Background:Bilateral hip arthroscopic surgery for the treatment of femoroacetabular impingement (FAI) has demonstrated good outcomes at short-term follow-up, with significant improvements in pain, hip function, and patient-reported outcomes, coupled with a complication rate similar to that of unilateral surgery.Purpose:To investigate whether, in patients with bilateral symptomatic FAI, simultaneous bilateral hip arthroscopic surgery is an efficacious option that produces effective midterm outcomes.Study Design:Cohort study; Level of evidence, 3.Methods:A prospective database of patients who underwent primary hip arthroscopic surgery between August 2012 and October 2020 was used to collect clinical data on 2 groups. Group 1 consisted of patients who underwent simultaneous bilateral hip arthroscopic surgery for the treatment of FAI. Group 2 represented a matched-pair control group of patients selected based on sex and age with signs and symptoms of unilateral FAI and in whom a single side was evaluated and treated. Differences in the International Hip Outcome Tool–12 and Non-Arthritic Hip Score scores were evaluated up to 5 years postoperatively.Results:In total, 171 patients (235 hips) were included, of whom 64 underwent simultaneous bilateral hip arthroscopic surgery (128 hips) and a control group of 107 patients (107 hips) underwent unilateral hip arthroscopic surgery. No significant differences were observed in International Hip Outcome Tool–12 scores between the 2 groups at 6 weeks, 3 months, 1 year, 2 years, and 5 years postoperatively. No significant differences were observed in Non–Arthritic Hip Score scores between the simultaneous bilateral and control groups at 6 weeks, 3 months, 6 months, 1 year, 2 years, and 5 years postoperatively. Overall, 18% of hips in the simultaneous bilateral group reported lateral femoral cutaneous nerve palsy at 2-week follow-up in comparison to 16% of hips in the control group.Conclusion:Simultaneous bilateral hip arthroscopic surgery for the treatment of FAI represents a safe treatment option, producing effective midterm outcomes in appropriately selected patients.

中文翻译：

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双侧股骨髋臼撞击同时髋关节镜手术后的中期结果


背景：用于治疗股骨髋臼撞击症 (FAI) 的双侧髋关节镜手术在短期随访中显示出良好的效果，疼痛、髋关节功能和患者报告的结果显着改善，并发症发生率与此相似。目的：调查对于双侧有症状的 FAI 患者，同时进行双侧髋关节镜手术是否是产生有效中期结果的有效选择。证据级别，3。方法：使用2012年8月至2020年10月期间接受初次髋关节镜手术的患者的前瞻性数据库来收集2组的临床数据。第 1 组由同时接受双侧髋关节镜手术治疗 FAI 的患者组成。第 2 组代表配对对照组，根据性别和年龄选择具有单侧 FAI 体征和症状的患者，其中单侧接受评估和治疗。术后 5 年评估国际髋关节结果工具-12 评分和非关节炎髋关节评分的差异。结果：总共纳入 171 名患者（235 髋），其中 64 例同时接受双侧髋关节镜手术（128 髋） ）和对照组 107 名患者（107 个髋关节）接受单侧髋关节镜手术。术后 6 周、3 个月、1 年、2 年和 5 年两组之间的国际髋关节结果工具-12 评分未观察到显着差异。术后6周、3个月、6个月、1年、2年和5年时，同时双侧组和对照组之间的非关节炎髋关节评分没有显着差异。 总体而言，在两周随访时，同步双侧髋关节组中有 18% 的髋部报告股外侧皮神经麻痹，而对照组的这一比例为 16%。结论：同步双侧髋关节镜手术治疗 FAI 代表了一种治疗方法。安全的治疗选择，在适当选择的患者中产生有效的中期结果。