未经证实:一部分股骨髋臼撞击(FAI)患者未能通过关节镜治疗。目前尚不清楚哪些患者将手术治疗失败;然而,几个手术和病人因素,如手术类型和年龄,被认为是重要的预测因素。
UNASSIGNED:此事件时间分析和27个月的随访分析比较了(1)关节镜下骨软骨成形术伴或不伴唇修复与(2)关节镜下灌洗伴或不伴唇修复对18至50岁FAI患者再次手术时间的影响。
未经批准:随机对照试验;证据水平,1.
UNASSIGNED:在先前的一项研究试验中,符合条件的参与者被随机分配到关节镜下骨软骨成形术或关节镜灌洗治疗,有或没有唇修复。使用来自多国股骨髋臼撞击随机对照试验的综合数据集,直到手术后27个月的所有再次手术均被确认.使用Cox比例风险模型进行分析,在事件发生时间分析中评估再次手术患者的百分比作为结局。自变量是程序,以年龄和撞击亚型为潜在协变量。来自Cox模型的影响表示为风险比(HR)。所有测试都是双面的,阿尔法水平为.05。
UNASSIGNED:共纳入骨软骨成形术组108例患者和灌洗组106例患者。纳入研究的患者的平均年龄为36±8.5岁。总的来说,在27个月的随访中,发现了27起事件的再次手术,发病率为6/100人年。在骨软骨成形术组中,确定了8起事件的再手术(发生率,3.4每100人年),在灌洗组中,确定了19起事件的再手术(发生率,每100人年8.7)。接受骨软骨成形术的患者再次手术的危险是接受灌洗的患者的40%(HR,0.40[95%CI,0.17-0.91]P=0.029)。
未经评估:这项研究表明,对于18至50岁的FAI患者,与关节镜灌洗相比,关节镜骨软骨成形术在任何时间点的再次手术风险降低2.5倍.
UNASSIGNED:NCT01623843(ClinicalTrials.gov标识符)。
UNASSIGNED: A subset of patients with femoroacetabular impingement (FAI) fail arthroscopic management. It is not clear which patients will fail surgical management; however, several surgical and patient factors, such as type of procedure and age, are thought to be important predictors.
UNASSIGNED: This time-to-event analysis with a 27-month follow-up analysis compared the effect of (1) arthroscopic
osteochondroplasty with or without labral repair versus (2) arthroscopic lavage with or without labral repair on the time to reoperation in adults aged 18 to 50 years with FAI.
UNASSIGNED: Randomized controlled trial; Level of evidence, 1.
UNASSIGNED: Eligible participants had been randomized in a previous study trial to a treatment of arthroscopic
osteochondroplasty or arthroscopic lavage with or without labral repair. Using the comprehensive data set from the Multinational Femoroacetabular Impingement Randomized controlled Trial, all reoperations until 27 months after surgery were identified. The analysis was conducted using a Cox proportional hazards model, with percentage of patients with a reoperation evaluated in a time-to-event analysis as the outcome. The independent variable was the procedure, with age and impingement subtype explored as potential covariates. The effects from the Cox model were expressed as the hazard ratio (HR). All tests were 2-sided, with an alpha level of .05.
UNASSIGNED: A total of 108 patients in the
osteochondroplasty group and 106 patients in the lavage group were included. The mean age of the patients included in the study was 36 ± 8.5 years. Overall, 27 incident reoperations were identified within the 27-month follow-up, with an incidence rate of 6 per 100 person-years. Within the
osteochondroplasty group, 8 incident reoperations were identified (incidence rate, 3.4 per 100 person-years), while within the lavage group, 19 incident reoperations were identified (incidence rate, 8.7 per 100 person-years). The hazard of reoperation for patients undergoing
osteochondroplasty was 40% of that of patients undergoing lavage (HR, 0.40 [95% CI, 0.17-0.91] P = .029).
UNASSIGNED: This study demonstrated that for adults between the ages of 18 and 50 years with FAI, arthroscopic osteochondroplasty was associated with a 2.5-fold decrease in the hazard of reoperation at any point in time compared with arthroscopic lavage.
UNASSIGNED: NCT01623843 (ClinicalTrials.gov identifier).