Multicenter outcomes of arthroscopic surgery for femoroacetabular impingement in the community hospital setting.

Autor: Matsuda DK; DISC Sports and Spine, Marina Del Rey, CA, USA., Khatod M; Kaiser West Los Angeles, Los Angeles, CA, USA., Antounian F; Kaiser San Rafael, San Rafael, CA, USA., Burchette R; Kaiser Research and Evaluation, Pasadena, CA, USA., Bini S; UCSF Arthritis and Joint Replacement Center, San Francisco, CA, USA., Anthony FF; Kaiser Research and Development, San Diego, CA, USA., Harris J; Kaiser Research and Development, San Diego, CA, USA., Calipusan C; Kaiser West Los Angeles, Los Angeles, CA, USA.
Jazyk: angličtina
Zdroj: Journal of hip preservation surgery [J Hip Preserv Surg] 2016 Jul 17; Vol. 3 (4), pp. 318-324. Date of Electronic Publication: 2016 Jul 17 (Print Publication: 2016).
DOI: 10.1093/jhps/hnw024
Abstrakt: The purpose of this study is to determine multi-center outcomes from arthroscopic surgery for femoroacetabular impingement in the community hospital setting. A prospective design with 2-year minimum follow-up using the nonarthritic hip score (NAHS), a 100-point scale of perceived post-operative change for pain, activities of daily living, sports activities, and patient satisfaction was implemented at three community hospitals. Of 150 enrolled patients (159 hips) with mean age of 40 years (range, 12-73), there was 81% participation. Mean NAHS at preoperative was 54.9, 3 months: 66.6, 12 months: 74.9 and 24 months: 75.4. This represents a 20.5-point improvement in NAHS ( P < 0.001). On the 100-point scale, pain was rated +73.5, ADL's: +76.2 and sports: +68.6. 64% of patients were satisfied with their surgical outcome. Conversion arthroplasty rate was 8.8% and complication rate was 2.5%. In conclusion, arthroscopic surgery for symptomatic femoroacetabular impingement in the community setting provides safe and successful outcomes.
Databáze: MEDLINE