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髋关节镜术后 2 年时非关节炎性髋关节评分的最小临床重要差异。

The minimal clinically important difference for the nonarthritic hip score at 2-years following hip arthroscopy.

机构信息

NYU Langone Orthopedics, 333 East 38th Street, 4th Floor, New York, NY, 10016, USA.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2022 Jul;30(7):2419-2423. doi: 10.1007/s00167-021-06756-9. Epub 2021 Nov 5.

DOI:10.1007/s00167-021-06756-9
PMID:34738159
Abstract

PURPOSE

The purpose of this study was to determine and establish the MCID for the NAHS at 2 years in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS).

METHODS

Patients that underwent primary hip arthroscopy for FAIS between 2010 and 2016 were analyzed for eligibility. Data were collected from a single surgeon's hip arthroscopy database. MCID was calculated for the NAHS utilizing a distribution-based method.

RESULTS

The study included 298 patients (184 females) with an average age of 40.4 ± 13.0 years and average body mass index (BMI) of 25.7 ± 4.2 kg/m. At baseline, the cohort's average NAHS score was 48.7 ± 13.6 and demonstrated an improvement of 36.5 ± 17.0 for NAHS at follow-up. This resulted in MCID values of + 8.5 for NAHS.

CONCLUSION

This is the first study to report the MCID (+ 8.5) for NAHS following primary hip arthroscopy, and as such, is a valuable contribution to future hip arthroscopy research.

LEVEL OF EVIDENCE

IV.

摘要

目的

本研究旨在确定并建立髋关节镜治疗股骨髋臼撞击综合征(FAIS)患者 2 年时的 NAHS 的 MCID。

方法

分析了 2010 年至 2016 年间因 FAIS 行初次髋关节镜手术的患者是否符合入选条件。数据来自一名外科医生的髋关节镜数据库。利用基于分布的方法计算 NAHS 的 MCID。

结果

研究纳入了 298 例患者(184 例女性),平均年龄为 40.4±13.0 岁,平均体重指数(BMI)为 25.7±4.2 kg/m²。基线时,该队列的平均 NAHS 评分为 48.7±13.6,随访时 NAHS 改善了 36.5±17.0,这导致 MCID 值为+8.5。

结论

这是第一篇报告原发性髋关节镜术后 NAHS 的 MCID(+8.5)的研究,因此,这是对未来髋关节镜研究的一项有价值的贡献。

证据等级

IV 级。

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