Baig Osamah, Akhtar Muzammil, Abulhasan Ahmad, Khattak Muhammad, Khatib AbdulMuhaiman, Khaja Abdullah, Syed Haider
Surgery, Lake Erie College of Osteopathic Medicine, Erie, USA.
Orthopedic Surgery, California Northstate University College of Medicine, Elk Grove, USA.
Cureus. 2025 Jan 3;17(1):e76887. doi: 10.7759/cureus.76887. eCollection 2025 Jan.
The purpose of this review is to report clinical outcomes of patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) with initial access to the peripheral compartment (PC) of the hip. A search following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was performed in the PubMed, Embase, and Scopus databases. Studies in which clinical outcomes were reported for patients who underwent hip arthroscopy for FAI with initial access to the PC were included. Data on study characteristics, patient demographics, radiographic outcomes, patient-reported outcomes (PROs), complications, and secondary surgery were extracted. Five studies with 881 patients and 976 hips (55.2% male, age range 32.1 to 48.4 years, follow-up range 3.0 to 74.4 months) were included. In two studies reporting radiographic measurements, the range of preoperative and postoperative alpha angle was 55.5° to 68.7° and 45.5° to 48.3°, respectively. The range of preoperative and postoperative lateral center-edge angles was 33.8° to 39.2° and 30.5° to 32.9°, respectively. Four studies reported one or more PRO measures with all demonstrating significant preoperative to postoperative improvement. The postoperative Non-Arthritic Hip Score (NAHS) and Visual Analog Score (VAS) pain scales ranged from 78.0 to 83.2 and 1.4 to 2.8, respectively. Complication rates ranged from 0.3% to 23.3%, with the rate of paresthesia specifically ranging from 0% to 8.1%. The rate of secondary surgery ranged from 0% to 6.3%. The rate of revision hip arthroscopy and conversion to total hip arthroplasty, specifically, ranged from 0% to 3.1% and 0% to 3.7%, respectively. This systematic review demonstrates that hip arthroscopy for FAI with initial access to the PC shows significant improvements in PROs with low rates of complications and secondary surgery.
本综述的目的是报告初次进入髋关节外周间隙（PC）行髋关节镜手术治疗股骨髋臼撞击症（FAI）患者的临床结局。按照系统评价和Meta分析的首选报告项目（PRISMA）指南，在PubMed、Embase和Scopus数据库中进行了检索。纳入了报告初次进入PC行髋关节镜手术治疗FAI患者临床结局的研究。提取了有关研究特征、患者人口统计学、影像学结局、患者报告结局（PROs）、并发症和二次手术的数据。纳入了5项研究，共881例患者和976个髋关节（男性占55.2%，年龄范围32.1至48.4岁，随访范围3.0至74.4个月）。在两项报告影像学测量结果的研究中，术前和术后α角范围分别为55.5°至68.7°和45.5°至48.3°。术前和术后外侧中心边缘角范围分别为33.8°至39.2°和30.5°至32.9°。四项研究报告了一项或多项PRO测量指标，均显示术前至术后有显著改善。术后非关节炎髋关节评分（NAHS）和视觉模拟评分（VAS）疼痛量表分别为78.0至83.2和1.4至2.8。并发症发生率为0.3%至23.3%，感觉异常发生率具体为0%至8.1%。二次手术率为0%至6.3%。具体而言，髋关节镜翻修率和转为全髋关节置换率分别为0%至3.1%和0%至3.7%。本系统评价表明，初次进入PC行髋关节镜手术治疗FAI可使PROs显著改善，并发症和二次手术发生率较低。
