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首页> 外文期刊>ANZ journal of surgery >Progression to total hip arthroplasty following hip arthroscopy
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Progression to total hip arthroplasty following hip arthroscopy

机译：髋关节镜检查后髋关节关节成形术的进展

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Background Hip arthroscopy is a minimally invasive surgical technique increasingly being used to treat hip pathology. There is evidence that a proportion of patients require total hip arthroplasty in the years immediately following arthroscopy, suggesting that these patients have derived only a limited benefit from the procedure. Identification of risk factors for early progression to hip arthroplasty may enable refinement of hip arthroscopy indications and more informed decision making. The aim of this study is to identify the proportion of patients in a hip arthroscopy cohort who progress to total hip arthroplasty within 2 years of arthroscopy, and to analyse risk factors for this early progression. Methods A retrospective cohort analysis was conducted on all patients who underwent hip arthroscopy at one tertiary institution from 2004 to 2013. Hospital data were linked to the Australian Orthopaedic Association National Joint Replacement Registry in 2016 to identify subsequent hip arthroplasty. Results There were 989 arthroscopies performed on 947 patients; 447 were female (48.1%), the mean age was 41.1 years (SD: 14.23) and osteoarthritis was present at arthroscopy in 31.5%. Total hip arthroplasty occurred in 129 patients (13%) within 2 years. Multivariable logistic regression revealed osteoarthritis, age 50 years and previous arthroscopy were significant risk factors for arthroplasty within 2 years (adjusted odds ratios (confidence intervals): 4.6 (2.91–7.16), 3.8 (2.44–5.87), 2.5 (1.16–5.81)). Conclusions Osteoarthritis, older age and history of arthroscopy were independent risk factors for early progression to arthroplasty; these factors should be considered within clinical decision‐making, and when discussing potential arthroscopy outcomes with patients.
机译：背景技术髋关节视镜是一种微创手术技术，越来越多地用于治疗髋关节病理学。有证据表明，在关节镜检查后多年，一定数量的患者需要总髋关节置换术，表明这些患者只能从程序中获得有限的益处。鉴定髋关节置换术的早期进展的危险因素可实现髋关节视镜检查的细化和更明智的决策。本研究的目的是鉴定髋关节关节综合队的患者的比例，他在关节镜检查的2年内进展到总髋关节置换术，并分析这种早期进展的风险因素。方法对2004年至2013年的一个第三三级机构接受髋关节关节检查的所有患者进行了回顾性队列分析。医院数据与澳大利亚骨科协会国家联合替代登记处联系在2016年，以确定随后的髋关节置换术。结果947例患者进行了989例关节镜; 447是女性（48.1％），平均年龄为41.1岁（SD：14.23），骨关节炎在关节镜检查31.5％。在299名患者中发生总髋关节置换术（13％）。多变量的逻辑回归揭示骨关节炎，年龄＆ 50年和之前的关节镜检查了关节统计术的显着危险因素2年内（调整的差距（置信区间）：4.6（2.91-7.16），3.8（2.44-5.87），2.5（1.16- 5.81））。结论骨关节炎，年龄和关节镜的历史是关节造身术早期进步的独立危险因素;应在临床决策中进行这些因素，以及讨论潜在关节镜与患者的潜在关节镜检查。

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