Erlandsson David, Quist Philip, Lindman Ida, Öhlin Axel, Karlsson Louise, Olsson Nicklas, Sansone Mikael, Desai Neel
Sahlgrenska Sports and Trauma Research Center, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Orthopedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Orthop J Sports Med. 2025 May 20;13(5):23259671251326112. doi: 10.1177/23259671251326112. eCollection 2025 May.
There is a body of scientific evidence showing good short-term outcomes after arthroscopic treatment for femoroacetabular impingement syndrome (FAIS); however, less is known about the change in short-term outcomes over time.
To (1) evaluate short-term outcomes after arthroscopic treatment for FAIS between 2 groups with index surgery at different periods and (2) assess whether there has been a change in clinical markers over time.
Cohort study; level of evidence, 3.
Data were retrospectively reviewed from a local hip arthroscopy registry, with primary hip arthroscopic treatment for FAIS and age ≥18 years as the inclusion criteria. The exclusion criteria consisted of surgical intervention to either hip before the primary arthroscopic intervention of the studied hip. Patients who underwent treatment between 2012 and 2013 were compared with patients who underwent treatment between 2017 and 2018. The revision rate within 2 years postoperatively was used as the primary outcome. Changes in patient-reported outcome measures (PROMs)-including the International Hip Outcome Tool, the Copenhagen Hip and Groin Outcome Score, European Quality of Life-5 Dimensions Questionnaire, European Quality of Life Visual Analog Scale, the Hip Sports Activity Scale, visual analog scale for overall hip function, and a single question regarding satisfaction with treatment-were used as secondary outcomes.
Comparison of revision rates revealed a statistically significant decline from 9.1% for patients treated between 2012 and 2013 (n = 571 patients) to 1.2% for patients treated between 2017 and 2018 (n = 485 patients) ( < .0001). However, no statistically significant differences were observed in changes in PROMs between the 2 cohorts.
There was a significant decline in revision rates over time. No changes were observed in PROMs over time.
有大量科学证据表明，关节镜治疗股骨髋臼撞击综合征（FAIS）后短期疗效良好；然而，对于短期疗效随时间的变化了解较少。
（1）评估不同时期进行初次手术的两组患者在关节镜治疗FAIS后的短期疗效，（2）评估临床指标随时间是否发生变化。
队列研究；证据等级，3级。
从当地髋关节镜登记处回顾性收集数据，纳入标准为初次髋关节镜治疗FAIS且年龄≥18岁。排除标准包括在研究髋关节初次关节镜干预之前对任何一侧髋关节进行的手术干预。将2012年至2013年接受治疗的患者与2017年至2018年接受治疗的患者进行比较。术后2年内的翻修率作为主要结局指标。患者报告结局量表（PROMs）的变化——包括国际髋关节结局工具、哥本哈根髋关节和腹股沟结局评分、欧洲生活质量五维度问卷、欧洲生活质量视觉模拟量表、髋关节运动活动量表、髋关节整体功能视觉模拟量表以及一个关于治疗满意度的单一问题——作为次要结局指标。
翻修率比较显示，从2012年至2013年接受治疗的患者的9.1%（n = 571例患者）到2017年至年接受治疗的患者的1.2%（n = 485例患者）有统计学显著下降（P <.0001）。然而，两组之间在PROMs变化方面未观察到统计学显著差异。
随着时间推移，翻修率显著下降。随时间未观察到PROMs的变化。
