国家冰球联盟球员在接受髋关节镜检查后1年的表现下降，第二年恢复到基线

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-06-01 DOI:10.1016/j.asmr.2025.101109

Emmitt Hayes M.D., Sasha Carsen M.D., M.B.A., Bogdan Matache M.D., Michael Pickell M.D.

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引用次数: 0

摘要

目的评价国家冰球联盟（NHL）球员髋关节镜检查后的表现。方法通过公开的伤病数据库对2008年至2022年间接受髋关节镜检查的snhl球员进行识别。收集手术前1年和手术后2年的人口学和结果数据。我们的主要结果衡量标准是每60分钟替补以上的胜率（WAR/60），次要结果包括每60分钟替补以上的进攻和防守进球。一个匹配的队列是根据位置、选秀年份和指数赛季的表现创建的。使用配对t检验比较损伤前和损伤后的结果。结果28名运动员接受了29项符合条件的手术。损伤前、损伤后1年、损伤后2年的WAR/60与病例相比分别为0.06、0.01、0.04（与损伤前比较P = 0.01、P = 0.12），与对照组相比分别为0.07、0.06、0.04 （P = 0.35、P = 0.01、P = 0.82）。与手术后1年和2年相比，替补以上每60分钟的进攻进球数有所下降，但只有术后2年的表现有统计学意义（P = 0.55, P = 0.03）。术后第1年和第2年，每60分钟替补以上的防守进球数与手术前相比有所下降，但只有第1年的表现有统计学意义（P = 0.01, P = 0.54）。受伤后每60分钟替补以上的防守进球与受伤后第一年的对照组相比显著减少（P = .03）。结论：与对照组相比，接受髋关节镜检查的snhl球员在手术后1年的表现明显下降，主要是由于防守表现下降。然而，主要分析指标的表现在伤后第2年恢复。证据等级：III级，回顾性病例对照研究。

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Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year

Purpose

To evaluate performance following hip arthroscopy in National Hockey League (NHL) players.

Methods

NHL players who underwent hip arthroscopy between 2008 and 2022 were identified through a publicly available injury database. Demographic and outcome data were collected for the 1-year period preceding and the 2-year period following surgery. Our primary outcome measure was wins above replacement per 60 minutes played (WAR/60), with secondary outcomes, including offensive and defensive goals, above replacement per 60 minutes played. A matched cohort was created on the basis of position, draft year, and index season performance. Preinjury and postinjury outcomes were compared using a paired t test.

Results

Twenty-eight players underwent 29 eligible procedures. Preinjury, postinjury year 1, and postinjury year 2 WAR/60 were 0.06, 0.01, 0.04, respectively, in cases (P = .01, P = .12 compared to preinjury) and 0.07, 0.06, and 0.04, respectively, in controls (P = .35, P = .01, P = 0.82) compared to cases. Offensive goals above replacement per 60 minutes played were decreased compared to presurgery 1 and 2 years postsurgery but only performance 2 years postsurgery met statistical significance (P = .55, P = .03). Defensive goals above replacement per 60 minutes played were decreased compared to presurgery at postsurgery year 1 and 2, but only performance in year 1 was statistically significant (P = 0.01, P = .54). Postinjury defensive goals above replacement per 60 minutes played were significantly decreased compared to controls at postinjury year one (P = .03).

Conclusions

NHL players who have undergone hip arthroscopy are associated with significantly decreased performance 1 year following surgery when compared with controls, driven primarily by decreased defensive performance. However, performance of major analytic metrics recovers by postinjury year 2.