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Mid- to long-term clinical outcomes of arthroscopic surgery for external snapping hip syndrome
Journal of Hip Preservation Surgery ( IF 1.5 ) Pub Date : 2021-08-24 , DOI: 10.1093/jhps/hnab062
Chun-Ting Chu, Huan Hsu, Hao-Che Tang, Alvin Chao-Yu Chen, Yi-Sheng Chan

This study evaluated the outcomes of arthroscopic surgery for the treatment of external snapping hip at 2- to 10-year follow-ups. Eighteen patients with refractory external snapping hip treated by arthroscopic surgery were enrolled in this prospective study. All patients underwent unsuccessful conservative treatment for more than 3 months before surgery. We made diamond-shaped defects on the iliotibial band and resected peripheral fibrosis tissues for iliotibial band release with an arthroscopic approach. The visual analog scale (VAS), modified Harris hip score and return to previous level of activity were evaluated as functional outcomes. In addition, residual discomfort or the presentation of complications was also investigated. The average follow up period was 7 years. The modified Harris hip score increased from 70.08 preoperatively to 93.14 postoperatively, and the VAS score decreased from 3.67 preoperatively to 1.17 2 weeks after the operation and declined to 0.33 at the last follow-up. Neither recurrence of snaps nor complications were recorded. Two patients complained of a tight sensation with tenderness after exertion. Our clinical outcomes were compatible with those of previous studies, and no long-term complications were noted, even with a relatively longer follow-up period than what was reported in previous studies. Arthroscopic surgery is a safe and effective treatment that can provide promising long-term clinical outcomes for patients with refractory external snapping hip.

中文翻译:

关节镜手术治疗弹响髋外翻综合征的中长期临床疗效

本研究在 2 至 10 年的随访中评估了关节镜手术治疗外部弹响髋的结果。本前瞻性研究纳入了 18 例经关节镜手术治疗的难治性弹响髋外伤患者。所有患者术前均进行了3个月以上的保守治疗,均未成功。我们在髂胫束上制作了菱形缺损,并切除了周围纤维化组织,以通过关节镜方法释放髂胫束。视觉模拟量表 (VAS)、改良的 Harris 髋关节评分和恢复到以前的活动水平被评估为功能结果。此外,还调查了残余不适或并发症的表现。平均随访时间为 7 年。改良的 Harris 髋关节评分从术前的 70.08 增加到 93。术后 14 分,VAS 评分由术前的 3.67 分降至术后 2 周的 1.17 分,末次随访时降至 0.33 分。没有记录快照的复发和并发症。两名患者抱怨劳累后有紧绷感和压痛。我们的临床结果与之前的研究结果一致,并且没有发现长期并发症,即使随访时间比之前的研究报告的要长。关节镜手术是一种安全有效的治疗方法,可为难治性外弹响髋患者提供有希望的长期临床结果。没有记录快照的复发和并发症。两名患者抱怨劳累后有紧绷感和压痛。我们的临床结果与之前的研究结果一致,并且没有发现长期并发症,即使随访时间比之前的研究报告的要长。关节镜手术是一种安全有效的治疗方法,可为难治性外弹响髋患者提供有希望的长期临床结果。没有记录快照的复发和并发症。两名患者抱怨劳累后有紧绷感和压痛。我们的临床结果与之前的研究结果一致,并且没有发现长期并发症,即使随访时间比之前的研究报告的要长。关节镜手术是一种安全有效的治疗方法,可为难治性外弹响髋患者提供有希望的长期临床结果。
更新日期:2021-08-24
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