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首页> 美国卫生研究院文献>Journal of Hip Preservation Surgery >Bilateral versus unilateral hip arthroscopy for femoroacetabular impingement: a systematic review
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Bilateral versus unilateral hip arthroscopy for femoroacetabular impingement: a systematic review

机译：双侧与单侧髋关节关节镜检查股骨旁抗撞性：系统审查

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摘要

One in four patients presenting with femoroacetabular impingement (FAI) has bilateral symptoms, and despite excellent outcomes reported after arthroscopic treatment of FAI, there remains a paucity of data on the outcomes following bilateral hip arthroscopy. This systematic review aims to examine the outcomes following bilateral (either ‘simultaneous’ or ‘staged’) versus unilateral hip arthroscopy for FAI. A systematic review of multiple electronic databases was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and checklist. All studies comparing simultaneous, staged and/or unilateral hip arthroscopy for FAI were eligible for inclusion. Case series, case reports and reviews were excluded. All study, patient and hip-specific data were extracted and analyzed. The Newcastle–Ottawa Scale was used to assess study quality. A meta-analysis was not performed due to heterogeneity among outcome measures. A total of six studies, including 722 patients (42.8% male) and 933 hips were eligible for inclusion. The mean age across patients was 35.5. The average time between staged procedures was 7.7 months. Four of the six studies were retrospective cohort studies, while the remaining two were prospective in nature. The overall quality of the eligible studies was found to be good. No significant difference was noted among patient-reported outcomes (modified Harris hip score, hip outcome score and non-arthritic hip score), visual analog scale, return to sport, traction time and complications between those undergoing bilateral (simultaneous or staged) versus unilateral hip arthroscopy. Based on the current available evidence, bilateral hip arthroscopy (whether simultaneous or staged) exhibits similar efficacy and safety when compared with unilateral hip arthroscopy. However, further prospective study is required to confirm this finding.
机译：患有股骨旁的撞击（FAI）的四个患者中有一个具有双侧症状，尽管在关节镜治疗FAI后报告的出色结果，但仍然存在关于双侧髋关节视镜后结果的数据。该系统审查旨在审查双侧后的结果（'同时'或“阶段”）与FAI的单侧髋关节关节镜检查。使用优选的报告项目进行系统评价和荟萃分析（PRISMA）指南和清单进行了对多个电子数据库的系统审查。所有的研究所有比较FAI同时，分阶段和/或单侧髋关节关节镜检查都有资格包涵式。案例系列，案例报告和评论被排除在外。提取和分析了所有研究，患者和特异性数据。纽卡斯尔 - 渥太华规模用于评估学习质量。由于结果措施中的异质性而不是在荟萃分析中进行。共有六项研究，其中包括722名患者（男性42.8％）和933髋有资格包含。患者的平均年龄为35.5。分阶段程序之间的平均时间为7.7个月。六项研究中有四项是回顾性队列研究，而其余的两项研究是本质上的前瞻性。发现合格研究的整体质量很好。患者报告的结果（修饰的哈里斯髋关节评分，髋关节结果和非关节炎阶段评分），视觉模拟规模，恢复体育，牵引时间和经历两侧（同时或分阶段）与单方面之间的并发症之间没有显着差异髋关节视镜。基于目前的可用证据，双侧髋关节视镜（无论与单侧髋关节视镜检查相比，双侧髋关节视镜（无论是否同时或分阶段）表现出类似的疗效和安全性。但是，需要进一步的预期研究来确认这一发现。

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