Curley Andrew J, Nerys-Figueroa Julio, George Tracy, Carbone Andrew D, Parsa Ali, Domb Benjamin G
American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.; American Hip Institute, Chicago, Illinois, U.S.A..
Arthroscopy. 2023 Feb;39(2):476-487. doi: 10.1016/j.arthro.2022.10.038. Epub 2022 Nov 5.
To provide an updated review of recent literature on postoperative outcomes following hip arthroscopy for femoroacetabular impingement syndrome (FAIS), focusing on larger-population studies with a minimum 2-year follow-up published within the last 5 years.
A literature search of the PubMed, Ovid Medline, Web of Science, and Cochrane databases was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Articles were screened for clinical studies published from 2017 to 2022 with greater than 100 patients and minimum 2-year follow-up. Exclusion criteria included failure to report postoperative patient-reported outcomes (PROs), no preoperative radiographic measurements, and surgery for pathology other than FAIS. Data collection included study characteristics, patient demographics, radiographic findings, intraoperative findings, procedures performed, postoperative PROs, and subsequent surgeries.
Nine studies met inclusion criteria. Mean or median patient ages ranged from 32.3 to 41 years, with 4 studies reporting on greater than 50% female patients. Mean preoperative lateral center edge angles and alpha angles ranged from 30.2° to 37° and from 56.2° to 71°, respectively. Labral repairs (range 69.7%-100%) were performed more commonly than debridements (range 0%-26.3%). All studies demonstrated improved PROs at most recent follow-up. Seven studies reported mean or median modified Harris Hip Scores, with preoperative and postoperative values that ranged from 53.1 to 80 and from 67.4 to 100, respectively. Revision hip arthroscopies and conversions to hip arthroplasty ranged from 0.8% to 11.6% and from 0% to 34%, respectively.
All included studies found improvements in PROs after hip arthroscopy for FAIS at a minimum of 2-year follow-up. Conversion to total hip arthroplasty is most common in older patients at minimum 10-year follow-up.
Level IV, systematic review of Level I through IV studies.
对最近关于髋关节镜治疗股骨髋臼撞击综合征（FAIS）术后结果的文献进行更新综述，重点关注过去5年内发表的随访至少2年的大样本研究。
根据系统评价和Meta分析的首选报告项目指南，对PubMed、Ovid Medline、Web of Science和Cochrane数据库进行文献检索。筛选2017年至2022年发表的临床研究，患者人数超过100例，随访至少2年。排除标准包括未报告术后患者报告结局（PROs）、无术前影像学测量以及非FAIS病变的手术。数据收集包括研究特征、患者人口统计学、影像学检查结果、术中发现、实施的手术、术后PROs以及后续手术。
9项研究符合纳入标准。患者平均或中位年龄在32.3岁至41岁之间，4项研究报告女性患者超过50%。术前平均外侧中心边缘角和α角分别在30.2°至37°和56.2°至71°之间。唇修复术（范围69.7%-100%）比清创术（范围0%-26.3%）更常用。所有研究在最近一次随访时均显示PROs有所改善。7项研究报告了平均或中位改良Harris髋关节评分，术前和术后值分别在53.1至80和67.4至100之间。髋关节镜翻修术和转为髋关节置换术的比例分别在0.8%至11.6%和0%至34%之间。
所有纳入研究均发现，髋关节镜治疗FAIS至少随访2年后，PROs有所改善。在至少10年随访的老年患者中，转为全髋关节置换术最为常见。
IV级，对I级至IV级研究的系统评价。
