Background:Arthroscopic labral repair has been shown to result in favorable short- and midterm outcomes; however, the durability of outcomes specifically in older patients remains underreported.Purpose:To (1) report prospectively collected hip preservation rates and patient-reported outcome measures (PROMs) at a minimum 10-year follow-up in patients aged ≥40 years after primary hip arthroscopy with labral repair and (2) perform a matched analysis comparing patients aged ≥40 years with patients aged <40 years.Study Design:Cohort study; Level of evidence, 3.Methods:Data were prospectively collected and retrospectively reviewed on all patients who underwent primary hip arthroscopy between February 2008 and December 2011. Patients aged ≥40 years who underwent labral repair were included. Preoperative and minimum 10-year follow-up scores were collected for multiple PROMs. Propensity score matching was utilized to compare these patients with a cohort of patients <40 years.Results:Of the 113 hips eligible, 91 hips (80.5%) on 85 patients (6 bilateral) had a minimum 10-year follow-up. There were 58 women (68%) and 27 men (32%) with a mean age and body mass index of 47.8 years and 25.8, respectively. The hip preservation rate for patients aged ≥40 years was 78%, with 20 patients requiring arthroplasty during the study period. There was significant improvement in all PROMs from baseline to minimum 10-year follow-up with high rates of achieving the minimal clinically important difference and Patient Acceptable Symptom State clinical outcome thresholds. In total, 69 patients aged ≥40 years were propensity matched to 107 patients <40 years. Patients ≥40 tended to have a lower hip preservation rate (81.2% vs 91.6%; P = .06), while patients in the younger cohort had significantly higher rates of secondary hip arthroscopy (14% vs 3%; P = .02). Improvement in PROMs was comparable between the groups.Conclusion:Patients ≥40 years who underwent primary hip arthroscopy with labral repair demonstrated a hip preservation rate of 78%, significant and durable improvement in PROMs, and high rates of satisfaction at a minimum 10-year follow-up. Matched analysis with patients <40 years revealed comparable improvement in patient-reported outcomes between the 2 groups, with a tendency to a higher level of arthroplasty in patients ≥40 years.

中文翻译：

---

40 岁及以上患者初次关节镜治疗股骨髋臼撞击盂唇修复后的十年结果


背景：关节镜下盂唇修复已被证明可带来良好的短期和中期结果；然而，特别是在老年患者中，结局的持久性仍未得到充分报告。 目的：(1) 报告前瞻性收集的髋关节保留率和患者报告的结局指标 (PROM)，对年龄≥40 岁的患者进行至少 10 年的随访初次髋关节镜检查联合盂唇修复，(2) 进行匹配分析，比较年龄 ≥40 岁的患者与年龄 <40 岁的患者。 研究设计：队列研究；证据级别，3。方法：对2008年2月至2011年12月期间所有接受初次髋关节镜检查的患者进行前瞻性收集和回顾性分析。其中年龄≥40岁接受盂唇修复的患者纳入其中。收集多个 PROM 的术前和至少 10 年随访评分。利用倾向评分匹配将这些患者与 <40 岁的患者队列进行比较。结果：在符合资格的 113 个髋关节中，85 名患者（6 位双侧）的 91 个髋关节（80.5%）进行了至少 10 年的随访。其中有 58 名女性 (68%) 和 27 名男性 (32%)，平均年龄和体重指数分别为 47.8 岁和 25.8。年龄≥40岁患者的髋关节保留率为78%，研究期间有20名患者需要进行关节置换术。从基线到至少 10 年随访，所有 PROM 均有显着改善，实现最小临床重要差异和患者可接受症状状态临床结果阈值的比率很高。总共，69 名年龄≥40 岁的患者与 107 名 <40 岁的患者进行了倾向匹配。 ≥40 岁的患者髋关节保留率往往较低（81.2% vs 91.6%；P = .06），而年轻队列患者的二次髋关节镜检查率明显更高（14% vs 3%；P = .02）。各组之间 PROM 的改善具有可比性。结论：接受初次髋关节镜联合盂唇修复术的 ≥40 岁患者的髋关节保留率为 78%，PROM 得到显着且持久的改善，并且至少 10 年的满意度很高后续行动。对 <40 岁患者的匹配分析显示，两组患者报告的结果有相当的改善，≥40 岁患者的关节置换术水平有更高的趋势。