Sheu Huan, Yang Tien-Yu, Tang Hao-Che, Wu Chen-Te, Chen Alvin Chao-Yu, Chan Yi-Sheng
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan 333, Taiwan (R.O.C.).
Comprehensive Sports Medicine Center, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan 333, Taiwan (R.O.C.).
J Hip Preserv Surg. 2022 Mar 20;9(2):102-106. doi: 10.1093/jhps/hnac013. eCollection 2022 Jul.
The objective of this study is to compare the clinical outcomes after arthroscopic hip labral repair in athletes and non-athletes. The design of this study is a retrospective comparative study. The setting of this study is an institutional study. One hundred and sixteen patients of hip labral tears who underwent arthroscopic labral repair were included. Eighty-five of these patients met the inclusion/exclusion criteria (25 athletes and 60 non-athletes). Hip labral tears underwent arthroscopic labral repair. The main outcome measures are as follows: visual analog scale (VAS) and modified Harris Hip Score (mHHS) 2 years postoperatively and the rate of return to sports at previous level. There was no significant difference in the gender, alpha angle, lateral center-edge angle between the two groups, except for the mean age (19.3 versus 42.2, < 0.001), Marx activity rating scale (MARS) (14.6 versus 6.8, < 0.001) and University of California, Los Angeles (UCLA) activity rating scale (9.6 versus 5.0, < 0.001). The intraoperative findings were similar in the two groups. The VAS scores and mHHS both showed a significant improvement after surgery in both groups (VAS improvement 3.6 and mHHS improvement 22.4 in the athlete group; VAS improvement 3.9 and mHHS improvement 25.0 in the non-athlete group, all < 0.001). There was no difference in VAS improvement or mHHS improvement between the athlete and non-athlete groups. All the patients in the athlete group return to sports at previous level 6 months after the operation. The mean time of return to sports at previous level was 5.4 months. Both athletes and non-athletes demonstrate significant VAS and mHHS improvement following arthroscopic labral repair. The VAS scores improvement and mHHS improvement were similar in the athlete and non-athlete groups after arthroscopic labral repair.
本研究的目的是比较运动员和非运动员关节镜下髋关节盂唇修复术后的临床结果。本研究的设计为回顾性比较研究。本研究的背景是一项机构性研究。纳入了116例行关节镜下盂唇修复术的髋关节盂唇撕裂患者。其中85例患者符合纳入/排除标准（25名运动员和60名非运动员）。对髋关节盂唇撕裂进行了关节镜下盂唇修复。主要观察指标如下：术后2年的视觉模拟量表（VAS）和改良Harris髋关节评分（mHHS），以及恢复到之前运动水平的比例。两组在性别、α角、外侧中心边缘角方面无显著差异，但平均年龄（19.3对42.2，P<0.001）、马克思活动评分量表（MARS）（14.6对6.8，P<0.001）和加利福尼亚大学洛杉矶分校（UCLA）活动评分量表（9.6对5.0，P<0.001）存在差异。两组术中发现相似。两组术后VAS评分和mHHS均显著改善（运动员组VAS改善3.6，mHHS改善22.4；非运动员组VAS改善3.9，mHHS改善25.0，均P<小于0.001）。运动员组和非运动员组在VAS改善或mHHS改善方面无差异。运动员组所有患者术后6个月恢复到之前的运动水平。恢复到之前运动水平的平均时间为5.4个月。运动员和非运动员在关节镜下盂唇修复术后VAS和mHHS均有显著改善。关节镜下盂唇修复术后，运动员组和非运动员组的VAS评分改善和mHHS改善相似。
