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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Clinical Outcomes Following Arthroscopic Micro Fracture of the Hip
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Clinical Outcomes Following Arthroscopic Micro Fracture of the Hip

机译：髋部关节镜微骨折后临床结果

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Objectives: Objective and clinical results of microfracture for treatment of chondral defects of the knee is well documented, yet outcomes for microfracture of the hip have not been extensively studied. Recently, several studies demonstrated clinical improvements in patients treated with microfracture of the hip. The purpose of this study is to examine clinical outcomes and survivorship in patients who underwent microfracture during arthroscopic hip surgery. Methods: A retrospective analysis of a prospectively collected database was performed. Thirty-eight patients with a mean age of 41 (range, 17-64) who underwent microfracture during arthroscopic hip surgery by a single surgeon (senior author) were identified. Demographic data, diagnosis, and details regarding operative procedures were collected. All patients were indicated for hip arthroscopy based on standard pre-operative examination as well as routine and advanced imaging. Baseline pre-operative modified Harris Hip Scores (mHHS) and Non-Arthritic Hip Scores (NAHS) were compared to mHHS and NAHS at two-year follow-up. Additionally, survivorship data was assessed to determine failure, defined as any subsequent revision arthroscopic surgery and/or hip arthroplasty of the same hip. Results: Thirty-four of the 38 (89.5%) patients were available for two-year clinical follow-up. Baseline mean mHHHS and NAHS for all patients improved from 50.6 (+/- 12.7) and 46.9 (+/-12.8) to 84.7 (+/- 12.5) and 85.6 (+/- 11.2) respectively. Both improvements were statistically significant (p < 0.05). Eight patients (23.5%) met failure criteria and underwent additional surgery at an average of 23.9 months. Two patients (5.8%) underwent revision arthroscopic surgery, and six patients (17.7%) underwent hip arthroplasty. Conclusion: Significant improvements in clinical outcomes are seen at two-year follow-up after microfracture treatment of chondral lesions of the hip. Despite overall success, failure rates are relatively high. As with microfracture of the knee, results favor short-term clinical improvements, but results may decline at two years. Larger studies are needed to fully assess the efficacy of microfracture in arthroscopic hip surgery.
机译：目的：用于治疗膝关节骨性缺陷的微膛的目的和临床结果是充分的记录，但髋部的微磨术的结果尚未得到广泛研究。最近，几项研究表明，患有髋关节微磨术治疗的患者的临床改进。本研究的目的是研究在关节镜髋关节手术期间进行微折衷的患者的临床结果和生存。方法：执行对期收集的数据库的回顾性分析。鉴定了一名外科医生（高级作者）在关节镜髋关节手术期间接受微折衷的41名（范围，17-64）的平均年龄的三十八名患者。收集了关于手术程序的人口统计数据，诊断和细节。所有患者均基于标准的术前检查以及常规和先进的成像表示髋关节镜检查。将基线预先进行修饰的修饰哈里斯臀部分数（MHHS）和非关节炎髋关节评分（NAHS）与两年后的MHHS和NAH进行比较。另外，评估生存数据以确定失败，定义为同一髋关节的任何后续修正关节镜手术和/或髋关节置换术。结果：38（89.5％）患者中有三十四个临床随访。所有患者的基线平均平均MHHHS和NAHs分别从50.6（+/- 12.7）和46.9（+/- 12.8）增加到84.7（+/- 12.5）和85.6（+/- 11.2）。这两种改进都有统计学意义（P <0.05）。八名患者（23.5％）达到失败标准，平均额外的手术23.9个月。两名患者（5.8％）进行修订关节镜手术，6例患者（17.7％）接受髋关节置换术。结论：在髋关节核心病变的微折叠处理后，临床结果的显着改善是在两年后进行的。尽管总体成功，但失败的费率相对较高。与膝关节的微磨术一样，结果有利于短期临床改善，但结果可能会在两年内下降。需要更大的研究来充分评估微折衷在关节镜髋关节手术中的疗效。

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