Bilateral versus unilateral hip arthroscopy for femoroacetabular impingement: a systematic review.
Bilateral versus unilateral hip arthroscopy for femoroacetabular impingement: a systematic review.
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DOI：
10.1093/jhps/hnaa013
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发表时间：
2020-07
影响因子：
1.5
通讯作者：
Terry MA
中科院分区：
文献类型：
--
作者：
Fernandez CE;Morgan AM;Sheth U;Tjong VK;Terry MA
1/4出现髋臼撞击(FAI)的患者有双侧症状，尽管关节镜下治疗FAI的疗效很好，但有关双侧髋关节镜检查的结果的数据仍然很少。这项系统性综述旨在检查双侧(同时或分期)髋关节镜术与单侧髋关节镜术治疗FAI的结果。使用系统审查和综合分析首选报告项目(PRISMA)指南和核对表对多个电子数据库进行了系统审查。所有比较同时、分期和/或单侧髋关节镜检查FAI的研究均符合纳入条件。病例系列、病例报告和综述被排除在外。所有研究、患者和髋关节特有的数据都被提取和分析。采用纽卡斯尔-渥太华量表评价研究质量。由于结果指标之间的异质性，没有进行荟萃分析。共有6项研究，包括722名患者(42.8%为男性)和933个髋关节符合纳入条件。所有患者的平均年龄为35.5岁。两次手术的平均间隔时间为7.7 个月。六项研究中有四项是回溯性队列研究，其余两项是前瞻性研究。符合条件的研究的总体质量被发现是好的。患者报告的结果(改良Harris髋关节评分、髋关节结果评分和非关节炎髋关节评分)、视觉模拟评分、恢复运动、牵引时间和并发症在接受双侧(同时或分期)与单侧髋关节镜检查的患者之间没有显著差异。根据现有证据，与单侧髋关节镜相比，双侧髋关节镜(无论同时或分期)显示出相似的疗效和安全性。然而，需要进一步的前瞻性研究来证实这一发现。
One in four patients presenting with femoroacetabular impingement (FAI) has bilateral symptoms, and despite excellent outcomes reported after arthroscopic treatment of FAI, there remains a paucity of data on the outcomes following bilateral hip arthroscopy. This systematic review aims to examine the outcomes following bilateral (either ‘simultaneous’ or ‘staged’) versus unilateral hip arthroscopy for FAI. A systematic review of multiple electronic databases was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and checklist. All studies comparing simultaneous, staged and/or unilateral hip arthroscopy for FAI were eligible for inclusion. Case series, case reports and reviews were excluded. All study, patient and hip-specific data were extracted and analyzed. The Newcastle–Ottawa Scale was used to assess study quality. A meta-analysis was not performed due to heterogeneity among outcome measures. A total of six studies, including 722 patients (42.8% male) and 933 hips were eligible for inclusion. The mean age across patients was 35.5. The average time between staged procedures was 7.7 months. Four of the six studies were retrospective cohort studies, while the remaining two were prospective in nature. The overall quality of the eligible studies was found to be good. No significant difference was noted among patient-reported outcomes (modified Harris hip score, hip outcome score and non-arthritic hip score), visual analog scale, return to sport, traction time and complications between those undergoing bilateral (simultaneous or staged) versus unilateral hip arthroscopy. Based on the current available evidence, bilateral hip arthroscopy (whether simultaneous or staged) exhibits similar efficacy and safety when compared with unilateral hip arthroscopy. However, further prospective study is required to confirm this finding.
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影响因子：
1.5
作者：
Bolia IK;Fagotti L;McNamara S;Dornan G;Briggs KK;Philippon MJ
通讯作者：
Philippon MJ
影响因子：
4.8
作者：
Kuhns, Benjamin D.;Hannon, Charles P.;Nho, Shane J.
通讯作者：
Nho, Shane J.
DOI：
10.1097/01.blo.0000096804.78689.c2
发表时间：
2003-12-01
影响因子：
4.2
作者：
Ganz, R;Parvizi, J;Siebenrock, KA
通讯作者：
Siebenrock, KA
DOI：
10.1302/0301-620x.93b10.26433
发表时间：
2011-10-01
影响因子：
--
作者：
Jung, K. A.;Restrepo, C.;Parvizi, J.
通讯作者：
Parvizi, J.
影响因子：
1.2
作者：
Matsuda, Dean K.;Ching, Kaycee;Matsuda, Nicole A.
通讯作者：
Matsuda, Nicole A.