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Journal of Hip Preservation Surgery最新文献

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Victorian Institute of Sport Assessment questionnaire specifically tailored for greater trochanteric pain syndrome for the Dutch population 维多利亚体育学院专门为荷兰人量身定制的大转子疼痛综合征评估问卷
IF 1.5 4区 医学 Q3 ORTHOPEDICS Pub Date : 2024-08-28 DOI: 10.1093/jhps/hnae026
Damien Van Quickenborne, Catherine Van Der Straeten, Arne Burssens, Emmanuel Audenaert
Greater trochanteric pain syndrome (GTPS) is a highly prevalent condition characterized by lateral hip and thigh pain. The Victorian Institute of Sport Assessment (VISA) questionnaire specifically tailored for GTPS (VISA-G) questionnaire was developed for the purpose of assessing and quantifying the severity of symptoms related to gluteal tendinopathy or GTPS. It is commonly used in research and clinical settings to evaluate the impact of GTPS on patient function and quality of life. The VISA-G questionnaire was developed for English-speaking populations. Before this questionnaire can be used in non-English-speaking populations, it has to be translated and validated for a particular population. The current study aimed to translate and validate the VISA-G questionnaire for a Dutch-speaking context (VISA-G-Dutch). In this study, we conducted a comprehensive process involving forward and back translation, along with a thorough comparison with other established hip-related questionnaires. The COSMIN checklist was used to ensure uniformity in the validation study. A sample of 100 participants, 50 symptomatic and 50 asymptomatic, completed the VISA-G-Dutch, Harris Hip Score, Hip Disability and Osteoarthritis Outcome Score, Oxford Hip Score, and Nonarthritic Hip Score questionnaires. Internal consistency and test–retest reliability were measured. Construct validity was assessed through positive correlations between the VISA-G-Dutch and gold standard questionnaires. Strong internal consistency and test–retest reliability correlations were found in both the asymptomatic and symptomatic groups. The test–retest reliability also demonstrated strong positive correlations for the symptomatic group. The standard error of measurement was ∼2.3 for the symptomatic group. These results prove that the VISA-G-Dutch is a reliable and valid tool for assessing GTPS and gluteal tendinopathy in Dutch-speaking individuals, providing clinicians with a valuable assessment tool.
大转子疼痛综合征(GTPS)是一种以臀部和大腿外侧疼痛为特征的高发疾病。维多利亚州运动评估研究所(VISA)专门为大转子疼痛综合征(GTPS)定制了一份问卷(VISA-G),用于评估和量化与臀肌腱病或大转子疼痛综合征有关的症状的严重程度。它通常用于研究和临床环境,以评估 GTPS 对患者功能和生活质量的影响。VISA-G 问卷是专为讲英语的人群开发的。在将该问卷用于非英语国家人群之前,必须针对特定人群对其进行翻译和验证。本研究旨在翻译并验证荷兰语环境下的 VISA-G 问卷(VISA-G-荷兰语)。在这项研究中,我们进行了全面的翻译工作,包括正译和反译,并与其他已有的髋关节相关问卷进行了全面比较。为确保验证研究的统一性,我们使用了 COSMIN 核对表。100 名参与者(50 名有症状者和 50 名无症状者)完成了 VISA-G-荷兰语、哈里斯髋关节评分、髋关节残疾和骨关节炎结果评分、牛津髋关节评分和非关节炎髋关节评分问卷。对内部一致性和重复测试可靠性进行了测量。通过 VISA-G-Dutch 与黄金标准问卷之间的正相关性评估了结构效度。在无症状组和有症状组都发现了很强的内部一致性和测试-再测可靠性相关性。症状组的重测信度也显示出很强的正相关性。无症状组的测量标准误差为 2.3。这些结果证明,VISA-G-Dutch 是评估荷语人群 GTPS 和臀部肌腱病的可靠有效的工具,为临床医生提供了有价值的评估工具。
