Athletes experience a high rate of return to sport following hip arthroscopy
Athletes experience a high rate of return to sport following hip arthroscopy
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DOI：
10.1007/s00167-018-4929-z
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发表时间：
2019-10-01
影响因子：
3.8
通讯作者：
Ayeni, Olufemi R.
中科院分区：
文献类型：
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作者：
Memon, Muzammil;Kay, Jeffrey;Ayeni, Olufemi R.
目的：本系统回顾的目的是评估关节镜下髋关节手术后患者恢复运动的比率。方法由两位评价者检索MEDLINE、EMBASE和PubMed数据库，筛选标题、摘要和全文一式两份。调查髋关节镜检查的英语语言研究报告回归运动结果。比例的荟萃分析被用来结合使用随机效应模型的运动回报率。结果共纳入38项研究，1773名患者(72%为男性)，平均年龄27.6岁(11-65岁)，平均28.1个月(3-144名)。回归运动的综合比率为：各种参与水平93%[95%可信区间=87~97%]，术前体育活动水平82%(95%CI=74~88%)，竞技运动员89%(95%CI=84~93%)，儿科患者95%(95%CI=89~98%)，职业运动员94%(95%CI 89.2~98.0%)。术前症状持续时间越短，恢复运动率越高(皮尔逊相关系数=-0.711，p=0.021)。结论髋关节镜除能显著改善大多数患者的疼痛和功能外，还能提高患者的运动复苏率。在儿科患者、职业运动员和那些术前症状持续时间较短的患者中，恢复运动的比率最高。这项研究为临床医生提供了关于运动员在关节镜下髋关节手术后重返运动能力的循证数据，并确定了回归运动回报率最高的亚群。
Purpose The purpose of this systematic review was to evaluate the rate at which patients return to sport following arthroscopic hip surgery. Methods The databases MEDLINE, EMBASE, and PubMed were searched by two reviewers, and titles, abstracts, and full-text articles screened in duplicate. English language studies investigating hip arthroscopy with reported return to sport outcomes were included. A meta-analysis of proportions was used to combine the rate of return to sports using a random effects model. Results Overall, 38 studies with 1773 patients (72% male), with a mean age of 27.6 years (range 11-65) and mean follow-up of 28.1 months (range 3-144) were included in this review. The pooled rate of return to sport was: 93% [95% confidence interval (CI) = 87-97%] at any level of participation; 82% (95% CI = 74-88%) at preoperative level of sporting activity; 89% (95% CI = 84-93%) for competitive athletes; 95% (95% CI = 89-98%) in pediatric patients; and 94% (95% CI 89.2-98.0%) in professional athletes. There was significant correlation between a shorter duration of preoperative symptoms and a higher rate of return to sports (Pearson correlation coefficient = - 0.711, p = 0.021). Conclusion Hip arthroscopy yields a high rate of return to sport, in addition to marked improvement in pain and function in the majority of patients. The highest rates of return to sport were noted in pediatric patients, professional athletes, and those with a shorter duration of preoperative symptoms. This study provides clinicians with evidence-based data on athletes' abilities to return to sport after arthroscopic hip surgery and identifies sub-populations with the highest rates of return to sport.