American Hip Institute Research Foundation.
AMITA Health St. Alexius Medical Center, Hoffman Estates, IL.
J Pediatr Orthop. 2022 Mar 1;42(3):e277-e284. doi: 10.1097/BPO.0000000000002022.
Predictors of outcomes in adolescent athletes undergoing hip arthroscopy have not been established. The purpose of this study was to identify factors correlated with achieving the Patient Acceptable Symptomatic State (PASS) for the Hip Outcome Score-Sports Specific Subscale (HOS-SSS) at a minimum 5-year follow-up in adolescent athletes undergoing primary hip arthroscopy.
Data were reviewed on adolescent (below 18 y old) athletes who underwent primary hip arthroscopy for femoroacetabular impingement syndrome between March 2008 and October 2015. Patients were included if they participated in sport within 1 year before surgery and had preoperative, 2-year, and minimum 5-year postoperative patient-reported outcome (PRO) scores for the modified Harris Hip Score, HOS-SSS, Visual Analog Scale for pain (VAS), and Non-Arthritic Hip Score (NAHS). Patients were divided into 2 groups based on whether they achieved PASS for HOS-SSS. Demographics, intraoperative findings, radiographic variables, surgical treatments, and PRO were compared. Multivariate logistic regression with corresponding odds ratios (ORs) quantified the correlation between variables and achievement of the PASS.
A total of 123 athletes with a mean age of 16.2±1.1 years were included. These athletes demonstrated significant imrpovement from preoperative to minimum 5-year follow-up for all recorded PROs (P<0.001). The multivariate logistic regression model identified preoperative NAHS (P=0.019, OR: 1.033), 2-year postoperative HOS-SSS (P=0.014, OR: 1.037), and 2-year postoperative VAS (P=0.003, OR: 0.590) as statistically significantly correlated with achieving the PASS. Athletes with a 2-year postoperative VAS pain score ≤2 achieved PASS at a rate of 81.9%, while those with a score >2 achieved PASS at a rate of 24.1% (P<0.001, OR: 14.2, 95% confidence interval: 5.23-38.7).
Favorable outcome were achieved at mid-term follow-up in adolescent athletes undergoing primary hip arthroscopy. Preoperative NAHS, 2-year postoperative HOS-SSS, and 2-year postoperative VAS pain scores were correlated with achieving the PASS for HOS-SSS at a minimum 5-year follow-up. Patients with 2-year postoperative VAS ≤2 were significantly more likely to achieve the PASS at 5-year follow-up than those with scores >2.
Level III-case-control study.
青少年运动员髋关节镜术后结局的预测因素尚未确定。本研究的目的是确定与接受髋关节镜初次手术的青少年运动员在至少 5 年的随访中达到髋关节结局评分-运动特异性亚量表（HOS-SSS）可接受的症状状态（PASS）相关的因素。
对 2008 年 3 月至 2015 年 10 月期间因股骨髋臼撞击综合征接受初次髋关节镜手术的青少年（<18 岁）运动员进行了数据分析。如果患者在手术前 1 年内参加运动，并且具有改良 Harris 髋关节评分、HOS-SSS、疼痛视觉模拟评分（VAS）和非关节炎髋关节评分（NAHS）的术前、2 年和至少 5 年的术后患者报告的结局（PRO）评分，则将其纳入研究。患者根据 HOS-SSS 是否达到 PASS 分为两组。比较人口统计学资料、术中发现、影像学变量、手术治疗和 PRO。多变量逻辑回归分析及其相应的比值比（OR）量化了变量与 PASS 之间的相关性。
共纳入 123 名平均年龄为 16.2±1.1 岁的运动员。这些运动员在所有记录的 PRO 方面均表现出显著的改善（P<0.001），从术前到至少 5 年的随访。多变量逻辑回归模型确定术前 NAHS（P=0.019，OR：1.033）、2 年术后 HOS-SSS（P=0.014，OR：1.037）和 2 年术后 VAS（P=0.003，OR：0.590）与达到 PASS 具有统计学相关性。2 年术后 VAS 疼痛评分≤2 的患者达到 PASS 的比例为 81.9%，而评分>2 的患者达到 PASS 的比例为 24.1%（P<0.001，OR：14.2，95%置信区间：5.23-38.7）。
青少年运动员接受初次髋关节镜手术后，中期随访结果良好。术前 NAHS、2 年术后 HOS-SSS 和 2 年术后 VAS 疼痛评分与至少 5 年随访时达到 HOS-SSS 的 PASS 相关。2 年术后 VAS≤2 的患者在 5 年随访时达到 PASS 的可能性明显高于 VAS>2 的患者。
III 级病例对照研究。
