Arthroscopic treatment for femoroacetabular impingement yields favourable patient-reported outcomes and method survivorship at 10-year follow-up

IF 5 2区医学 Q1 ORTHOPEDICS Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2024-10-22 DOI:10.1002/ksa.12511

Sarantos Nikou, Joel Sturesson, Ida Lindman, Louise Karlsson, Axel Öhlin, Eric Hamrin Senorski, Mikael Sansone

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Abstract

Purpose

To compare the outcomes of hip arthroscopy for femoroacetabular impingement syndrome (FAIS) preoperatively and at minimum 10-year follow-up using patient-reported outcome measures (PROMs).

Methods

A total of 128 patients with FAIS were prospectively included. The patients underwent arthroscopic surgery for FAIS between 2011 and 2013 and had a minimum of 10-year follow-up. The International Hip Outcome Tool short version (iHOT-12) was the primary outcome. Secondary outcomes were the Copenhagen Hip and Groin Outcome Score (HAGOS), the European Quality of Life-5 Dimensions Questionnaire (EQ-5D), the European Quality visual analogue scale (EQ VAS), the Hip Sports Activity Scale (HSAS) for physical activity level, the Visual Analogue Scale (VAS) for overall hip function and a single question regarding overall satisfaction with the surgery. The Wilcoxon signed rank test was used to compare pre- and postoperative PROMs.

Results

There was a significant improvement (p < 0.001) of iHOT-12, HAGOS subscales, EQ-5D, EQ VAS and VAS for overall hip function. A total of 83% of the patients were satisfied with their surgery. The survivorship of hip arthroscopy, defined as nonconversion to total hip arthroplasty (THA), at the end of the follow-up period was 77%.

Conclusion

Patients undergoing arthroscopic treatment for FAIS reported statistically significant and clinically relevant improved outcomes at 10-year follow-up.

Level of Evidence

Level IV, case series.

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股骨髋臼撞击症的关节镜治疗在 10 年随访中取得了良好的患者报告结果和方法存活率。

目的：使用患者报告结果指标（PROMs）比较股骨髋臼撞击综合征（FAIS）髋关节镜术前和至少 10 年随访的结果：方法：前瞻性地纳入了128名股骨髋臼撞击综合征患者。这些患者在 2011 年至 2013 年期间接受了 FAIS 关节镜手术，并接受了至少 10 年的随访。主要结果为国际髋关节结果工具简版（iHOT-12）。次要结果包括哥本哈根髋关节和腹股沟结果评分（HAGOS）、欧洲生活质量-5维度问卷（EQ-5D）、欧洲质量视觉模拟量表（EQ VAS）、髋关节运动活动量表（HSAS）（反映体力活动水平）、视觉模拟量表（VAS）（反映整体髋关节功能）以及一个有关手术整体满意度的问题。采用 Wilcoxon 符号秩检验比较术前和术后的 PROMs：结果：术后患者的髋关节功能明显改善（P结论：接受关节镜治疗的FAIS患者在10年随访中报告的结果具有统计学意义和临床相关性：病例系列，IV 级。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).