在接受关节镜下髋臼唇重建的患者中，髋臼不预示着2年的功能预后不佳

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-02-01 DOI:10.1016/j.asmr.2024.101026

Bilal S. Siddiq B.S. , Jeffrey S. Mun B.A. , Michael C. Dean B.A. , Stephen M. Gillinov A.B. , Jonathan S. Lee B.A. , Kieran S. Dowley B.A. , Nathan J. Cherian M.D. , Scott D. Martin M.D.

{"title":"在接受关节镜下髋臼唇重建的患者中，髋臼不预示着2年的功能预后不佳","authors":"Bilal S. Siddiq B.S. , Jeffrey S. Mun B.A. , Michael C. Dean B.A. , Stephen M. Gillinov A.B. , Jonathan S. Lee B.A. , Kieran S. Dowley B.A. , Nathan J. Cherian M.D. , Scott D. Martin M.D.","doi":"10.1016/j.asmr.2024.101026","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate whether os acetabuli identified preoperatively influence functional outcomes 2 years after an arthroscopic acetabular labral reconstruction.</div></div><div><h3>Methods</h3><div>Retrospective study with prospectively collected data of patients undergoing primary hip arthroscopy by a single, fellowship-trained surgeon at a single institution were retrospectively reviewed. Inclusion criteria included age ≥18 years and completion of patient-reported outcome measures (PROMs) preoperatively and at 3-month, 6-month, 12-month, and last follow-up timepoints. Exclusion criteria included labral debridement, hip dysplasia, advanced hip osteoarthritis (Tonnis >1), or previous surgery on the ipsilateral hip. Patients were divided into two cohorts based on the presence of os acetabuli (OA) or the absence of os acetabuli (NOA). Primary outcomes collected included the International Hip Outcome Tool (iHOT-33) and modified Harris Hip Score (mHHS). Secondary outcomes were the Hip Outcome Score-Activities of Daily Living, Hip Outcome Score-Sports Subscale, Non-Arthritic Hip Score, and visual analog pain scale. Inter-cohort outcomes were compared using linear mixed-effects and Fisher’s exact tests. Nonlinear improvement trajectories were accounted for by sensitivity analyses.</div></div><div><h3>Results</h3><div>193 hips (49.2% female; mean ± SD age: 35.9 ± 11.0) were included in the final analyses. Of these, 25 (13.0%) had an os acetabulum. No significant differences between patients with and without os acetabuli were found throughout the minimum 2-year follow-up period in terms of iHOT-33 scores (weighted difference: 0.09; 95% CI: −6.81, 6.98; <em>P</em> = .98), mHHS (weighted difference: 2.93; 95% CI: −2.13, 7.98; <em>P</em> = .26), or any secondary outcomes. Additionally, there were no significant differences in any queried clinically meaningful outcomes (<em>P</em> > .05 for all), revision arthroscopy (<em>P</em> =.342), rates of formation of heterotopic ossification (<em>p</em> > .999), or conversion to total hip arthroplasty (<em>P</em> > .999). These results were upheld across sensitivity analyses.</div></div><div><h3>Conclusions</h3><div>Patients with os acetabuli undergoing arthroscopic labral reconstruction had similar 2-year functional outcomes compared to those without os acetabuli.</div></div><div><h3>Level of Evidence</h3><div>Level III, Retrospective cohort study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 1","pages":"Article 101026"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Os Acetabuli Do Not Portend Inferior 2-Year Functional Outcomes in Patients Undergoing Arthroscopic Acetabular Labral Reconstruction\",\"authors\":\"Bilal S. Siddiq B.S. , Jeffrey S. Mun B.A. , Michael C. Dean B.A. , Stephen M. Gillinov A.B. , Jonathan S. Lee B.A. , Kieran S. Dowley B.A. , Nathan J. Cherian M.D. , Scott D. Martin M.D.\",\"doi\":\"10.1016/j.asmr.2024.101026\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Purpose</h3><div>To investigate whether os acetabuli identified preoperatively influence functional outcomes 2 years after an arthroscopic acetabular labral reconstruction.</div></div><div><h3>Methods</h3><div>Retrospective study with prospectively collected data of patients undergoing primary hip arthroscopy by a single, fellowship-trained surgeon at a single institution were retrospectively reviewed. Inclusion criteria included age ≥18 years and completion of patient-reported outcome measures (PROMs) preoperatively and at 3-month, 6-month, 12-month, and last follow-up timepoints. Exclusion criteria included labral debridement, hip dysplasia, advanced hip osteoarthritis (Tonnis >1), or previous surgery on the ipsilateral hip. Patients were divided into two cohorts based on the presence of os acetabuli (OA) or the absence of os acetabuli (NOA). Primary outcomes collected included the International Hip Outcome Tool (iHOT-33) and modified Harris Hip Score (mHHS). Secondary outcomes were the Hip Outcome Score-Activities of Daily Living, Hip Outcome Score-Sports Subscale, Non-Arthritic Hip Score, and visual analog pain scale. Inter-cohort outcomes were compared using linear mixed-effects and Fisher’s exact tests. Nonlinear improvement trajectories were accounted for by sensitivity analyses.</div></div><div><h3>Results</h3><div>193 hips (49.2% female; mean ± SD age: 35.9 ± 11.0) were included in the final analyses. Of these, 25 (13.0%) had an os acetabulum. No significant differences between patients with and without os acetabuli were found throughout the minimum 2-year follow-up period in terms of iHOT-33 scores (weighted difference: 0.09; 95% CI: −6.81, 6.98; <em>P</em> = .98), mHHS (weighted difference: 2.93; 95% CI: −2.13, 7.98; <em>P</em> = .26), or any secondary outcomes. Additionally, there were no significant differences in any queried clinically meaningful outcomes (<em>P</em> > .05 for all), revision arthroscopy (<em>P</em> =.342), rates of formation of heterotopic ossification (<em>p</em> > .999), or conversion to total hip arthroplasty (<em>P</em> > .999). These results were upheld across sensitivity analyses.</div></div><div><h3>Conclusions</h3><div>Patients with os acetabuli undergoing arthroscopic labral reconstruction had similar 2-year functional outcomes compared to those without os acetabuli.</div></div><div><h3>Level of Evidence</h3><div>Level III, Retrospective cohort study.</div></div>\",\"PeriodicalId\":34631,\"journal\":{\"name\":\"Arthroscopy Sports Medicine and Rehabilitation\",\"volume\":\"7 1\",\"pages\":\"Article 101026\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arthroscopy Sports Medicine and Rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666061X2400169X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy Sports Medicine and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666061X2400169X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

