髋关节表面置换术后恢复运动
Return to Sport After Hip Resurfacing Arthroplasty.
作者信息
Morse Kyle W, Premkumar Ajay, Zhu Andrew, Morgenstern Rachelle, Su Edwin P
机构信息
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA.
Department of Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, New York, USA.
出版信息
Orthop J Sports Med. 2021 May 6;9(5):23259671211003521. doi: 10.1177/23259671211003521. eCollection 2021 May.
BACKGROUND
Femoroacetabular impingement and degenerative hip osteoarthritis (OA) affect athletes across a wide variety of sports. Hip resurfacing arthroplasty (HRA) has emerged as a surgical treatment for active individuals with end-stage hip OA to provide pain relief and allow return to high-impact activities. Return to professional sports after HRA has not been well characterized.
PURPOSE/HYPOTHESIS: The aim of this study was to report on a series of elite athletes in a variety of sports who underwent HRA. We hypothesized that professional and elite-level athletes would be able to return to sports after HRA for end-stage hip OA.
STUDY DESIGN
Case series; Level of evidence, 4.
METHODS
A retrospective case series was conducted on professional athletes who underwent HRA at a single institution between 2007 and 2017. All surgeries were performed by a single surgeon using the posterolateral approach. Athletes' return to play and sport-specific performance statistics were obtained using self-reported and publicly available data sources. Athletes were matched to an age- and performance-based cohort to determine changes in performance-based metrics.
RESULTS
Eight professional athletes were identified, including 2 baseball pitchers, 1 ice hockey defenseman, 1 foil fencer, 1 men's doubles tennis player, 1 basketball player, 1 ultramarathoner, and 1 Ironman triathlete. All 8 patients returned to sports; 6 of 8 (75%) patients were able to return for at least 1 full season at a professional level after surgery. There were no significant differences between performance statistics for athletes who returned to play and their preoperative performance measures for the years leading up to surgery or the age- and performance-matched cohort.
CONCLUSION
HRA remains a surgical alternative for end-stage hip OA in young, high-impact, active patients. While the primary goals of surgery are pain control and quality of life improvement, it is possible to return to elite-level sporting activity after HRA.
背景
股骨髋臼撞击症和退行性髋关节骨关节炎（OA）影响着众多不同运动项目的运动员。髋关节表面置换术（HRA）已成为治疗终末期髋关节OA的活跃个体的一种手术治疗方法，以缓解疼痛并允许恢复高强度活动。HRA术后重返职业运动的情况尚未得到充分描述。
目的/假设：本研究的目的是报告一系列接受HRA的不同运动项目的精英运动员的情况。我们假设职业和精英水平的运动员在接受HRA治疗终末期髋关节OA后能够重返运动。
研究设计
病例系列；证据等级，4级。
方法
对2007年至2017年在单一机构接受HRA的职业运动员进行回顾性病例系列研究。所有手术均由一名外科医生采用后外侧入路进行。运动员的重返比赛情况和特定运动项目的表现统计数据通过自我报告和公开可用的数据源获得。将运动员与基于年龄和表现的队列进行匹配，以确定基于表现指标的变化。
结果
共确定了8名职业运动员，包括2名棒球投手、1名冰球防守队员、1名花剑运动员、1名男子双打网球运动员、1名篮球运动员、1名超级马拉松运动员和1名铁人三项运动员。所有8例患者均重返运动；8例患者中有6例（75%）在术后能够以职业水平至少重返1个完整赛季。重返比赛的运动员的表现统计数据与术前手术前几年的表现指标或年龄和表现匹配的队列之间没有显著差异。
结论
HRA仍然是年轻、高强度、活跃的终末期髋关节OA患者的一种手术选择。虽然手术的主要目标是控制疼痛和改善生活质量，但HRA术后有可能重返精英水平的体育活动。
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