Arthroscopic Treatment for Symptomatic Bilateral Cam-type Femoroacetabular Impingement
Arthroscopic Treatment for Symptomatic Bilateral Cam-type Femoroacetabular Impingement
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DOI：
10.3928/01477447-20101021-14
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发表时间：
2010-12-01
期刊：
影响因子：
1.1
通讯作者：
O'Donnell, John
中科院分区：
文献类型：
--
作者：
Haviv, Barak;O'Donnell, John
关节镜下股骨软骨成形术改善单侧凸轮型股髋臼撞击患者的临床疗效。本研究的目的是评估双侧关节镜下股骨骨软骨成形术治疗凸轮型股髋臼撞击患者的临床结果和病理相似性。研究组包括82例连续双侧髋关节镜治疗症状性凸轮型股髋臼撞击的患者，随访至少12个月。所有患者在就诊时均有双侧髋关节受限。我们对双侧髋关节疼痛患者和单侧髋关节疼痛患者进行了区分。比较两组间及两组双侧手术的评分和手术结果。术前和术后改良Harris髋关节评分和非关节炎髋关节评分由独立观察者进行前瞻性评估。患者首次手术时的平均年龄为29岁（14-63岁）。关节镜检查的平均时间差为5个月（范围0.3-30个月）。在第一次和第二次（对侧）手术中，两个研究组的术后评分均有显著提高。两组两侧关节内病变呈线性相关。手术间隔时间与年龄呈线性相关，与软骨损伤呈负相关，与术后第一次手术评分呈负相关。
Arthroscopic femoral osteochondroplasty improves clinical outcome in patients with unilateral cam-type femoroacetabular impingement. The goal of this study was to evaluate the clinical outcome and pathological similarities in patients who have had bilateral arthroscopic femoral osteochondroplasy for cam-type femoroacetabular impingement.The study group included 82 patients who had sequential bilateral hip arthroscopies for symptomatic cam-type femoroacetabular impingement with a minimum of 12 months follow-up. All patients had bilateral restricted hips at presentation. We differentiated between patients who had bilateral painful hips and those with unilateral pain at presentation. Scores and surgical findings were compared between the 2 study groups and between bilateral surgeries in each group. Pre- and postoperative Modified Harris Hip Scores and Non-Arthritic Hip Scores were undertaken prospectively by an independent observer. Mean patient age at the first surgery was 29 years (range, 14-63 years). The average time difference between arthroscopies was 5 months (range, 0.3-30 months). Postoperative scores improved significantly in both study groups in the first and second (contralateral) surgeries. Intra-articular pathologies between sides were linearly correlated for both groups. The time interval between surgeries had a linear correlation to age, reverse correlation to chondral damage, and reverse correlation to postoperative scores at the first surgery.