Arthroscopic Debridement Versus Refixation of the Acetabular Labrum Associated With Femoroacetabular Impingement
Arthroscopic Debridement Versus Refixation of the Acetabular Labrum Associated With Femoroacetabular Impingement
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DOI：
10.1016/j.arthro.2008.12.014
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发表时间：
2009-04-01
影响因子：
4.7
通讯作者：
Giveans, M. Russell
中科院分区：
文献类型：
--
作者：
Larson, Christopher M.;Giveans, M. Russell
目的：本研究旨在比较关节镜下盂唇清创术与盂唇再固定术的结局。方法：我们回顾了在盂唇修复技术发展之前的一段时间内接受盂唇清创术的患者。将我们目前的关节镜技术认为可以修复的盂唇撕裂患者与接受盂唇再固定的患者进行比较，至少随访1年。为了更好地匹配两组，仅纳入了由钳型或钳型和凸轮型股骨髋臼撞击联合引起的盂唇病变患者。在前36个髋关节中，对盂唇进行了清创（第1组）;在接下来的39个髋关节中，对盂唇进行了重新固定（第2组）。采用改良Harris髋关节评分（HHS）、简明12量表和疼痛视觉模拟量表在术前和术后测量结局。获得术前和术后X线片，以评价骨切除（α角）和骨关节炎（Tonnis分级）。结果：第1组的平均年龄为31岁，平均随访时间为21.4个月，第2组为27岁，平均随访时间为16.5个月。术前主观结局评分在两组之间没有显著差异。在1年的随访中，主观结果明显改善（P
Purpose: The purpose of this study was to compare the outcomes of arthroscopic labral debridement with those of labral refixation. Methods: We reviewed patients who underwent labral debridement during a period before the development of labral repair techniques. Patients with labral tears deemed repairable with our current arthroscopic technique were compared with patients who underwent labral refixation with a minimum 1 of year of follow-up. To better match the 2 groups, only patients with labral pathology caused by pincer-type or combined pincer- and cam-type femoroacetabular impingement were included. In the first 36 hips the labrum was debrided (group 1); in the next 39 hips the labrum underwent refixation (group 2). Outcomes were measured preoperatively and postoperatively with the modified Harris Hip Score (HHS), Short Form 12, and visual analog scale for pain. Preoperative and postoperative radiographs were obtained to evaluate bony resection (alpha angle) and osteoarthritis (Tonnis grade). Results: The mean age was 31 years in group 1, with a mean follow-up of 21.4 months, and 27 years in group 2, with a mean follow-up of 16.5 months. Preoperative subjective outcomes scores were not significantly different between groups. At the 1-year follow-up visit, subjective outcomes were significantly improved (P