Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Department of Orthopaedic Surgery, Shamir Medical Center, Tel Aviv University, Tel Aviv, Israel.
Am J Sports Med. 2024 Jul;52(9):2287-2294. doi: 10.1177/03635465241254530. Epub 2024 Jun 20.
Previous studies have shown that short-term outcomes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) predict midterm outcomes, but a limited number of studies have evaluated whether short-term outcomes predict long-term outcomes and survivorship.
To evaluate whether achieving clinically significant outcomes at 2 years after hip arthroscopy for FAIS can predict patient-reported outcomes (PROs) and survivorship at 10 years.
Cohort study; Level of evidence, 3.
Patients who underwent primary hip arthroscopy for FAIS between June 2012 and December 2012 with a minimum 10-year follow-up were identified. Using previously established thresholds, we classified patients who achieved the 2-year Patient Acceptable Symptom State (PASS) for the visual analog scale (VAS) for satisfaction as the high satisfaction group and patients who did not as the low satisfaction group. Minimum 10-year PROs were then compared between the groups, including scores for the Hip Outcome Score (HOS)-Activities of Daily Living and -Sports Specific, the modified Harris Hip Score, the VAS for pain, and the VAS for satisfaction. Reoperation-free survivorship was compared.
Of 120 eligible consecutive patients, 85 patients were included (70.8% follow-up rate), of whom 61.2% were female. The mean age was 34.0 ± 12.8 years, and the mean body mass index was 25.4 ± 4.6. Of the 85 patients, 29 (34.1%) did not achieve PASS for the VAS for satisfaction at 2 years postoperatively compared with 56 (65.9%) who did. The low satisfaction group had significantly worse acetabular chondral grades at the time of surgery ( = .008). At minimum 10-year follow-up, the high satisfaction group showed significantly better HOS-Activities of Daily Living, HOS-Sports Specific, modified Harris Hip Score, VAS pain, and VAS satisfaction scores (≤ .031). Compared with the low satisfaction group, the high satisfaction group had a significantly lower rate of secondary surgery (1.8% vs 24.1%, respectively; = .002).
Patients who achieved PASS for the VAS for satisfaction at 2 years after hip arthroscopy demonstrated superior minimum 10-year outcomes compared with patients who did not, including greater PRO scores and a higher survivorship rate. The high satisfaction group had lower grade acetabular cartilage damage at the time of surgery compared with those who did not achieve PASS for the VAS for satisfaction at 2 years.
先前的研究表明，髋关节镜治疗股骨髋臼撞击综合征（FAIS）后的短期结果可以预测中期结果，但只有少数研究评估了短期结果是否可以预测长期结果和生存率。
评估髋关节镜治疗 FAIS 后 2 年达到临床显著结果是否可以预测 10 年时的患者报告结局（PRO）和生存率。
队列研究；证据水平，3 级。
确定了 2012 年 6 月至 2012 年 12 月期间接受髋关节镜治疗 FAIS 的原发性髋关节镜患者，随访时间至少 10 年。使用先前建立的阈值，我们将在视觉模拟量表（VAS）上满足患者满意度的 2 年患者可接受症状状态（PASS）的患者分类为高满意度组，未达到的患者分类为低满意度组。然后比较两组之间至少 10 年的 PRO，包括髋关节结局评分（HOS）-日常生活活动和 -运动特定、改良 Harris 髋关节评分、VAS 疼痛评分和 VAS 满意度评分。比较了无再手术生存率。
在 120 名符合条件的连续患者中，有 85 名患者（70.8%的随访率）被纳入研究，其中 61.2%为女性。平均年龄为 34.0 ± 12.8 岁，平均体重指数为 25.4 ± 4.6。在 85 名患者中，29 名（34.1%）患者在术后 2 年时未达到 VAS 满意度的 PASS，而 56 名（65.9%）患者达到了。低满意度组在手术时的髋臼软骨分级明显较差（ =.008）。在至少 10 年的随访中，高满意度组的 HOS-日常生活活动、HOS-运动特定、改良 Harris 髋关节评分、VAS 疼痛和 VAS 满意度评分明显更好（≤.031）。与低满意度组相比，高满意度组的二次手术率明显较低（分别为 1.8%和 24.1%； =.002）。
髋关节镜治疗 FAIS 后 2 年达到 VAS 满意度 PASS 的患者与未达到者相比，至少 10 年的结果更好，包括 PRO 评分更高和生存率更高。与那些在术后 2 年未达到 VAS 满意度的患者相比，高满意度组在手术时的髋臼软骨损伤程度较低。
