Does Femoral Retroversion Adversely Affect Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome? A Midterm Analysis
Does Femoral Retroversion Adversely Affect Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome? A Midterm Analysis
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DOI：
10.1016/j.arthro.2019.03.046
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发表时间：
2019-11-01
影响因子：
4.7
通讯作者：
Domb, Benjamin G.
中科院分区：
文献类型：
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作者：
Lall, Ajay C.;Battaglia, Muriel R.;Domb, Benjamin G.
目的：报告关节镜下治疗股骨后倾患者股骨髋臼撞击综合征的5年结局，并与正常股骨前倾患者的对照组进行比较。研究方法：前瞻性收集并回顾性审查了2008年8月至2013年4月期间接受髋关节镜检查的所有患者的数据。如果患者在此期间接受了髋关节镜检查并且股骨版本为1，则将其纳入分析。根据性别、体重指数+/- 10和年龄+/- 10岁，将这些患者与股骨前倾角在10 °和20 °之间的患者配对。在术后3个月和1年以及此后每年收集患者报告结局（PRO）。进行先验功效分析。结果：在69例符合纳入标准的患者中，共有59例被确定为实验组（86%）。所有59例患者均匹配，平均年龄为37.4岁，平均体重指数为26.9。女性20例，男性39例。这些患者在所有患者报告的结局和视觉模拟评分方面均表现出较术前状态的显著改善（P 0.05）。结论：股骨后倾患者在接受关节镜髋关节手术后至少5年随访时表现出显著更高的结局。这些结果与正常股骨扭转的患者没有差异。虽然股骨后倾不应被视为髋关节镜手术的禁忌症，但在患者选择和手术计划中应仔细考虑这一因素。
Purpose: To report 5-year outcomes of arthroscopic treatment of femoroacetabular impingement syndrome in patients with femoral retroversion compared with a control group of patients with normal femoral anteversion. Methods: Data were prospectively collected and retrospectively reviewed for all patients who underwent hip arthroscopy between August 2008 and April 2013. Patients were included in analysis if they underwent hip arthroscopy during this period and had femoral version 1. These patients were pair matched with patients having femoral anteversion between 10 degrees and 20 degrees based on gender, body mass index +/- 10, and age +/- 10 years. Patient-reported outcomes (PROs) were collected at 3 months and 1 year postoperatively and annually thereafter. An a priori power analysis was performed. Results: A total of 59 patients were identified as the experimental group out of 69 eligible for inclusion (86%). All 59 patients were matched, with a mean age of 37.4 years and mean body mass index of 26.9. Twenty patients were female, and 39 were male. These patients demonstrated significant improvement from their preoperative state in all patient-reported outcomes and visual analog score scores (P .05). Conclusions: Patients with femoral retroversion demonstrated significantly higher outcomes at minimum 5-year follow-up after undergoing arthroscopic hip surgery. These outcomes were not different from those of patients with normal femoral version. While femoral retroversion should not be considered a contraindication to hip arthroscopy, it should be carefully considered as a factor in patient selection and surgical planning.