Migliorini Filippo, Cocconi Federico, Bardazzi Tommaso, Masoni Virginia, Gardino Virginia, Pipino Gennaro, Maffulli Nicola
Department of Orthopaedic and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), 39100, Bolzano, Italy.
Department of Life Sciences, Health, and Health Professions, Link Campus University, 00165, Rome, Italy.
J Orthop Traumatol. 2024 Dec 20;25(1):68. doi: 10.1186/s10195-024-00810-1.
The ligamentum teres (LT) has received attention in patients undergoing hip arthroscopy (HA) for femoroacetabular impingement (FAI). Indeed, a better understanding of the function of the LT and its implications for clinical outcomes in the presence of a torn LT is required. This systematic review analyses the patient-reported outcome measures (PROMs) and the complication rate when an intact or torn LT is encountered during HA for FAI.
Studies that compared patients with an intact to those with a torn LT managed with debridement during hip arthroscopy for FAI were identified from the Web of Science, PubMed, and Embase. The minimum follow-up for inclusion was 24 months. The Risk of Bias in Non-randomised Studies of Interventions (ROBINS-I) tool was used to assess the risk of bias. Patient characteristics and PROMs were assessed at the baseline and last follow-up.
The systematic review identified two studies comprising 611 patients. No statistically significant difference was found in pain, Harris Hip Score, and the activities of daily living and sports subscales of the Hip Outcome Score between patients with an intact LT and those with a torn LT treated with debridement, both of whom underwent HA for FAI.
In patients undergoing arthroscopic management for FAI, an intact or torn ligamentum teres managed with debridement does not influence postoperative PROMs. Given the importance of the LT as a structure of the hip joint and the increasing interest in HA for FAI, further standardised studies will be a valuable source for surgeons encountering this pathology.
在因股骨髋臼撞击症（FAI）接受髋关节镜检查（HA）的患者中，圆韧带（LT）受到了关注。实际上，需要更好地了解LT的功能及其在LT撕裂情况下对临床结果的影响。本系统评价分析了在因FAI进行HA时遇到完整或撕裂的LT时患者报告的结局指标（PROMs）和并发症发生率。
从科学网、PubMed和Embase中检索比较在因FAI进行髋关节镜检查时接受清创术的LT完整患者与LT撕裂患者的研究。纳入的最短随访时间为24个月。使用干预性非随机研究中的偏倚风险（ROBINS-I）工具评估偏倚风险。在基线和末次随访时评估患者特征和PROMs。
该系统评价确定了两项研究，共纳入611例患者。在接受HA治疗FAI的LT完整患者和接受清创术的LT撕裂患者之间，在疼痛、Harris髋关节评分以及髋关节结局评分的日常生活和运动子量表方面，未发现统计学上的显著差异。
在因FAI接受关节镜治疗的患者中，完整或撕裂的圆韧带采用清创术处理不影响术后PROMs。鉴于LT作为髋关节结构的重要性以及对因FAI进行HA的兴趣日益增加，进一步的标准化研究将为遇到这种病理情况的外科医生提供有价值的信息来源。
