Suri Misty, Verma Arjun, Khalid Mohammed Asad, Nammour Michael, Jones Deryk, Godshaw Brian
Ochsner Sports Medicine Institute, Jefferson, LA.
The University of Queensland Medical School, Ochsner Clinical School, New Orleans, LA.
Ochsner J. 2023 Spring;23(1):21-26. doi: 10.31486/toj.22.0077.
Hip arthroscopy is commonly used for the treatment of hip pathologies. As population obesity rates continue to increase, elucidating the impact of body mass index (BMI) on hip arthroscopy outcomes is essential. This investigation was conducted to quantify the effects of BMI on hip arthroscopy outcomes. We conducted a retrospective medical records review of 459 patients undergoing hip arthroscopy at a single center from 2008 to 2016. The Harris Hip Score (HHS) and 2 component scores of the 12-Item Short Form Survey-the physical component score (PCS-12) and the mental component score (MCS-12)-were used to measure outcomes. Patients were stratified into 4 cohorts based on their BMI: underweight (BMI <18.5 kg/m), normal weight (BMI 18.5 to 24.9 kg/m), overweight (BMI 25.0 to 29.9 kg/m), and obese (BMI ≥30.0 kg/m). At 1 and 2 years postoperatively, all cohorts experienced statistically significant improvements in the HHS and PCS-12. At 3 years postoperatively, statistically significant improvements were seen in the HHS for all cohorts; in the PCS-12 for the normal weight, overweight, and obese cohorts; and in the MCS-12 for the normal weight cohort. Intercohort differences were not statistically significant at 1, 2, or 3 years postoperatively. In our population, BMI did not have statistically significant effects on patient outcome scores following hip arthroscopy. All patient cohorts showed postoperative improvements, and differences between BMI cohorts were not statistically significant at any postoperative time point.
髋关节镜检查常用于治疗髋关节疾病。随着人群肥胖率持续上升，阐明体重指数（BMI）对髋关节镜检查结果的影响至关重要。本研究旨在量化BMI对髋关节镜检查结果的影响。我们对2008年至2016年在单一中心接受髋关节镜检查的459例患者的病历进行了回顾性研究。采用Harris髋关节评分（HHS）以及12项简短形式调查中的两个分量表评分——身体分量表评分（PCS-12）和精神分量表评分（MCS-12）来衡量结果。根据BMI将患者分为4组：体重过轻（BMI<18.5kg/m²）、正常体重（BMI 18.5至24.9kg/m²）、超重（BMI 25.0至29.9kg/m²）和肥胖（BMI≥30.0kg/m²）。术后1年和2年，所有组在HHS和PCS-12方面均有统计学意义的改善。术后3年，所有组在HHS方面有统计学意义的改善；正常体重、超重和肥胖组在PCS-12方面有统计学意义的改善；正常体重组在MCS-12方面有统计学意义的改善。术后1年、2年或3年，组间差异无统计学意义。在我们的研究人群中，BMI对髋关节镜检查后的患者结果评分没有统计学意义上的显著影响。所有患者组术后均有改善，且BMI组间在任何术后时间点的差异均无统计学意义。
