PDF(Pubmed)
Abstract：
UNASSIGNED: There is a paucity of aggregate data documenting mid- to long-term outcomes of patients after hip arthroscopy with labral reconstruction.
UNASSIGNED: To report mid- to long-term outcomes in patients after undergoing either primary or revision hip arthroscopy with labral reconstruction for the treatment of irreparable labral tears.
UNASSIGNED: Systematic review; Level of evidence, 4.
UNASSIGNED: A systematic review of the PubMed, Cochrane, and Scopus databases in May 2022 was conducted with the following keywords: \"hip arthroscopy,\"\"labral reconstruction,\"\"irreparable,\"\"labrum,\"\"reconstruction,\"\"five-year,\"\"midterm,\"\"5 year,\"\"long-term,\"\"10 year,\" ten-year,\" and \"femoroacetabular impingement\" using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria. Midterm was defined as mean 5-year follow-up, and long-term was defined as mean 10-year or longer follow-up. For each included article, the demographic, radiographic, intraoperative, and surgical variables, as well as patient-reported outcomes (PROs), psychometric thresholds, and secondary surgeries were recorded. Forest plots were created for PROs that were reported in ≥3 studies; heterogeneity was assessed using I2 values.
UNASSIGNED: Out of 463 initial articles, 5 studies including 178 hips with primary and 41 hips with revision surgeries were included. One study had an average 5-year follow-up, three studies had a minimum 5-year follow-up and one study had a minimum 10-year follow-up. The most common indications for hip arthroscopy with labral reconstruction were irreparable labral tears. The most common PRO was the modified Harris Hip Score (mHHS), which was reported in all 5 studies. The mean preoperative mHHS ranged from 58.9 to 66, and the mean postoperative mHHS at minimum 5-year follow-up ranged from 80.2 to 89. The preoperative and postoperative mHHSs for the single long-term follow-up study were 60 and 82, respectively. All 5 studies demonstrated significant improvements in reported PROs. All 5 studies reported secondary surgery rates, with 1 study reporting rates at both 5- and 10-year follow-up. Conversion to total hip arthroplasty ranged from 0% to 27%, while overall secondary surgery rates ranged from 0% to 36%.
UNASSIGNED: Findings demonstrated that patients undergoing primary and revision hip arthroscopy with labral reconstruction experienced favorable outcomes and high rates of clinical benefit and survivorship at mid- to long-term follow-up.
UNASSIGNED: To report mid- to long-term outcomes in patients after undergoing either primary or revision hip arthroscopy with labral reconstruction for the treatment of irreparable labral tears.
UNASSIGNED: Systematic review; Level of evidence, 4.
UNASSIGNED: A systematic review of the PubMed, Cochrane, and Scopus databases in May 2022 was conducted with the following keywords: \"hip arthroscopy,\"\"labral reconstruction,\"\"irreparable,\"\"labrum,\"\"reconstruction,\"\"five-year,\"\"midterm,\"\"5 year,\"\"long-term,\"\"10 year,\" ten-year,\" and \"femoroacetabular impingement\" using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria. Midterm was defined as mean 5-year follow-up, and long-term was defined as mean 10-year or longer follow-up. For each included article, the demographic, radiographic, intraoperative, and surgical variables, as well as patient-reported outcomes (PROs), psychometric thresholds, and secondary surgeries were recorded. Forest plots were created for PROs that were reported in ≥3 studies; heterogeneity was assessed using I2 values.
UNASSIGNED: Out of 463 initial articles, 5 studies including 178 hips with primary and 41 hips with revision surgeries were included. One study had an average 5-year follow-up, three studies had a minimum 5-year follow-up and one study had a minimum 10-year follow-up. The most common indications for hip arthroscopy with labral reconstruction were irreparable labral tears. The most common PRO was the modified Harris Hip Score (mHHS), which was reported in all 5 studies. The mean preoperative mHHS ranged from 58.9 to 66, and the mean postoperative mHHS at minimum 5-year follow-up ranged from 80.2 to 89. The preoperative and postoperative mHHSs for the single long-term follow-up study were 60 and 82, respectively. All 5 studies demonstrated significant improvements in reported PROs. All 5 studies reported secondary surgery rates, with 1 study reporting rates at both 5- and 10-year follow-up. Conversion to total hip arthroplasty ranged from 0% to 27%, while overall secondary surgery rates ranged from 0% to 36%.
