Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A..
Arthroscopy. 2024 Apr;40(4):1126-1132. doi: 10.1016/j.arthro.2023.08.082. Epub 2023 Sep 15.
To evaluate long-term patient-reported outcomes and achievement rates of patient acceptable symptomatic state (PASS) in young athletes undergoing hip arthroscopy, and to report long-term sports continuance and reoperation.
Inclusion criteria consisted of age <24 years at surgery, femoroacetabular impingement undergoing primary hip arthroscopy with labral repair, and participation in sport with intent to return to sport after surgery. The enrollment period was from April 2009 to June 2014. Modified Harris Hip Scores (mHHS), Hip Outcome Score (HOS), HOS Activities of Daily Living (HOS-ADL), and HOS Sport (HOS-Sport) were collected preoperatively, 2 years' postoperatively, and final follow-up. Patients were evaluated for PASS achievement, reoperation, and sports participation.
Forty-two hips in 37 patients (11 male, 26 female, age: 17.7 ± 2.1 years, range 13.6-23.0, body mass index 22.8 ± 2.9, range 17.6-33.7) met inclusion criteria and were followed for 10.0 ± 1.3 years (range 8.5-13.0) postoperatively. Mean mHHS, HOS-ADL and HOS-Sports outcome scores at minimum 8.5 years were 82.2 ± 12.9, 89.6 ± 10.9, and 81.8 ± 16.4, respectively, with significant (P < .001) postoperative improvements. Thirty survey respondents (83%) met PASS for mHHS, 27 (75%) for HOS-ADL, and 24 (67%) for HOS-Sports. At minimum 8.5-year follow-up, only 9 of 37 (24%) cited their hip as the reason for stopping sport. Of the remaining patients, 17 of 28 (61%), continued playing their initial sport. There was no difference in patient-reported outcomes between patients who endorsed sports continuance and patients who did not report sports continuance and did not cite their hip as a reason (P ≥ .229). At final follow-up, 4 hips (10%) had undergone subsequent surgical intervention at a mean of 4.8 ± 3.3 years (range 1.0-8.4) postoperatively.
Durable mid-term outcomes and satisfactory PASS achievement rates are observed in young amateur athletes undergoing primary hip arthroscopy. At minimum 8.5-year follow up, approximately 1 in 4 patients discontinue their sports due to hip related reasons.
Level IV, case-series.
评估年轻运动员髋关节镜术后患者报告的长期结果和可接受的症状状态（PASS）的达标率，并报告长期运动持续时间和再次手术情况。
纳入标准为手术时年龄<24 岁、股骨髋臼撞击症行初次髋关节镜下盂唇修复术、并计划术后重返运动的运动员。入组时间为 2009 年 4 月至 2014 年 6 月。收集术前、术后 2 年和最终随访时改良 Harris 髋关节评分（mHHS）、髋关节结局评分（HOS）、髋关节日常生活活动评分（HOS-ADL）和髋关节运动评分（HOS-Sport）。评估 PASS 达标情况、再次手术和运动参与情况。
37 名患者（11 名男性，26 名女性）的 42 髋符合纳入标准，术后随访 10.0±1.3 年（8.5-13.0 年）。至少 8.5 年的平均 mHHS、HOS-ADL 和 HOS-Sports 评分分别为 82.2±12.9、89.6±10.9 和 81.8±16.4，术后均有显著改善（P<.001）。30 名调查受访者（83%）在 mHHS 上达到 PASS，27 名（75%）在 HOS-ADL 上达到 PASS，24 名（67%）在 HOS-Sports 上达到 PASS。至少 8.5 年随访时，37 名患者中有 9 名（24%）因髋关节问题停止运动。其余 28 名患者中，17 名（61%）继续从事最初的运动。在报告继续运动和不报告继续运动且不以髋关节为原因的患者之间，患者报告的结果没有差异（P≥.229）。最终随访时，4 髋（10%）在术后平均 4.8±3.3 年（1.0-8.4 年）后再次接受手术干预。
年轻业余运动员行初次髋关节镜术后可获得持久的中期结果和满意的 PASS 达标率。至少 8.5 年随访时，约 1/4 的患者因髋关节相关原因停止运动。
IV 级，病例系列研究。
