Bull Hosp Jt Dis (2013). 2023 Jun;81(2):103-108.
This study sought to determine the clinical outcomes of patients that underwent hip arthroscopy for femoroacetabular impingement (FAI) and concomitant arthroscopic iliotibial (IT) band lengthening with trochan- teric bursectomy (TB group) as well as a matched cohort of patients undergoing hip arthroscopy for isolated FAI symptoms (NTB group) from baseline to a minimum of 2-year follow-up.
Patients who were diagnosed with FAI and symptomatic trochanteric bursitis and who failed con- servative measures and underwent hip arthroscopy and arthroscopic IT band lengthening with trochanteric bur- sectomy were identified. These patients were matched by age, sex, and body mass index (BMI) to a group of patients who underwent surgery for FAI without trochanteric bur- sitis symptoms. Patients were separated into two groups: iliotibial band lengthening with trochanteric bursectomy (TB) and non-trochanteric bursectomy (NTB). The patient reported outcomes (PROs) recorded were the modified Har- ris Hip Score (mHHS) and Non-Arthritic Hips Score (NAHS), which were obtained with a minimum of 2-years follow-up.
Each cohort was composed of 22 patients. The TB cohort was composed of 19 females (86%) with a re- ported mean age of 49.3 ± 11.6 years. The NTB cohort was composed of 19 females (86%) with a reported mean age of 49.0 ± 11.7 years. Both cohorts showed significant improve- ment from baseline in the mHHS and NAHS. There was no significant difference in the mHHS and NAHS between the two groups. There was no significant difference between TB and NTB groups with respect to achieving minimal clinically important difference (MCID), [19 (86%) vs. 20 (91%), p > 0.99] or patient acceptable symptom state (PASS), [13 (59%) vs. 14 (64%), p = 0.76].
There was no difference in PROs of patients with FAI and trochanteric bursitis who underwent hip ar- throscopy with concomitant arthroscopic IT band lengthen- ing with trochanteric bursectomy compared to patients with isolated FAI who underwent hip arthroscopy.
本研究旨在确定接受髋关节镜检查治疗股骨髋臼撞击症（FAI）并同时行关节镜下髂胫束（IT）松解和转子滑囊炎切除术（TB 组）的患者与仅接受髋关节镜检查治疗单纯 FAI 症状（NTB 组）的患者的临床转归，随访时间至少为 2 年。
我们确定了患有 FAI 和症状性转子滑囊炎且经保守治疗无效而接受髋关节镜检查和关节镜下 IT 松解和转子滑囊切除术的患者。这些患者按照年龄、性别和体重指数（BMI）与接受单纯 FAI 手术且无转子滑囊炎症状的患者相匹配。患者分为两组：行 IT 松解和转子滑囊切除术（TB）和不行转子滑囊切除术（NTB）。记录患者报告的结果（PRO）为改良 Harris 髋关节评分（mHHS）和非关节炎髋关节评分（NAHS），至少随访 2 年。
每个队列均由 22 例患者组成。TB 队列由 19 名女性（86%）组成，平均年龄为 49.3 ± 11.6 岁。NTB 队列由 19 名女性（86%）组成，平均年龄为 49.0 ± 11.7 岁。两组的 mHHS 和 NAHS 均较基线显著改善。两组间 mHHS 和 NAHS 无显著差异。TB 组和 NTB 组在达到最小临床重要差异（MCID）方面无显著差异[19 例（86%）vs. 20 例（91%），p > 0.99]或患者可接受的症状状态（PASS）[13 例（59%）vs. 14 例（64%），p = 0.76]。
对于患有 FAI 和转子滑囊炎的患者，与仅接受髋关节镜检查治疗单纯 FAI 的患者相比，接受髋关节镜检查联合关节镜下 IT 松解和转子滑囊切除术的患者的 PRO 无差异。