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引用次数: 0
Self-reported preoperative anxiety and depression associated with worse patient-reported outcomes for periacetabular osteotomy and hip arthroscopy surgery 自我报告的术前焦虑和抑郁与髋关节周围截骨术和髋关节镜手术患者报告的较差结果有关
IF 1.5 4区 医学 Q3 ORTHOPEDICS Pub Date : 2024-08-22 DOI: 10.1093/jhps/hnae029
Ann E Richey, Nicole Segovia, Katherine Hastings, Christian Klemt, Stephanie Y Pun
Adverse mental health status has been linked to less successful surgical outcomes across several orthopaedic subspecialties. Mental health represents a modifiable risk factor that can be optimized preoperatively to maximize outcomes for hip preservation surgery. This study examines the relationship between preoperative mental health status and preoperative and postoperative outcomes for adolescent and adult patients undergoing hip preservation surgery. A prospectively enrolled registry of patients undergoing periacetabular osteotomy or hip arthroscopy at a single institution between 2013 and 2021 was retrospectively reviewed to collect demographics and outcomes before and after surgery. We identified patients self-reporting anxiety/depression or no anxiety/depression preoperatively based on responses to the EuroQol-5D anxiety/depression dimension and compared their preoperative and postoperative Hip disability and Osteoarthritis Outcome Scores (HOOSs) using multivariable linear models and multivariable mixed effects models. Seventy-three patients were included, 40 patients with no anxiety/depression and 33 patients with anxiety/depression. Patients with anxiety/depression had worse preoperative HOOS pain (b = −12.5, P = .029), function in daily living (b = −12.0, P = .045), function in sports and recreational activities (b = −15.1, P = .030), and quality of life (b = −16.3, P = .005) as compared to patients with no anxiety/depression. Patients with anxiety/depression had worse postoperative HOOS compared to patients with no anxiety/depression, but these associations were not statistically significant after adjusting for preoperative HOOS. There were no significant differences between both groups for percent achieving minimal clinically important difference. Patients who reported anxiety/depression preoperatively had worse preoperative pain and function before hip preservation surgery, with both groups achieving similar levels of clinical effectiveness.
在多个骨科亚专科中,不良的心理健康状况都与手术效果不理想有关。心理健康是一个可调节的风险因素,可以在术前进行优化,以最大限度地提高保留髋关节手术的效果。本研究探讨了接受保留髋关节手术的青少年和成人患者术前心理健康状况与术前和术后效果之间的关系。我们对 2013 年至 2021 年期间在一家机构接受髋臼周围截骨术或髋关节镜手术的患者进行了前瞻性登记,并对其进行了回顾性审查,以收集人口统计数据和手术前后的结果。我们根据患者对EuroQol-5D焦虑/抑郁维度的反应确定了术前自述焦虑/抑郁或无焦虑/抑郁的患者,并使用多变量线性模型和多变量混合效应模型比较了他们术前和术后的髋关节残疾和骨关节炎结果评分(HOOSs)。共纳入 73 名患者,其中 40 名患者无焦虑/抑郁,33 名患者有焦虑/抑郁。与无焦虑/抑郁的患者相比,焦虑/抑郁患者术前的 HOOS 疼痛(b = -12.5,P = .029)、日常生活功能(b = -12.0,P = .045)、运动和娱乐活动功能(b = -15.1,P = .030)和生活质量(b = -16.3,P = .005)均较差。与没有焦虑/抑郁的患者相比,有焦虑/抑郁的患者术后 HOOS 更差,但在调整术前 HOOS 后,这些相关性在统计学上并不显著。在达到最小临床意义差异的百分比方面,两组之间没有明显差异。术前报告焦虑/抑郁的患者在保留髋关节手术前的疼痛和功能较差,但两组患者的临床疗效相似。
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引用次数: 0
