在最新随访时，改良 Harris 髋关节评分 6 项研究为优（范围为 92.1-98），10 项研究为良（范围为 84.2-88.5），1 项研究为可（77.1）。每个研究的特定运动队列在改良 Harris 髋关节评分、非关节炎髋关节评分、髋关节结局评分-日常活动、髋关节结局评分-专项亚量表、疼痛视觉模拟评分和国际髋关节结局工具方面均显示出显著改善，最新随访时（P<.05）。重返运动率为 72.7%-100%，其中 74.2%-100%的运动员恢复到受伤前或更高水平。
结论
髋关节镜治疗股骨髋臼撞击症的运动员不仅表现出显著的功能改善，而且与受伤前相比，重返运动的比例更高，达到相同或更高的比赛水平。
证据水平
IV，对 III 级和 IV 级研究的系统评价。
Zotero 插件