摘要

目的探讨关节镜下髋臼唇重建术2年后，术前确定的失位髋臼是否会影响其功能结局。方法回顾性研究，前瞻性收集由单一机构接受过培训的外科医生进行原发性髋关节镜检查的患者资料。纳入标准包括年龄≥18岁，术前、3个月、6个月、12个月和最后一次随访时间点完成患者报告的结果测量（PROMs）。排除标准包括唇部清创、髋关节发育不良、晚期髋关节骨关节炎（Tonnis >1）或既往同侧髋关节手术。根据有无髋臼骨（OA）或有无髋臼骨（NOA）将患者分为两组。收集的主要结局包括国际髋关节结局工具（iHOT-33）和改良Harris髋关节评分（mHHS）。次要结果是髋关节结局评分-日常生活活动，髋关节结局评分-运动亚量表，非关节炎髋关节评分和视觉模拟疼痛量表。使用线性混合效应和Fisher精确检验比较队列间结果。非线性改进轨迹由灵敏度分析来解释。结果193例，其中女性49.2%；平均±SD年龄：35.9±11.0)纳入最终分析。其中25例（13.0%）髋臼不全。在至少2年的随访期间，有无髋臼骨折的患者在iHOT-33评分方面没有发现显著差异(加权差：0.09；95% ci:−6.81,6.98；P = 0.98)、mHHS(加权差：2.93；95% ci:−2.13,7.98；P = .26)，或任何次要结果。此外，在任何询问的临床有意义的结果(P >；.05)，翻修关节镜检查（P =.342），异位骨化形成率(P >；.999)，或转为全髋关节置换术(P >；.999)。这些结果在敏感性分析中得到了支持。结论髋臼骨缺失患者接受关节镜下唇部重建术后2年功能预后与未髋臼骨缺失患者相似。证据水平：III级，回顾性队列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Os Acetabuli Do Not Portend Inferior 2-Year Functional Outcomes in Patients Undergoing Arthroscopic Acetabular Labral Reconstruction

Purpose

To investigate whether os acetabuli identified preoperatively influence functional outcomes 2 years after an arthroscopic acetabular labral reconstruction.

Methods

Retrospective study with prospectively collected data of patients undergoing primary hip arthroscopy by a single, fellowship-trained surgeon at a single institution were retrospectively reviewed. Inclusion criteria included age ≥18 years and completion of patient-reported outcome measures (PROMs) preoperatively and at 3-month, 6-month, 12-month, and last follow-up timepoints. Exclusion criteria included labral debridement, hip dysplasia, advanced hip osteoarthritis (Tonnis >1), or previous surgery on the ipsilateral hip. Patients were divided into two cohorts based on the presence of os acetabuli (OA) or the absence of os acetabuli (NOA). Primary outcomes collected included the International Hip Outcome Tool (iHOT-33) and modified Harris Hip Score (mHHS). Secondary outcomes were the Hip Outcome Score-Activities of Daily Living, Hip Outcome Score-Sports Subscale, Non-Arthritic Hip Score, and visual analog pain scale. Inter-cohort outcomes were compared using linear mixed-effects and Fisher’s exact tests. Nonlinear improvement trajectories were accounted for by sensitivity analyses.

Results

193 hips (49.2% female; mean ± SD age: 35.9 ± 11.0) were included in the final analyses. Of these, 25 (13.0%) had an os acetabulum. No significant differences between patients with and without os acetabuli were found throughout the minimum 2-year follow-up period in terms of iHOT-33 scores (weighted difference: 0.09; 95% CI: −6.81, 6.98; P = .98), mHHS (weighted difference: 2.93; 95% CI: −2.13, 7.98; P = .26), or any secondary outcomes. Additionally, there were no significant differences in any queried clinically meaningful outcomes (P > .05 for all), revision arthroscopy (P =.342), rates of formation of heterotopic ossification (p > .999), or conversion to total hip arthroplasty (P > .999). These results were upheld across sensitivity analyses.

Conclusions

Patients with os acetabuli undergoing arthroscopic labral reconstruction had similar 2-year functional outcomes compared to those without os acetabuli.