Mavrommatis Sophia, Feroe Aliya G, Fader Ryan R, Hassan Mahad M
Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
HSS J. 2024 Nov;20(4):550-555. doi: 10.1177/15563316231190603. Epub 2023 Aug 22.
Although hip bracing after hip arthroscopy is relatively common, it is not an evidence-based practice; no comparative studies or clinical trials exploring its effectiveness exist.
We sought to summarize the rates of and indications for hip bracing after hip arthroscopy, surgeons' preferences on braces, and the types of braces used.
A systematic review was conducted using the PubMed, Embase, and Medline databases to identify studies that examined hip bracing following hip arthroscopy. Two independent reviewers identified relevant studies with final inclusion determined by the senior author. Full-length, original research articles regarding relevant subject matter that were published prior to January 2022 were included in the analysis.
Of the 52 articles that underwent full-text review, 14 were included (10 clinical case series, comparative studies, or case-control studies and 4 cross-sectional studies of surgeon-specific postoperative rehabilitation protocols). These studies revealed that the practice of hip bracing after hip arthroscopy is relatively common among orthopedic surgeons, with up to 40% of surgeons using them. Surgical indications for postoperative brace use varied widely. Recommendations on the length of brace use varied, but range of motion restrictions were consistent.
Although up to 40% of surgeons use post-hip arthroscopy bracing, there is insufficient evidence to determine whether it improves patient outcomes. Research producing higher levels of evidence regarding the efficacy of bracing following hip arthroscopy is necessary to understand the physical, mental, and economic costs and benefits to patients.
尽管髋关节镜检查后使用髋关节支具相对常见，但这并非基于证据的做法；目前尚无探索其有效性的比较研究或临床试验。
我们试图总结髋关节镜检查后使用髋关节支具的比例和适应证、外科医生对支具的偏好以及所使用支具的类型。
使用PubMed、Embase和Medline数据库进行系统综述，以识别研究髋关节镜检查后使用髋关节支具的研究。两名独立评审员识别相关研究，最终纳入由资深作者决定。分析纳入了2022年1月之前发表的关于相关主题的全文、原创研究文章。
在接受全文审查的52篇文章中，纳入了14篇（10篇临床病例系列、比较研究或病例对照研究以及4篇关于外科医生特定术后康复方案的横断面研究）。这些研究表明，髋关节镜检查后使用髋关节支具的做法在骨科医生中相对常见，多达40%的医生使用它们。术后使用支具的手术适应证差异很大。关于支具使用时长的建议各不相同，但活动范围限制是一致的。
尽管多达40%的外科医生使用髋关节镜检查后的支具，但尚无足够证据确定其是否能改善患者预后。有必要开展关于髋关节镜检查后支具疗效的更高证据水平的研究，以了解对患者的身体、心理和经济成本及益处。
