髋关节镜治疗股髋臼撞击综合征后加速康复和恢复运动是安全有效的。

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Journal of Hip Preservation Surgery Pub Date : 2024-12-12 eCollection Date: 2025-01-01 DOI:10.1093/jhps/hnae044
Susan Y Kwiecien, Milan P Mueller, John J Grossi, Timothy F Tyler, Malachy P McHugh, Gregory J Galano
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引用次数: 0

摘要

目前的文献建议在股骨髋臼撞击(FAI)髋关节镜检查后5- 10个月内恢复运动。我们采用了国际髋关节保存协会的协议,并对患者的康复进行了修改。本研究的目的是检查FAI髋关节镜术后采用这种康复方法进行RTS的时间。我们假设大多数运动员在术后5个月后会进行RTS,没有任何不良反应。对接受髋关节镜检查的FAI患者进行前瞻性随访,术前和术后患者报告的结果测量包括:改良Harris髋关节评分(mHHS)和哥本哈根髋关节和腹股沟结果评分(HAGOS)。记录伤前运动和比赛水平、术后RTS率、时间和水平、并发症和翻修手术。共纳入56例患者(手术时年龄36.6±14.1岁,女性34例,男性22例)。娱乐性运动员35名,竞技性运动员21名(高要求项目10名,中等要求项目11名)。总共有44名患者(79%)在术后5.3±3.5个月恢复运动。在12名未接受RTS治疗的患者中,5名(42%)因髋关节以外的原因未返回。在≤5个月的RTS运动员中,HAGOS (P = .458)和mHHS (P = .424)均无差异(HAGOS: 80.4±22.3;mHSS: 88.0±17.7)和>5个月(HAGOS: 84.6±11.8;mHSS: 91.5±8.7)。目前的研究表明,FAI髋关节镜术后加速康复可以使运动员在6个月内安全地恢复运动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Accelerated rehabilitation and return to sport after hip arthroscopy for femoroacetabular impingement syndrome is safe and effective.

Present recommendations in the literature advocate for a return to sport (RTS) between 5- and 10 months following hip arthroscopy for femoroacetabular impingement (FAI). We have adopted the International Society of Hip Preservation protocol with modifications for the rehabilitation of our patients. The aim of the present study was to examine the time to RTS with this rehabilitation approach after hip arthroscopy for FAI. It was hypothesized that most athletes will RTS by 5 months post-surgery without any adverse effects. Patients undergoing hip arthroscopy for FAI were prospectively followed with preoperative and postoperative Patient Reported Outcome Measures including: Modified Harris Hip Score (mHHS) and Copenhagen Hip and Groin Outcome Score (HAGOS). Preinjury sports and competition level, postoperative RTS rate, time, and level, complications, and revision surgeries were recorded. A total of 56 patients were identified for inclusion (36.6 ± 14.1 years old at date of surgery, 34 females and 22 males). There were 35 recreational athletes and 21 competitive-level athletes (10 in high-demand sports and 11 in moderate-demand sports). In all, 44 patients (79%) returned to sport at 5.3 ± 3.5 months postoperatively. Of the 12 patients who did not RTS, 5 (42%) did not return for reasons other than their hip. Neither HAGOS (P = .458) nor mHHS (P = .424) differed between athletes with RTS in ≤ 5 months (HAGOS: 80.4 ± 22.3; mHSS: 88.0 ± 17.7) versus >5 months (HAGOS: 84.6 ± 11.8; mHSS: 91.5 ± 8.7). The current study demonstrates that accelerated rehabilitation after hip arthroscopy for FAI can safely return athletes to sport within 6 months.

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来源期刊
自引率
20.00%
发文量
45
审稿时长
12 weeks
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