Patients Requiring Revision Surgery After Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome Show a Small Reduction of Postoperative Labral Size: A Propensity-Matched Controlled Study.

IF 4.4 1区 医学 Q1 ORTHOPEDICS
Yichuan Zhu, Rui Sun, Tong Zuo, Xinzhi He, Guanying Gao, Yan Xu
{"title":"Patients Requiring Revision Surgery After Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome Show a Small Reduction of Postoperative Labral Size: A Propensity-Matched Controlled Study.","authors":"Yichuan Zhu, Rui Sun, Tong Zuo, Xinzhi He, Guanying Gao, Yan Xu","doi":"10.1016/j.arthro.2025.01.065","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To compare the changes in labral size after primary hip arthroscopy between patients requiring revision surgery and those did not.</p><p><strong>Methods: </strong>Data collected between August 2016 and September 2021 were retrospectively reviewed. Patients diagnosed with femoroacetabular impingement syndrome and undergoing primary and revision hip arthroscopy at our institute were included in the revision group. Exclusion criteria were Tönnis grade >1, concomitant hip conditions, and incomplete magnetic resonance imaging (MRI) data. Patients who did not undergo revision surgery or conversion to total hip arthroplasty at minimum 2-year follow-up were matched in a 1:2 ratio and included in the control group. The labral size (width and height at 11:30, 1:30, and 3:00) on MRI (noncontrast, 3.0 T) before and after 12 months of primary surgery was compared.</p><p><strong>Results: </strong>Twenty-one patients were included in the revision group, and 42 patients were matched in the control group. In the revision group, significant reduction in labral width and height at 11:30 and 1:30, and labral width at 3:00 was observed at 12 months after primary hip arthroscopy (all with P < .05), whereas the control group did not show significant difference of changes in labral size (all with P > .05). Smaller postoperative labral width at 1:30 and 3:00 was observed in the revision group compared with the control group (all with P < .05). The revision group presented with greater reduction of labral width at all 3 positions and labral height at 1:30 compared with the control group (all with P < .05).</p><p><strong>Conclusions: </strong>Patients requiring revision surgery after primary hip arthroscopy for femoroacetabular impingement syndrome presented with smaller postoperative labral size (less than 1 mm difference) and greater reduction of labral size (at or less than 1mm difference) on MRI 12 months after primary surgery compared with those patients that did not require later revision surgery.</p><p><strong>Level of evidence: </strong>Level III, retrospective case control.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4000,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.arthro.2025.01.065","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: To compare the changes in labral size after primary hip arthroscopy between patients requiring revision surgery and those did not.

Methods: Data collected between August 2016 and September 2021 were retrospectively reviewed. Patients diagnosed with femoroacetabular impingement syndrome and undergoing primary and revision hip arthroscopy at our institute were included in the revision group. Exclusion criteria were Tönnis grade >1, concomitant hip conditions, and incomplete magnetic resonance imaging (MRI) data. Patients who did not undergo revision surgery or conversion to total hip arthroplasty at minimum 2-year follow-up were matched in a 1:2 ratio and included in the control group. The labral size (width and height at 11:30, 1:30, and 3:00) on MRI (noncontrast, 3.0 T) before and after 12 months of primary surgery was compared.

Results: Twenty-one patients were included in the revision group, and 42 patients were matched in the control group. In the revision group, significant reduction in labral width and height at 11:30 and 1:30, and labral width at 3:00 was observed at 12 months after primary hip arthroscopy (all with P < .05), whereas the control group did not show significant difference of changes in labral size (all with P > .05). Smaller postoperative labral width at 1:30 and 3:00 was observed in the revision group compared with the control group (all with P < .05). The revision group presented with greater reduction of labral width at all 3 positions and labral height at 1:30 compared with the control group (all with P < .05).

Conclusions: Patients requiring revision surgery after primary hip arthroscopy for femoroacetabular impingement syndrome presented with smaller postoperative labral size (less than 1 mm difference) and greater reduction of labral size (at or less than 1mm difference) on MRI 12 months after primary surgery compared with those patients that did not require later revision surgery.

Level of evidence: Level III, retrospective case control.

一项倾向匹配的对照研究表明,因股髋臼撞击综合征而需要进行初级髋关节镜手术的患者术后唇形大小有小幅缩小。
目的:比较需要翻修手术和不需要翻修手术的患者在初次髋关节镜检查后唇形大小的变化。方法:回顾性分析2016年8月至2021年9月收集的数据。诊断为FAIS并在我院接受髋关节镜检查和翻修的患者被纳入翻修组。排除标准为Tönnis级>1,伴有髋关节疾病,MRI资料不完整。在至少2年的随访中未接受翻修手术或转全髋关节置换术(THA)的患者按1:2的比例匹配并纳入对照组。比较初次手术前后12个月的MRI(非对比,3.0 T)上唇大小(11:30、1:30、3:00时的宽、高)。结果:改良组21例,对照组42例。在初次髋关节镜检查后12个月,改良组在11:30和1:30时的唇宽、唇高以及3:00时的唇宽均明显减小(P均< 0.05),而对照组在唇宽变化方面无显著差异(P均< 0.05)。术后1时30分和3时翻修组的唇宽均小于对照组(P均< 0.05)。与对照组相比,改良组在所有三个位置的唇宽和唇高在1:30时都有更大的缩小(均P < 0.05)。结论:与不需要后续翻修手术的患者相比,FAIS患者在初次髋关节镜术后需要翻修手术的患者在初次手术后12个月的MRI上表现出更小的术后唇大小(小于1mm差异)和更大的术后唇大小缩小(小于1mm差异)。证据等级:三级。回顾性病例控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
9.30
自引率
17.00%
发文量
555
审稿时长
58 days
期刊介绍: Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信