修订关节镜:识别与平均5年随访的指示和结果
Ryan S Selley1, Hayden P Baker1, Joost A Burger2
1Hospital for Special Surgery, Sports Medicine Institute, New York, New York, USA.
The American journal of sports medicine
|October 17, 2025
概括
修复关节关节镜对于大腿关节入 (FAI) 最常见的解决剩余的入. 虽然结果有所改善,但囊不稳定性与更大的术前和术后功能障碍有关.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 保护部的保护
背景情况:
- 关节镜 (HA) 越来越多地进行,导致修复手术的增加.
- 鉴定HA衰竭的原因是复杂的;残留的股骨支柱体阻塞 (FAI) 是修改的最常见原因.
- 诸如软骨缺陷,腹腔病理和囊问题等因素会影响HA的结果.
研究的目的:
- 分析一个机构的HA指示的修订趋势.
- 为了确定结果是否根据修复手术的主要原因而有所不同.
主要方法:
- 一个案例系列 (证据水平,4) 审查了2012-2019年的部保护注册表.
- 包括173名接受FAIHA修复HA的患者.
- 术前和术后患者报告的结果是在平均5.2年的随访期间收集的.
主要成果:
- 最常见的迹象是残留FAI (67.8%),其次是囊不稳定 (14.6%).
- 患者在多个结局得分 (mHHS,HOS-ADL,HOS-SS,iHOT-33) 中显著改善.
- 囊不稳定的患者在手术前和手术后功能较差,但与入患者相比,净结果的改善类似.
结论:
- 剩余的入仍然是修复关节透视术的主要指示.
- 囊不稳定性与更大的手术前和手术后功能障碍有关,这表明了不同的患者子集.
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