Patient-Perceived Outcomes Improve Faster Than Hip Strength in Recovery After Surgical Correction for Symptomatic Femoroacetabular Impingement.

Autor:	Konnaris MA; Hospital for Special Surgery, New York, NY, USA., Junginger LM; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA., Sibilsky Enselman ER; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA., Bell RD; Hospital for Special Surgery, New York, NY, USA., Maerz T; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA., Bedi A; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Jazyk:	angličtina
Zdroj:	HSS journal : the musculoskeletal journal of Hospital for Special Surgery [HSS J] 2023 Feb; Vol. 19 (1), pp. 97-106. Date of Electronic Publication: 2022 May 25.
DOI:	10.1177/15563316221093614
Abstrakt:	Background: Patients with symptomatic femoroacetabular impingement (FAI) have hip strength deficits, instability, and increased risk for concomitant injury. While surgical intervention is an effective method of treatment for FAI, more information is needed about the recovery process. Purposes : We sought to understand how patients with FAI recover from surgical correction in the short term. Do patients' perceptions of improvement correspond with measured improvements in hip strength? Methods : We conducted a prospective cohort study of 17 patients (11 male, age range: 16-38 years) who were diagnosed with symptomatic FAI at a single surgeon's practice. Hip strength (flexion, extension, and abduction) was measured preoperatively and at 14, 26, and 52 weeks postoperatively. Patient-reported outcomes using the modified Harris Hip Score (mHHS) and Hip Outcome Osteoarthritis Score (HOOS) subscales were measured at the same time points and at 2 weeks postoperatively. Results : Compared with preoperative values, there was a significant increase in postoperative values at 26 and 52 weeks in normalized isokinetic hip extension (29% and 38%, respectively) and normalized hip abduction (48% and 55%, respectively). No differences in strength were observed at 14 weeks. Modified Harris Hip Score and all HOOS subscales were decreased by 2 weeks postoperatively, and by 14 weeks mHHS improved by 21%, and HOOS subscales improved as well (activities of daily living by 18%, pain by 34%, quality of life by 69%, sport and recreation by 36%, and symptoms by 28%). Conclusion : We observed that patient-reported outcomes including symptoms, function, and satisfaction improved at 14 weeks, while objective measures of hip strength improved at 26 weeks following surgical correction of FAI. More rigorous study is indicated. Competing Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Asheesh Bedi, MD, reports relationships with Arthrex, Inc, and Springer. The other authors declare no potential conflicts of interest. (© The Author(s) 2022.)
Databáze:	MEDLINE
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