Comparing outcomes of hip arthroscopy and periacetabular osteotomy for the treatment of borderline hip dysplasia: a systematic review 比较髋关节镜和髋臼周围截骨术治疗边缘性髋关节发育不良的疗效:系统性综述
IF 1.5 4区 医学 Q3 ORTHOPEDICS Pub Date : 2024-08-02 DOI: 10.1093/jhps/hnae028
Alexander B Alvero, Michael J Vogel, Joshua Wright-Chisem, Shane J Nho
Hip arthroscopy (HA) and periacetabular osteotomy (PAO) are common hip preservation procedures pursued in borderline hip dysplasia (BHD), yet there is no consensus on the preferred treatment. This systematic review aims to synthesize the present literature on HA and PAO for the management of BHD. A review of multiple electronic databases was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. All studies that reported outcomes of patients with BHD treated by PAO or HA with capsular closure were included. PROs, complications, and rates of subsequent surgery were evaluated. A total of 14 studies met criteria for inclusion. Eight reported outcomes following PAO and seven reported outcomes following HA. One study reported outcomes of both procedures. Both PAO and HA studies demonstrated significant improvement in PROs. Complication rates in PAO patients ranged from 0% to 7.8% compared to 0% in HA patients. Total hip arthroplasty (THO) conversion rates in PAO patients ranged from 0% to 10.5% compared to 0% to 23.7% in HA patients. Hardware removal was performed in 25–51% of PAO patients. PAO conversion following failed HA occurred in 0–6.1% of patients. Rates of other reoperation (excluding hardware removal) in PAO patients ranged from 0% to 22.2% compared to 0% to 7.9% in HA patients. Based on the current evidence, both PAO and HA demonstrate significant improvement in PROs with a low conversion rate to THA, yet additional long-term follow-up studies are required.
髋关节镜(HA)和髋臼周围截骨术(PAO)是边缘性髋关节发育不良(BHD)患者常用的保髋手术,但对于首选的治疗方法尚未达成共识。本系统性综述旨在总结目前关于HA和PAO治疗BHD的文献。我们采用《系统综述和元分析首选报告项目》指南对多个电子数据库进行了综述。所有报告了采用 PAO 或 HA 进行囊袋闭合治疗的 BHD 患者疗效的研究均被纳入其中。研究对患者的PROs、并发症和后续手术率进行了评估。共有 14 项研究符合纳入标准。其中 8 项报告了 PAO 治疗后的结果,7 项报告了 HA 治疗后的结果。一项研究报告了两种手术的结果。PAO 和 HA 两项研究均显示 PROs 有显著改善。PAO 患者的并发症发生率为 0% 至 7.8%,而 HA 患者的并发症发生率为 0%。PAO 患者的全髋关节置换术(THO)转换率为 0% 至 10.5%,而 HA 患者的转换率为 0% 至 23.7%。25%-51%的 PAO 患者进行了硬件移除。0-6.1%的患者在HA手术失败后转为PAO手术。PAO 患者的其他再手术率(不包括硬件移除)从 0% 到 22.2% 不等,而 HA 患者的再手术率从 0% 到 7.9% 不等。根据目前的证据,PAO 和 HA 都能显著改善患者的 PROs,而且转为 THA 的比例较低,但仍需进行更多的长期随访研究。
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引用次数: 0
Hip dysplasia-the Bernese contribution continues. 髋关节发育不良--伯尔尼人的贡献仍在继续。
IF 1.4 4区 医学 Q3 ORTHOPEDICS Pub Date : 2024-07-25 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae019
Richard E Field
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引用次数: 0
What the papers say. 报纸怎么说
IF 1.4 4区 医学 Q3 ORTHOPEDICS Pub Date : 2024-07-25 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae021
Ali Bajwa
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引用次数: 0
Correction to: Long Covid-a cause of concern for surgical training. 更正:长冠状病毒——引起外科培训关注的原因。
IF 1.4 4区 医学 Q3 ORTHOPEDICS Pub Date : 2024-06-29 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae023

