股骨髋臼撞击髋关节脱位术后6个月的康复可以恢复除外旋肌外大部分髋关节肌肉的术前力量。

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Journal of Hip Preservation Surgery Pub Date : 2024-12-19 eCollection Date: 2025-01-01 DOI:10.1093/jhps/hnae042
Guillaume Servant, Hugo Bothorel, Anthony Pernoud, Susan Mayes, François Fourchet, Panayiotis Christofilopoulos
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引用次数: 0

摘要

本研究的目的是评估手术髋关节脱位(SHD)治疗股髋臼撞击综合征(FAIS)患者在6个月的康复期后双侧髋关节肌力的变化。我们对2020年3月至2023年1月期间在La Tour医院因FAIS接受SHD治疗的22例患者(平均±SD年龄:26±7,68%为男性)进行了回顾性分析。在手术前和术后3个月和6个月用手持式测力仪评估8个髋肌群(外展肌、内收肌、腘绳肌、股四头肌、伸肌、屈肌、内旋肌和外旋肌)的双侧等距力量。康复6个月后,只有外旋肌较术前弱(-13%±23%,P = 0.021)。强度水平类似于术前levelsfor合并(-2%±21%,P = .309),内部强大(0%±25%,P = .444),股四头肌(0%±23%,P = .501),腿筋(7%±20%,P = .232),两种(7%±19%,P =巨人队),屈肌(8%±34%,P = .781)和绑架者(8%±25%,P = .266)。6个月时,59%(外展肌)至82%(内收肌)的患者与术前相比,没有达到临床相关的力量改善(bb0 - 15%)。此外,50%的队列患者在术后6个月经历了与临床相关的外旋体力量丧失。综上所述,在SHD后,大多数FAIS患者通过6个月的康复计划恢复了除外旋肌外所有肌群的术前力量。然而,康复方案的有效性在个人层面上有所不同。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Six-month rehabilitation following surgical hip dislocation for femoroacetabular impingement restores the preoperative strength of most hip muscles, except for external rotators.

The aim of this study was to evaluate the bilateral changes in hip muscle strength after a 6-month rehabilitation period for patients undergoing surgical hip dislocation (SHD) to treat femoroacetabular impingement syndrome (FAIS). We conducted a retrospective analysis on a cohort of 22 patients (mean ± SD age: 26 ± 7, 68% male) who underwent SHD for FAIS between March 2020 and January 2023 at La Tour Hospital. Bilateral isometric strength of eight hip muscle groups (abductors, adductors, hamstrings, quadriceps, extensors, flexors, internal, and external rotators) was assessed using a handheld dynamometer before surgery, and at 3 and 6 months postoperatively. After 6 months of rehabilitation, only the external rotators were weaker compared to preoperative levels (-13% ± 23%, P = .021). Strength levels were similar to preoperative levelsfor adductors (-2% ± 21%, P = .309), internal rotators (0% ± 25%, P = .444), quadriceps (0%± 23%, P = .501), hamstrings (7%± 20%, P = .232), extensors (7%± 19%, P = .336), flexors (8%± 34%, P = .781), and abductors (8% ± 25%, P = .266). At 6 months, 59% (abductors) to 82% (adductors) of patients did not achieve a clinically relevant strength improvement (>15%) compared to their preoperative status for aforementioned muscles. Additionally, 50% of the cohort experienced a clinically relevant loss of strength in the external rotators at 6 months post-surgery. To conclude, after SHD, most FAIS patients regained their preoperative strength for all muscle groups except the external rotators with a 6-month rehabilitation program. However, the effectiveness of the rehabilitation protocol varies on an individual level.

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自引率
20.00%
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审稿时长
12 weeks
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