Arthroscopic Procedure for Femoroacetabular Impingement Syndrome in Adolescents: A Systematic Review and Meta-analysis.

Sameer Rathore, Sonu Mehta, Avinash Rai, Faisal Mohammed
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Abstract

Femoroacetabular impingement (FAI) is caused by aberrant anatomy involving the proximal femur with or without the acetabulum resulting in mechanical impingement. FAI's effects can be devastating in the young. In recent studies, significant associations have been found between skeletal immaturity, FAI, and sports involvement. Hip arthroscopy for FAI has been demonstrated to produce good results. We opted to update the review and meta-analysis to further narrow the research gap in the literature by including recently published studies and a comprehensive review of the arthroscopic approach for FAI. Prior to January 1, 2024, PubMed, Embase, and Google Scholar databases were searched for the studies with data on surgical procedures and patient-related outcomes for arthroscopic FAI. RevMan 5.2 was utilized to calculate the pooled mean differences with a 95% confidence interval to compare reported postoperative and preoperative patients' outcomes. In total, 24 studies of adolescent subjects with a mean age of less than 20 years, including 1,619 patients and 1,767 hips, were included. Eleven studies included acetabuloplasty and femoroplasty as major treatments. When preoperative and postoperative outcomes were compared, statistically significant changes were seen in the mHHS (modified Harris hip score), HOS-ADL (Hip Outcome Score-Activities of Daily Living), HOS-SSS (Hip Outcome Score-Sports-Specific Subscale), i-HOT (International Hip Outcome Tool 12 questions), NAHS (Nonarthritic Hip Score), and the visual analog scale. Numbness, neuropraxia and infections were seen in only 12 patients. This meta-analysis demonstrated overall improvements in hip pain, quality of life, and hip function along with few complications.

关节镜手术治疗青少年股髋臼撞击综合征:系统回顾和荟萃分析。
股骨髋臼撞击(FAI)是由于异常解剖累及股骨近端,伴或不伴髋臼,导致机械撞击。FAI对年轻人的影响可能是毁灭性的。在最近的研究中,已经发现骨骼不成熟、FAI和运动参与之间存在显著关联。髋关节镜治疗FAI的效果良好。我们选择更新综述和荟萃分析,通过纳入最近发表的研究和关节镜入路治疗FAI的综合综述,进一步缩小文献中的研究差距。在2024年1月1日之前,检索PubMed、Embase和谷歌Scholar数据库,查找有关关节镜下FAI的手术方法和患者相关结果的研究数据。采用RevMan 5.2计算合并平均差值,置信区间为95%,比较报道的术后和术前患者预后。总共包括24项平均年龄小于20岁的青少年研究,包括1619名患者和1767个髋关节。11项研究将髋臼成形术和股骨成形术作为主要治疗方法。当术前和术后结果比较时,mHHS(改良Harris髋关节评分)、HOS-ADL(髋关节结果评分-日常生活活动)、HOS-SSS(髋关节结果评分-运动特定子量表)、i-HOT(国际髋关节结果工具12个问题)、NAHS(非关节炎髋关节评分)和视觉模拟量表有统计学意义的变化。仅有12例患者出现麻木、神经失用和感染。这项荟萃分析表明,髋关节疼痛、生活质量和髋关节功能的总体改善以及并发症的减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.90
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