i-Move Traumatologia, 08017 Barcelona, Spain.
Midwest Orthopaedics at Rush University Medical Center, 60612 Chicago, IL, USA.
J ISAKOS. 2024 Jun;9(3):444-448. doi: 10.1016/j.jisako.2024.02.010. Epub 2024 Feb 23.
This study aimed to assess the outcomes of hip arthroscopic surgery in high-level female athletes diagnosed with femoroacetabular impingement (FAI) compared to those with lower levels of sports activity. Additionally, we investigated the effectiveness of patient-reported outcomes (PROs) and the potential ceiling effect as a lack of sensitivity in detecting clinically statistically significant changes in high-level female athletes due to high baseline scores.
We conducted a retrospective analysis of prospectively collected data from female patients who underwent hip arthroscopy for FAI between January 2016 and August 2022 with a minimum 1-year follow-up. Patients were categorised into two groups: high-level athletes (group A) and low sports activity level (group B). Various PROs, visual analogue scales for pain, and patient satisfaction were assessed preoperatively and postoperatively. Return to sports (RTS) rates were determined based on the patient's reported ability to return to their previous level of sports activity. The minimally clinically important differences (MCIDs) and the Patient-Acceptable Symptomatic State (PASS) analyses were used to evaluate the clinical impact of the Hip Outcome Score-Sport Subscale (HOS-SSS).
A total of 11 high-level female athletes were included in group A, and 22 were included in the low sports activity level group B. Both groups showed significant improvements in PROs, with no significant differences between them. RTS rates were lower in high-level athletes (63.6%) than in low sports activity patients (85.7%). Visual analogue scales for pain improved significantly in both groups. Patient satisfaction was high in both groups, with a median score of 9. The HOS-SSS showed no ceiling effect, and the MCID and PASS analyses indicated that a high proportion of patients in both groups achieved clinically relevant improvement in HOS-SSS.
Hip arthroscopic surgery is effective for FAI treatment in high-level female athletes, with outcomes similar to those in patients with lower sports activity levels. The absence of a ceiling effect in sports-related outcomes suggests that PROs can detect clinically significant changes in high-level female athletes. Although RTS rates were lower in high-level athletes, this difference was not significant. These findings underscore the value of using PROs to evaluate outcomes in female athletes with different sports-activity levels.
IV.
本研究旨在评估髋关节镜手术治疗诊断为股骨髋臼撞击症（FAI）的高水平女性运动员的疗效，并与低运动水平的患者进行比较。此外，我们还研究了患者报告的结果（PROs）的有效性以及由于高基线评分导致在高水平女性运动员中缺乏敏感性的潜在天花板效应，以检测临床统计学上的显著变化。
我们对 2016 年 1 月至 2022 年 8 月期间接受髋关节镜治疗 FAI 的女性患者前瞻性收集的数据进行了回顾性分析，所有患者均随访至少 1 年。患者分为两组：高水平运动员组（A 组）和低运动水平组（B 组）。术前和术后评估各种 PROs、疼痛视觉模拟量表和患者满意度。根据患者报告的恢复到以前运动水平的能力确定重返运动（RTS）率。使用最小临床重要差异（MCID）和患者可接受的症状状态（PASS）分析来评估髋关节结局评分-运动亚量表（HOS-SSS）的临床影响。
A 组纳入 11 名高水平女性运动员，B 组纳入 22 名低运动水平患者。两组 PROs 均有显著改善，且无显著差异。高水平运动员的 RTS 率（63.6%）低于低运动水平患者（85.7%）。两组疼痛视觉模拟量表均有显著改善。两组患者满意度均较高，中位数评分为 9。HOS-SSS 无天花板效应，MCID 和 PASS 分析表明，两组患者中有很大比例在 HOS-SSS 方面取得了临床相关的改善。
髋关节镜手术治疗高水平女性运动员的 FAI 是有效的，其疗效与低运动水平患者相似。运动相关结局的无天花板效应表明，PROs 可以检测高水平女性运动员的临床显著变化。虽然高水平运动员的 RTS 率较低，但这一差异无统计学意义。这些发现强调了在不同运动水平的女性运动员中使用 PROs 来评估结果的价值。
IV。
