Filippo Randelli, Manuel Giovanni Mazzoleni, Alessandro Bezza, Andrea Di Loreto, Mohammad Mourad Elhiny, Mohamed Elshafie, Alberto Fioruzzi
{"title":"髋关节镜手术治疗股骨髋臼撞击综合征的高存活率和超过 11 年的随访满意度：术前功能评分、骨关节炎和软骨髋臼交界处损伤对髋关节镜手术 72.6% 的长期存活率的影响。","authors":"Filippo Randelli, Manuel Giovanni Mazzoleni, Alessandro Bezza, Andrea Di Loreto, Mohammad Mourad Elhiny, Mohamed Elshafie, Alberto Fioruzzi","doi":"10.1016/j.arthro.2024.08.012","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the survival and durability of clinical improvements after hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS) at a minimum of 10-year follow-up.</p><p><strong>Methods: </strong>Data from patients who underwent HA for FAIS between March 2003 and May 2012 were collected and retrospectively reviewed. Patients who underwent evaluation at a minimum 10-year follow-up, assessed according to the Hip Outcome Score (HOS)-Activities of Daily Living, HOS-Sport-Specific Subscale, and Non-arthritic Hip Score, were included. Satisfaction ratings were collected. Statistical analysis assessed within-group differences and survival.</p><p><strong>Results: </strong>This study included 95 patients with an average follow-up period of 11.8 years. The mean age was 39.5 ± 11.0 years. The overall total hip replacement (THR) conversion rate was 24.2%, with a mean time of 3.4 ± 3.2 years. Hip joint preservation surgery revision was required in 3.2% of patients at a mean of 3.2 ± 3 years. The rate of survivorship at 10 years was 72.6%. The minimal clinically important difference was achieved by 28 patients for the HOS-Activities of Daily Living (73.6%), 28 patients (75.6%) for the HOS-Sport-Specific Subscale, and 33 patients (84.6%) for the Non-arthritic Hip Score. The patient acceptable symptom state was achieved by 42 patients (61.7%), 43 patients (65.1%), and 44 patients (64.7%), respectively. Comparative analysis between patients whose hip was preserved and those who underwent hip joint preservation surgery revision or THR highlighted that Tönnis grade 2 or greater, chondrolabral junction damage, and lower preoperative scores were associated with failure.</p><p><strong>Conclusions: </strong>HA for FAIS showed durable results, with an acceptable THR conversion rate and sustained clinical benefits. Of the patients whose hip was preserved, 91.3% were satisfied. Tönnis grade 2 or greater, magnetic resonance arthrography signs of chondrolabral junction damage, and lower preoperative functional status are strongly associated with failure.</p><p><strong>Level of evidence: </strong>Level IV, therapeutic case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":null,"pages":null},"PeriodicalIF":4.4000,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"High Survival Rate and Satisfaction at More Than 11-Year Follow-Up After Hip Arthroscopy for Femoroacetabular Impingement Syndrome: Impact of Preoperative Functional Scores, Osteoarthritis, and Chondrolabral Junction Damage on Failure.\",\"authors\":\"Filippo Randelli, Manuel Giovanni Mazzoleni, Alessandro Bezza, Andrea Di Loreto, Mohammad Mourad Elhiny, Mohamed Elshafie, Alberto Fioruzzi\",\"doi\":\"10.1016/j.arthro.2024.08.012\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To investigate the survival and durability of clinical improvements after hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS) at a minimum of 10-year follow-up.</p><p><strong>Methods: </strong>Data from patients who underwent HA for FAIS between March 2003 and May 2012 were collected and retrospectively reviewed. Patients who underwent evaluation at a minimum 10-year follow-up, assessed according to the Hip Outcome Score (HOS)-Activities of Daily Living, HOS-Sport-Specific Subscale, and Non-arthritic Hip Score, were included. Satisfaction ratings were collected. Statistical analysis assessed within-group differences and survival.