Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?
Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?
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DOI：
10.1007/s11999-013-2787-z
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发表时间：
2013-08-01
影响因子：
4.2
通讯作者：
Villar, Richard N.
中科院分区：
文献类型：
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作者：
Malviya, Ajay;Paliobeis, Christos P.;Villar, Richard N.
虽然有大量的运动员在髋关节镜手术治疗股骨髋臼撞击症（FAI）后恢复运动，但尚不清楚他们是否恢复到了伤前水平，以及职业运动员（PA）是否比娱乐运动员（RA）更有可能恢复到伤前水平。（2）FAI关节镜手术后训练和比赛时间的改善程度;（3）髋关节评分改善趋势的差异。我们前瞻性地跟踪了80名运动员（PA = 40，RA = 40;平均年龄，35.7岁;男性= 50，女性= 30;平均随访时间，1.4年;范围，1-1.8年）接受髋关节镜检查治疗FAI。我们测量了恢复运动的时间、训练时间和比赛时间、改良Harris髋关节评分和非关节炎髋关节评分，术后1年，训练时间（从每周7.8小时增加到20小时）增加了2.6倍，比赛时间（从每周2.5小时增加到7.9小时）增加了3.2倍。恢复体育活动的平均时间为5.4个月，PA（4.2）低于RA（6.8）。82%（66）（PA = 88% [35] vs RA = 73% [29]）在手术后1年内恢复到受伤前的运动水平。数据表明PA可能比RA更快恢复运动，但髋关节评分和恢复运动的速度相似。IV级，治疗研究。有关证据等级的完整描述，请参见作者指南。
Although a large number of athletes' returns to sports after hip arthroscopic surgery for femoroacetabular impingement (FAI), it is not clear if they do so to the preinjury level and whether professional athletes (PA) are more likely to return to the preinjury level compared with recreational athletes (RA).We therefore compared (1) the time taken to return to the preinjury level of sport between professional and recreational athletes; (2) the degree of improvement in time spent in training and competitive activities after arthroscopic surgery for FAI; and (3) the difference in trend of improvement in hip scores.We prospectively followed 80 athletes (PA = 40, RA = 40; mean age, 35.7 years; males = 50, females = 30; mean followup, 1.4 years; range, 1-1.8 years) who underwent hip arthroscopy for FAI. We measured the time to return to sports; training time and time in competition; and the modified Harris hip score and the nonarthritic hip score.There was a 2.6-fold improvement in the training time (from 7.8 to 20 hours per week) and a 3.2-fold increase in time in competition (from 2.5 to 7.9 hours per week) 1 year after surgery. The mean time to return to sporting activities was 5.4 months, which was lower for PA (4.2) as compared with RA (6.8). Eighty-two percent (66) (PA = 88% [35] versus RA = 73% [29]) returned to their preinjury level of sport within 1 year of surgery.The data suggest PA may show quicker return to sports than RA but the hip scores and rate of return to sports are similar.Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.