[This corrects the article DOI: 10.1093/jhps/hnac039.].

[此处更正了文章 DOI:10.1093/jhps/hnac039]。
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引用次数: 0
Correction to: Long Roads. 更正:漫漫长路。
IF 1.4 4区 医学 Q3 ORTHOPEDICS Pub Date : 2024-06-26 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae025

[This corrects the article DOI: 10.1093/jhps/hnae001.].

[更正文章DOI: 10.1093/jhps/hnae001.]。
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引用次数: 0
Correction to: In search of excellence. 更正:追求卓越。
IF 1.4 4区 医学 Q3 ORTHOPEDICS Pub Date : 2024-06-26 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae024

[This corrects the article DOI: 10.1093/jhps/hnad045.].

[更正文章DOI: 10.1093/jhps/hnad045.]。
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引用次数: 0
Understanding recurrent groin pain following periacetabular osteotomy: assessment of psoas tendon mechanics using discrete element analysis. 理解髋臼周围截骨术后腹股沟复发性疼痛:用离散元分析评估腰肌肌腱力学。
IF 1.4 4区 医学 Q3 ORTHOPEDICS Pub Date : 2024-06-25 eCollection Date: 2024-12-01 DOI: 10.1093/jhps/hnae020
Karadi H Sunil Kumar, Floris Van Damme, Ide Van den Borr, Vikas Khanduja, Emmanuel Audenaert, Ajay Malviya

Recurrent groin pain following periacetabular osteotomy (PAO) is a challenging problem. The purpose of our study was to evaluate the position and dynamics of the psoas tendon as a potential cause for recurrent groin pain following PAO. A total of 386 PAO procedures, performed between January 2013 and January 2020, were identified from a single surgeon series. Thirteen patients (18 hips) had a psoas tendinopathy, as confirmed with relief of symptoms following a diagnostic injection into the psoas tendon. All patients underwent computed tomography (CT) scans pre- and post-operatively. The data from CT scan was used to manually segment bony structures and create 3D models using Mimics software (Materialise NV). A validated discrete element analysis model using rigid body springs was used to predict psoas tendon movement during hip circumduction and walking. The distance of the iliopsoas tendon to any bony abnormality was calculated. All computational analyses were performed using MATLAB software. Thirteen hips (13/18) showed bony malformations (spurs, hypertrophic callus or delayed union and malunion) secondary to callus at the superior pubic ramus. The mean minimal distance of the iliopsoas tendon to osteotomy site was found to be 13.73 mm (σ = 3.09) for spurs, 10.99 mm (σ = 2.85) for hypertrophic callus and 11.91 mm (σ = 2.55) for canyon type. In normal bony healing, the mean minimal distance was 18.55 mm (σ = 4.11). Using a validated computational modelling technique, this study has demonstrated three different types of malformation around the superior pubic osteotomy site, which are associated with psoas impingement. In all of the cases, the minimal distance of the iliopsoas tendon to the osteotomy site was reduced by 59-74%, as compared with the normal anatomy.

髋臼周围截骨术后复发性腹股沟疼痛是一个具有挑战性的问题。我们研究的目的是评估腰肌肌腱的位置和动力学作为PAO术后复发性腹股沟疼痛的潜在原因。在2013年1月至2020年1月期间,从单个外科医生系列中确定了386例PAO手术。13例患者(18髋)有腰肌肌腱病变,经诊断性腰大肌肌腱注射后症状缓解。所有患者术前和术后均行CT扫描。CT扫描数据用于手动分割骨骼结构,并使用Mimics软件(Materialise NV)创建3D模型。一个经过验证的离散元分析模型使用刚体弹簧来预测髋关节绕行和行走过程中腰肌肌腱的运动。计算髂腰肌肌腱到任何骨异常的距离。所有计算分析均使用MATLAB软件进行。13髋(13/18)表现为耻骨上支骨痂继发骨畸形(骨刺、肥厚性骨痂或延迟愈合和畸形愈合)。骨刺型髂腰肌肌腱至截骨部位的平均最小距离为13.73 mm (σ = 3.09),肥厚型愈伤组织为10.99 mm (σ = 2.85),峡谷型为11.91 mm (σ = 2.55)。正常骨愈合时,平均最小距离为18.55 mm (σ = 4.11)。使用一种有效的计算建模技术,本研究证明了耻骨上截骨部位周围三种不同类型的畸形,这些畸形与腰肌撞击有关。在所有病例中,与正常解剖相比,髂腰肌肌腱到截骨部位的最小距离减少了59-74%。
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引用次数: 0
Correction to: Spinal versus general anesthesia for hip arthroscopy-a pandemic (COVID) and epidemic (opioid) driven study. 纠正:脊柱与全身麻醉对髋关节镜的影响——一项流行病(COVID)和流行病(阿片类药物)驱动的研究。
IF 1.4 4区 医学 Q3 ORTHOPEDICS Pub Date : 2024-06-19 eCollection Date: 2024-07-01 DOI: 10.1093/jhps/hnae022

[This corrects the article DOI: 10.1093/jhps/hnae009.].

[更正文章DOI: 10.1093/jhps/hnae009.]。
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引用次数: 0
期刊
Journal of Hip Preservation Surgery
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