</p><p><strong>Results: </strong>This study included 95 patients with an average follow-up period of 11.8 years. The mean age was 39.5 ± 11.0 years. The overall total hip replacement (THR) conversion rate was 24.2%, with a mean time of 3.4 ± 3.2 years. Hip joint preservation surgery revision was required in 3.2% of patients at a mean of 3.2 ± 3 years. The rate of survivorship at 10 years was 72.6%. The minimal clinically important difference was achieved by 28 patients for the HOS-Activities of Daily Living (73.6%), 28 patients (75.6%) for the HOS-Sport-Specific Subscale, and 33 patients (84.6%) for the Non-arthritic Hip Score. The patient acceptable symptom state was achieved by 42 patients (61.7%), 43 patients (65.1%), and 44 patients (64.7%), respectively. Comparative analysis between patients whose hip was preserved and those who underwent hip joint preservation surgery revision or THR highlighted that Tönnis grade 2 or greater, chondrolabral junction damage, and lower preoperative scores were associated with failure.</p><p><strong>Conclusions: </strong>HA for FAIS showed durable results, with an acceptable THR conversion rate and sustained clinical benefits. Of the patients whose hip was preserved, 91.3% were satisfied. Tönnis grade 2 or greater, magnetic resonance arthrography signs of chondrolabral junction damage, and lower preoperative functional status are strongly associated with failure.</p><p><strong>Level of evidence: </strong>Level IV, therapeutic case series.</p>\",\"PeriodicalId\":55459,\"journal\":{\"name\":\"Arthroscopy-The Journal of Arthroscopic and Related Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.4000,\"publicationDate\":\"2024-08-28\",\"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.2024.08.012\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.arthro.2024.08.012","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
High Survival Rate and Satisfaction at More Than 11-Year Follow-Up After Hip Arthroscopy for Femoroacetabular Impingement Syndrome: Impact of Preoperative Functional Scores, Osteoarthritis, and Chondrolabral Junction Damage on Failure.
Purpose: To investigate the survival and durability of clinical improvements after hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS) at a minimum of 10-year follow-up.
Methods: Data from patients who underwent HA for FAIS between March 2003 and May 2012 were collected and retrospectively reviewed. Patients who underwent evaluation at a minimum 10-year follow-up, assessed according to the Hip Outcome Score (HOS)-Activities of Daily Living, HOS-Sport-Specific Subscale, and Non-arthritic Hip Score, were included. Satisfaction ratings were collected. Statistical analysis assessed within-group differences and survival.
Results: This study included 95 patients with an average follow-up period of 11.8 years. The mean age was 39.5 ± 11.0 years. The overall total hip replacement (THR) conversion rate was 24.2%, with a mean time of 3.4 ± 3.2 years. Hip joint preservation surgery revision was required in 3.2% of patients at a mean of 3.2 ± 3 years. The rate of survivorship at 10 years was 72.6%. The minimal clinically important difference was achieved by 28 patients for the HOS-Activities of Daily Living (73.6%), 28 patients (75.6%) for the HOS-Sport-Specific Subscale, and 33 patients (84.6%) for the Non-arthritic Hip Score. The patient acceptable symptom state was achieved by 42 patients (61.7%), 43 patients (65.1%), and 44 patients (64.7%), respectively. Comparative analysis between patients whose hip was preserved and those who underwent hip joint preservation surgery revision or THR highlighted that Tönnis grade 2 or greater, chondrolabral junction damage, and lower preoperative scores were associated with failure.
Conclusions: HA for FAIS showed durable results, with an acceptable THR conversion rate and sustained clinical benefits. Of the patients whose hip was preserved, 91.3% were satisfied. Tönnis grade 2 or greater, magnetic resonance arthrography signs of chondrolabral junction damage, and lower preoperative functional status are strongly associated with failure.
Level of evidence: Level IV, therapeutic case series.
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.
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