Abstract：
UNASSIGNED: Previous studies have shown that short-term outcomes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) predict midterm outcomes, but a limited number of studies have evaluated whether short-term outcomes predict long-term outcomes and survivorship.
UNASSIGNED: To evaluate whether achieving clinically significant outcomes at 2 years after hip arthroscopy for FAIS can predict patient-reported outcomes (PROs) and survivorship at 10 years.
UNASSIGNED: Cohort study; Level of evidence, 3.
UNASSIGNED: Patients who underwent primary hip arthroscopy for FAIS between June 2012 and December 2012 with a minimum 10-year follow-up were identified. Using previously established thresholds, we classified patients who achieved the 2-year Patient Acceptable Symptom State (PASS) for the visual analog scale (VAS) for satisfaction as the high satisfaction group and patients who did not as the low satisfaction group. Minimum 10-year PROs were then compared between the groups, including scores for the Hip Outcome Score (HOS)-Activities of Daily Living and -Sports Specific, the modified Harris Hip Score, the VAS for pain, and the VAS for satisfaction. Reoperation-free survivorship was compared.
UNASSIGNED: Of 120 eligible consecutive patients, 85 patients were included (70.8% follow-up rate), of whom 61.2% were female. The mean age was 34.0 ± 12.8 years, and the mean body mass index was 25.4 ± 4.6. Of the 85 patients, 29 (34.1%) did not achieve PASS for the VAS for satisfaction at 2 years postoperatively compared with 56 (65.9%) who did. The low satisfaction group had significantly worse acetabular chondral grades at the time of surgery (P = .008). At minimum 10-year follow-up, the high satisfaction group showed significantly better HOS-Activities of Daily Living, HOS-Sports Specific, modified Harris Hip Score, VAS pain, and VAS satisfaction scores (P≤ .031). Compared with the low satisfaction group, the high satisfaction group had a significantly lower rate of secondary surgery (1.8% vs 24.1%, respectively; P = .002).
UNASSIGNED: Patients who achieved PASS for the VAS for satisfaction at 2 years after hip arthroscopy demonstrated superior minimum 10-year outcomes compared with patients who did not, including greater PRO scores and a higher survivorship rate. The high satisfaction group had lower grade acetabular cartilage damage at the time of surgery compared with those who did not achieve PASS for the VAS for satisfaction at 2 years.
UNASSIGNED: To evaluate whether achieving clinically significant outcomes at 2 years after hip arthroscopy for FAIS can predict patient-reported outcomes (PROs) and survivorship at 10 years.
UNASSIGNED: Cohort study; Level of evidence, 3.
UNASSIGNED: Patients who underwent primary hip arthroscopy for FAIS between June 2012 and December 2012 with a minimum 10-year follow-up were identified. Using previously established thresholds, we classified patients who achieved the 2-year Patient Acceptable Symptom State (PASS) for the visual analog scale (VAS) for satisfaction as the high satisfaction group and patients who did not as the low satisfaction group. Minimum 10-year PROs were then compared between the groups, including scores for the Hip Outcome Score (HOS)-Activities of Daily Living and -Sports Specific, the modified Harris Hip Score, the VAS for pain, and the VAS for satisfaction. Reoperation-free survivorship was compared.
UNASSIGNED: Of 120 eligible consecutive patients, 85 patients were included (70.8% follow-up rate), of whom 61.2% were female. The mean age was 34.0 ± 12.8 years, and the mean body mass index was 25.4 ± 4.6. Of the 85 patients, 29 (34.1%) did not achieve PASS for the VAS for satisfaction at 2 years postoperatively compared with 56 (65.9%) who did. The low satisfaction group had significantly worse acetabular chondral grades at the time of surgery (P = .008). At minimum 10-year follow-up, the high satisfaction group showed significantly better HOS-Activities of Daily Living, HOS-Sports Specific, modified Harris Hip Score, VAS pain, and VAS satisfaction scores (P≤ .031). Compared with the low satisfaction group, the high satisfaction group had a significantly lower rate of secondary surgery (1.8% vs 24.1%, respectively; P = .002).
