Abstract：
BACKGROUND: The purpose of this study was to systematically review the literature to understand the contemporary outcomes for patients with joint laxity managed with hip arthroscopy.
METHODS: A search was performed utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Statement guidelines. All literature related to joint laxity in hip arthroscopy patients was identified. Inclusion criteria consisted of patient-reported outcomes and Beighton and Horan Joint Mobility Index scoring. Study quality was assessed using the Methodological Index of Non-Randomized Studies criteria.
RESULTS: Seven articles were identified, including 412 patients (416 hips). Patients were predominantly female (range 83-100%). Mean patient age ranged from 13-69 years. Five studies consisting of 370 hips reported a range of 75 to 100% undergoing labral repair, 0 to 13% labral debridement, 0 to 7% labral reconstruction, 43 to 100% capsular closure, 94 to 99% femoroplasty, 3 to 80% rim resection, and 9 to 50% subspine decompression for surgical management. Post-operative follow-up range was 6-99 months. The mean range of improvement in Hip Outcomes Score Activities of Daily Living, Hip Outcomes Score-Sports Subscale, modified Harris Hip Score, Visual Analog Scale, and 12 item Short Form Health Survey were 17.6-31.3, 31.3-35.1, 22.5-53.8, - 2.79-8, and 12.4-16.9 respectively.
CONCLUSIONS: Generalized ligamentous laxity patients managed with hip arthroscopy were predominantly young women. At short-term follow-up, mean patient-reported outcomes were positive, with improvement postoperatively in activities of daily living, sports, and quality of life.
METHODS: A search was performed utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Statement guidelines. All literature related to joint laxity in hip arthroscopy patients was identified. Inclusion criteria consisted of patient-reported outcomes and Beighton and Horan Joint Mobility Index scoring. Study quality was assessed using the Methodological Index of Non-Randomized Studies criteria.
RESULTS: Seven articles were identified, including 412 patients (416 hips). Patients were predominantly female (range 83-100%). Mean patient age ranged from 13-69 years. Five studies consisting of 370 hips reported a range of 75 to 100% undergoing labral repair, 0 to 13% labral debridement, 0 to 7% labral reconstruction, 43 to 100% capsular closure, 94 to 99% femoroplasty, 3 to 80% rim resection, and 9 to 50% subspine decompression for surgical management. Post-operative follow-up range was 6-99 months. The mean range of improvement in Hip Outcomes Score Activities of Daily Living, Hip Outcomes Score-Sports Subscale, modified Harris Hip Score, Visual Analog Scale, and 12 item Short Form Health Survey were 17.6-31.3, 31.3-35.1, 22.5-53.8, - 2.79-8, and 12.4-16.9 respectively.
CONCLUSIONS: Generalized ligamentous laxity patients managed with hip arthroscopy were predominantly young women. At short-term follow-up, mean patient-reported outcomes were positive, with improvement postoperatively in activities of daily living, sports, and quality of life.
摘要：
背景：本研究的目的是系统回顾文献，以了解髋关节镜治疗关节松弛患者的当代结局。
方法：使用系统评价和Meta分析陈述指南的首选报告项目进行搜索。确定了所有与髋关节镜检查患者关节松弛有关的文献。纳入标准包括患者报告的结果以及Beighton和Horan联合流动性指数评分。使用非随机研究标准的方法学指数评估研究质量。
结果：确定了七篇文章，包括412名患者（416髋）。患者主要为女性（83-100％）。患者平均年龄为13-69岁。由370髋组成的五项研究报告了75％至100％的范围进行了唇修复，0-13%唇清创，0至7%的唇重建，43至100%囊封口，94％至99％的股骨成形术，3到80%的边缘切除，9％至50％的脊柱下减压用于手术治疗。术后随访6～99个月。日常生活髋关节结果评分活动的平均改善范围，髋关节结果评分-运动分量表，改良Harris髋关节评分,视觉模拟刻度，12项简式健康调查分别为17.6-31.3、31.3-35.1、22.5-53.8、-2.79-8和12.4-16.9。
结论：接受髋关节镜检查的全身韧带松弛患者主要是年轻女性。在短期随访中，平均患者报告结果为阳性,随着术后日常生活活动的改善，体育,和生活质量。
方法：使用系统评价和Meta分析陈述指南的首选报告项目进行搜索。确定了所有与髋关节镜检查患者关节松弛有关的文献。纳入标准包括患者报告的结果以及Beighton和Horan联合流动性指数评分。使用非随机研究标准的方法学指数评估研究质量。
结果：确定了七篇文章，包括412名患者（416髋）。患者主要为女性（83-100％）。患者平均年龄为13-69岁。由370髋组成的五项研究报告了75％至100％的范围进行了唇修复，0-13%唇清创，0至7%的唇重建，43至100%囊封口，94％至99％的股骨成形术，3到80%的边缘切除，9％至50％的脊柱下减压用于手术治疗。术后随访6～99个月。日常生活髋关节结果评分活动的平均改善范围，髋关节结果评分-运动分量表，改良Harris髋关节评分,视觉模拟刻度，12项简式健康调查分别为17.6-31.3、31.3-35.1、22.5-53.8、-2.79-8和12.4-16.9。
结论：接受髋关节镜检查的全身韧带松弛患者主要是年轻女性。在短期随访中，平均患者报告结果为阳性,随着术后日常生活活动的改善，体育,和生活质量。