UNASSIGNED: Findings demonstrated that patients undergoing primary and revision hip arthroscopy with labral reconstruction experienced favorable outcomes and high rates of clinical benefit and survivorship at mid- to long-term follow-up.
摘要：
■关于髋关节镜检查合并唇重建后患者的中长期结果的汇总数据很少。
■报告接受初次或翻修髋关节镜检查并进行唇重建以治疗不可修复的唇撕裂的患者的中长期结果。
■系统评价；证据水平，4.
■对PubMed的系统评价，科克伦,和Scopus数据库在2022年5月进行了以下关键词：“髋关节镜检查，“\”唇重建，\"\"无法挽回,\"\"Labrum,\"\"重建,\"\"五年,\"\"期中考试,\"\"5年,\"\"长期，\"\"10年,\"十年,使用PRISMA（系统评价和荟萃分析标准的首选报告项目。中期定义为平均5年随访，长期被定义为平均10年或更长时间的随访。对于每个包含的文章，人口统计，射线照相,术中,和手术变量，以及患者报告的结果(PRO)，心理测量阈值，和二级手术记录。为≥3项研究报告的PRO创建了森林地块；使用I2值评估异质性。
■在463篇初始文章中，包括5项研究，包括178例髋部与原发性和41例髋部与翻修手术。一项研究平均随访5年，3项研究至少有5年随访,1项研究至少有10年随访.髋关节镜检查合并唇重建的最常见适应症是不可修复的唇撕裂。最常见的PRO是改良的Harris髋关节评分（mHHS），这在所有5项研究中都有报道。术前平均mHHS为58.9至66，术后至少5年随访平均mHHS为80.2至89。单一长期随访研究的术前和术后mHHSs分别为60和82。所有5项研究均显示报告的PRO有显着改善。所有5项研究都报告了二次手术率，在5年和10年随访中，有1项研究报告率。全髋关节置换术的转化率为0％至27％，而整体二次手术率从0%到36%不等。
研究结果表明，接受初次和翻修髋关节镜检查并进行唇重建的患者在中长期随访中获得了良好的结果以及较高的临床获益率和生存率。
■报告接受初次或翻修髋关节镜检查并进行唇重建以治疗不可修复的唇撕裂的患者的中长期结果。
■系统评价；证据水平，4.
■对PubMed的系统评价，科克伦,和Scopus数据库在2022年5月进行了以下关键词：“髋关节镜检查，“\”唇重建，\"\"无法挽回,\"\"Labrum,\"\"重建,\"\"五年,\"\"期中考试,\"\"5年,\"\"长期，\"\"10年,\"十年,使用PRISMA（系统评价和荟萃分析标准的首选报告项目。中期定义为平均5年随访，长期被定义为平均10年或更长时间的随访。对于每个包含的文章，人口统计，射线照相,术中,和手术变量，以及患者报告的结果(PRO)，心理测量阈值，和二级手术记录。为≥3项研究报告的PRO创建了森林地块；使用I2值评估异质性。
■在463篇初始文章中，包括5项研究，包括178例髋部与原发性和41例髋部与翻修手术。一项研究平均随访5年，3项研究至少有5年随访,1项研究至少有10年随访.髋关节镜检查合并唇重建的最常见适应症是不可修复的唇撕裂。最常见的PRO是改良的Harris髋关节评分（mHHS），这在所有5项研究中都有报道。术前平均mHHS为58.9至66，术后至少5年随访平均mHHS为80.2至89。单一长期随访研究的术前和术后mHHSs分别为60和82。所有5项研究均显示报告的PRO有显着改善。所有5项研究都报告了二次手术率，在5年和10年随访中，有1项研究报告率。全髋关节置换术的转化率为0％至27％，而整体二次手术率从0%到36%不等。
研究结果表明，接受初次和翻修髋关节镜检查并进行唇重建的患者在中长期随访中获得了良好的结果以及较高的临床获益率和生存率。