UNASSIGNED: Patients who achieved PASS for the VAS for satisfaction at 2 years after hip arthroscopy demonstrated superior minimum 10-year outcomes compared with patients who did not, including greater PRO scores and a higher survivorship rate. The high satisfaction group had lower grade acetabular cartilage damage at the time of surgery compared with those who did not achieve PASS for the VAS for satisfaction at 2 years.
摘要：
■先前的研究表明，股骨髋臼撞击综合征（FAIS）髋关节镜检查后的短期结果可预测中期结果，但有限数量的研究评估了短期结局是否能预测长期结局和生存率.
■评估FAIS髋关节镜检查后2年取得临床显著结果是否可以预测患者报告的结果（PRO）和10年的生存率。
■队列研究；证据水平，3.
■在2012年6月至2012年12月期间接受了FAIS初次髋关节镜检查并至少随访10年的患者。使用先前建立的阈值，我们根据满意度视觉模拟量表(VAS)将达到2年患者可接受症状状态(PASS)的患者分类为高满意度组,未达到2年患者可接受症状状态的患者分类为低满意度组.然后比较两组之间的至少10年水平，包括髋关节结果评分(HOS)-日常生活活动和-体育专用的分数，修改后的Harris髋关节评分,疼痛的VAS，和满意度的VAS。比较了无手术生存率。
■在120名符合条件的连续患者中，纳入85例患者(随访率70.8%)，其中61.2%是女性。平均年龄34.0±12.8岁,平均体重指数为25.4±4.6。85名患者中,术后2年，29例（34.1％）未达到VAS满意度的PASS，而56例（65.9％）达到了满意度。低满意度组的髋臼软骨分级在手术时显著较差（P=.008）。至少10年随访,满意度高的小组显示出显著更好的居屋-日常生活活动，HOS-SportsSpecific,改良Harris髋关节评分,VAS疼痛，和VAS满意度得分（P≤.031）。与低满意度组相比，高满意度组的二次手术率明显较低(1.8%vs24.1%，分别为；P=.002）。
■在髋关节镜检查后2年达到VAS满意度的患者与未达到PASS的患者相比，至少10年的预后更好，包括更高的PRO分数和更高的存活率。与在2年未达到VAS满意度的患者相比，高满意度组手术时髋臼软骨损伤程度较低。
■评估FAIS髋关节镜检查后2年取得临床显著结果是否可以预测患者报告的结果（PRO）和10年的生存率。
■队列研究；证据水平，3.
■在2012年6月至2012年12月期间接受了FAIS初次髋关节镜检查并至少随访10年的患者。使用先前建立的阈值，我们根据满意度视觉模拟量表(VAS)将达到2年患者可接受症状状态(PASS)的患者分类为高满意度组,未达到2年患者可接受症状状态的患者分类为低满意度组.然后比较两组之间的至少10年水平，包括髋关节结果评分(HOS)-日常生活活动和-体育专用的分数，修改后的Harris髋关节评分,疼痛的VAS，和满意度的VAS。比较了无手术生存率。
■在120名符合条件的连续患者中，纳入85例患者(随访率70.8%)，其中61.2%是女性。平均年龄34.0±12.8岁,平均体重指数为25.4±4.6。85名患者中,术后2年，29例（34.1％）未达到VAS满意度的PASS，而56例（65.9％）达到了满意度。低满意度组的髋臼软骨分级在手术时显著较差（P=.008）。至少10年随访,满意度高的小组显示出显著更好的居屋-日常生活活动，HOS-SportsSpecific,改良Harris髋关节评分,VAS疼痛，和VAS满意度得分（P≤.031）。与低满意度组相比，高满意度组的二次手术率明显较低(1.8%vs24.1%，分别为；P=.002）。
■在髋关节镜检查后2年达到VAS满意度的患者与未达到PASS的患者相比，至少10年的预后更好，包括更高的PRO分数和更高的存活率。与在2年未达到VAS满意度的患者相比，高满意度组手术时髋臼软骨损伤程度较低。
