Background:Previous studies have shown that short-term outcomes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) predict midterm outcomes, but a limited number of studies have evaluated whether short-term outcomes predict long-term outcomes and survivorship.Purpose:To evaluate whether achieving clinically significant outcomes at 2 years after hip arthroscopy for FAIS can predict patient-reported outcomes (PROs) and survivorship at 10 years.Study Design:Cohort study; Level of evidence, 3.Methods:Patients who underwent primary hip arthroscopy for FAIS between June 2012 and December 2012 with a minimum 10-year follow-up were identified. Using previously established thresholds, we classified patients who achieved the 2-year Patient Acceptable Symptom State (PASS) for the visual analog scale (VAS) for satisfaction as the high satisfaction group and patients who did not as the low satisfaction group. Minimum 10-year PROs were then compared between the groups, including scores for the Hip Outcome Score (HOS)–Activities of Daily Living and –Sports Specific, the modified Harris Hip Score, the VAS for pain, and the VAS for satisfaction. Reoperation-free survivorship was compared.Results:Of 120 eligible consecutive patients, 85 patients were included (70.8% follow-up rate), of whom 61.2% were female. The mean age was 34.0 ± 12.8 years, and the mean body mass index was 25.4 ± 4.6. Of the 85 patients, 29 (34.1%) did not achieve PASS for the VAS for satisfaction at 2 years postoperatively compared with 56 (65.9%) who did. The low satisfaction group had significantly worse acetabular chondral grades at the time of surgery ( P = .008). At minimum 10-year follow-up, the high satisfaction group showed significantly better HOS-Activities of Daily Living, HOS-Sports Specific, modified Harris Hip Score, VAS pain, and VAS satisfaction scores ( P≤ .031). Compared with the low satisfaction group, the high satisfaction group had a significantly lower rate of secondary surgery (1.8% vs 24.1%, respectively; P = .002).Conclusion:Patients who achieved PASS for the VAS for satisfaction at 2 years after hip arthroscopy demonstrated superior minimum 10-year outcomes compared with patients who did not, including greater PRO scores and a higher survivorship rate. The high satisfaction group had lower grade acetabular cartilage damage at the time of surgery compared with those who did not achieve PASS for the VAS for satisfaction at 2 years.

中文翻译：

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髋关节镜检查治疗股髋臼撞击综合征 2 年后患者满意度与至少 10 年患者报告结果和生存率的关系


背景：之前的研究表明，股骨髋臼撞击综合征（FAIS）髋关节镜检查后的短期结果可以预测中期结果，但有限的研究评估了短期结果是否可以预测长期结果和生存率。目的：评估FAIS 髋关节镜手术后 2 年实现临床显着结果是否可以预测患者报告结果 (PRO) 和 10 年生存率。证据级别，3。方法：确定了 2012 年 6 月至 2012 年 12 月期间因 FAIS 接受初次髋关节镜检查并进行至少 10 年随访的患者。使用先前建立的阈值，我们将视觉模拟量表 (VAS) 满意度达到 2 年患者可接受症状状态 (PASS) 的患者分类为高满意度组，将未达到满意度的患者分类为低满意度组。然后比较各组之间至少 10 年的 PRO，包括髋关节结果评分 (HOS) 评分——日常生活活动和特定运动、改良的 Harris 髋关节评分、疼痛 VAS 和满意度 VAS。比较无再次手术生存率。结果：120例符合条件的连续患者中，纳入85例（随访率70.8%），其中61.2%为女性。平均年龄为 34.0 ± 12.8 岁，平均体重指数为 25.4 ± 4.6。在 85 名患者中，29 名患者 (34.1%) 术后 2 年 VAS 满意度未达到 PASS，而达到 PASS 的人数为 56 名 (65.9%)。低满意度组在手术时髋臼软骨等级明显较差 ( P = .008)。 在至少 10 年的随访中，高满意度组表现出显着更好的 HOS-日常生活活动、HOS-特定运动、改良的 Harris 髋关节评分、VAS 疼痛和 VAS 满意度评分 (P≤ .031)。与低满意度组相比，高满意度组的二次手术率显着较低（分别为 1.8% vs 24.1%；P = .002）。结论：术后 2 年 VAS 满意度达到 PASS 的患者与未进行关节镜检查的患者相比，关节镜检查显示出优异的至少 10 年结果，包括更高的 PRO 评分和更高的生存率。与 2 年 VAS 满意度未达到 PASS 的患者相比，高满意度组在手术时髋臼软骨损伤程度较低。