目的:探讨髋臼周围截骨(periacetabular osteotomy,PAO)手术治疗运动员髋关节发育不良(developmental dysplasia of the hip,DDH)的早期临床疗效.方法:回顾性分析2022年1月～2023年10月在北京大学第三医院运动医学科诊断为DDH并行PAO手术的现役或退役运动员4例(5例髋关节),其中3例行单侧髋关节手术,1例行双侧髋关节手术.左髋2例,右髋3例;年龄27.25±4.97岁;体重指数(body mass index,BMI)23.91±2.07 kg/m2.比较患者手术前后疼痛视觉模拟评分(visual analogue scale,VAS)、改良Harris髋关节评分(modified Harris hip score,mHHS)、髋关节结局评分运动量表(hip outcome score activity-daily living scale,HOS-ADL)评分和髋关节结局评分运动量表(hip outcome score-sports scale,HOS-SS)评分.结果:所有患者均顺利完成手术并获得随访.3例患者随访12个月,1例患者随访8个月.患者术前的mHHS评分、VAS评分、HOS-ADL评分和HOS-SS评分分别为62.82±13.92、6.00±2.74、62.60±13.13、53.60±13.46分,术后分别为95.16±3.17、1.60±0.89、94.40±5.50、85.20±22.43分,术后各项评分均较术前有明显改善(P<0.05).3例现役运动员中,有2例患者(3例髋关节)已重返竞技性运动,平均重返运动时间为9.7个月.结论:髋臼周围截骨治疗运动员髋关节发育不良的早期临床疗效良好.
Early clinical outcomes of periacetabular osteotomy for the treatment of hip dysplasia in athletes:A case series study
Objective To explore the early clinical outcomes of periacetabular osteotomy(PAO) in treating developmental dysplasia of the hip(DDH) in athletes.Methods A retrospective study was con-ducted on four active or retired athletes(two left and three right hips) diagnosed as DDH and undergo-ing PAO surgery at the Department of Sports Medicine of Peking University Third Hospital between January 2022 and October 2023.Among them,three received unilateral hip surgeries,while the rest one underwent bilateral surgery.The four patients had an average age of 27.25±4.97 years and a body mass index(BMI) of 23.91±2.07 kg/m2.Then their pre-and post-operative visual analogue scale (VAS) scores,modified Harris hip score(mHHS),hip outcome score activity of daily living(HOS-ADL) scores,and hip outcome score-sports scale(HOS-SS) scores were recorded and compared.Re-sults All patients went through the surgery successfully and completed the follow-up.Three of them were followed for 12 months,and the rest one for 8 months.After the operation,their average scores of mHHS,VAS,HOS-ADL and HOS-SS were 62.82±13.92,6.00±2.74,62.60±13.13 and 53.60±13.46,respectively,significantly higher than those before the operation,95.16±3.17,1.60±0.89,94.40±5.50,and 85.20±22.43 (P<0.05).Among the three active athletes,two patients (three hips) returned to competitive sports,with an average return-to-sport time of 9.7 months.Con-clusion PAO demonstrates good early clinical outcomes in treating DDH in athletes.
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