Alvero Alexander B, Chan Jimmy J, Vogel Michael J, Larson Jordan H, Nho Shane J
Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A..
Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
Arthroscopy. 2025 Mar;41(3):660-666. doi: 10.1016/j.arthro.2024.03.042. Epub 2024 Apr 9.
To identify whether 6-month outcomes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) correlate with outcomes at minimum 10-year follow-up.
Patients who underwent primary hip arthroscopy for FAIS from 2012 to 2013 were reviewed and included if they had 6-month and minimum 10-year follow-up. Patient-reported outcome (PRO) measures included the Hip Outcome Score Activities of Daily Living (HOS-ADL) subscale, Hip Outcome Score Sports-Specific (HOS-SS) subscale, modified Harris Hip Score (mHHS), visual analog scale (VAS) for pain, and VAS for satisfaction. We compared 6-month and 10-year outcome scores and analyzed the relations between 6-month and 1-, 2-, 5-, and 10-year outcome scores using Pearson correlation coefficients (r). Six-month scores and clinically significant outcome achievement were then compared with 10-year clinically significant outcome achievement and reoperations, including revision hip arthroscopy and conversion to total hip arthroplasty (THA), using logistic regressions and the Fisher exact test.
This study included 60 patients (60.0% female sex; mean age, 36.0 ± 12.2 years). The mHHS, VAS pain score, and VAS satisfaction score significantly improved from 6-month to 10-year follow-up (P ≤ .021), whereas the HOS-ADL and HOS-SS did not (P ≥ .072). There were significant correlations between 6-month and 10-year scores for the HOS-ADL (r = 0.505), HOS-SS (r = 0.592), and mHHS (r = 0.362) (P ≤ .022 for all), as well as significant correlations between 6-month and 1-, 2-, and 5-year scores (P ≤ .014 for all). The 6-month HOS-ADL, HOS-SS, and mHHS were all significantly associated with their respective 10-year achievement of the patient acceptable symptom state (PASS) (P ≤ .044). Furthermore, 6-month HOS-ADL and mHHS were significantly associated with THA conversion (P ≤ .041). Comparable 6-month and 10-year achievement of the minimal clinically important difference (96.5% vs 97.8%, P > .999) and PASS (85.2% vs 87.5%, P > .999) for any PRO was observed.
After hip arthroscopy for FAIS, patients' 6-month HOS-ADL and mHHS were significantly associated with their 10-year PROs, PASS achievement, and THA conversion, although correlation strengths decreased with increasing time from surgery.
Level IV, case series.
确定股骨髋臼撞击综合征（FAIS）髋关节镜检查术后6个月的结果是否与至少10年随访时的结果相关。
对2012年至2013年因FAIS接受初次髋关节镜检查的患者进行回顾，若他们有6个月及至少10年的随访则纳入研究。患者报告的结局（PRO）指标包括髋关节结局评分日常生活活动（HOS-ADL）子量表、髋关节结局评分特定运动（HOS-SS）子量表、改良Harris髋关节评分（mHHS）、疼痛视觉模拟量表（VAS）和满意度VAS。我们比较了6个月和10年的结局评分，并使用Pearson相关系数（r）分析6个月与1年、2年、5年和10年结局评分之间的关系。然后使用逻辑回归和Fisher精确检验，将6个月的评分及具有临床意义的结局达成情况与10年的具有临床意义的结局达成情况及再次手术（包括翻修髋关节镜检查和转为全髋关节置换术（THA））进行比较。
本研究纳入60例患者（女性占60.0%；平均年龄36.0±12.2岁）。从6个月随访到10年随访，mHHS、VAS疼痛评分和VAS满意度评分显著改善（P≤0.021），而HOS-ADL和HOS-SS未改善（P≥0.072）。HOS-ADL（r = 0.505）、HOS-SS（r = 0.592）和mHHS（r = 0.362）的6个月和10年评分之间存在显著相关性（所有P≤0.022），6个月与1年、2年和5年评分之间也存在显著相关性（所有P≤0.014）。6个月的HOS-ADL、HOS-SS和mHHS均与各自10年达到患者可接受症状状态（PASS）显著相关（P≤0.044）。此外，6个月的HOS-ADL和mHHS与转为THA显著相关（P≤0.041）。观察到任何PRO的最小临床重要差异6个月和10年的达成情况相当（96.5%对97.8%，P>0.999），PASS达成情况也相当（85.2%对87.5%，P>0.999）。
FAIS髋关节镜检查术后，患者6个月的HOS-ADL和mHHS与他们10年的PRO、PASS达成情况及转为THA显著相关，尽管随着手术时间的增加相关性强度降低。
IV级，病例系列。
