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Tytuł:
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Arthroscopic anterior inferior iliac spine decompression does not alter postoperative muscle strength.
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Autorzy:
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Tateishi S; Department of Rehabilitation Medicine, Wakamatsu Hospital for the University of Occupational and Environmental Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu, Fukuoka, 808-0024, Japan.
Onishi Y; Department of Orthopaedic Surgery, Faculty of Medicine, Wakamatsu Hospital for the University of Occupational and Environmental Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu, Fukuoka, 808-0024, Japan.
Suzuki H; Department of Orthopaedic Surgery, Faculty of Medicine, Wakamatsu Hospital for the University of Occupational and Environmental Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu, Fukuoka, 808-0024, Japan.
Takahashi M; Department of Rehabilitation Medicine, Wakamatsu Hospital for the University of Occupational and Environmental Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu, Fukuoka, 808-0024, Japan.
Shiraishi J; Department of Rehabilitation Medicine, Wakamatsu Hospital for the University of Occupational and Environmental Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu, Fukuoka, 808-0024, Japan.
Larson CM; Department of Rehabilitation Medicine, Wakamatsu Hospital for the University of Occupational and Environmental Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu, Fukuoka, 808-0024, Japan.; Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, 4010 West 65th Street, Edina, MN, 55435, USA.
Uchida S; Department of Orthopaedic Surgery, Faculty of Medicine, Wakamatsu Hospital for the University of Occupational and Environmental Health, 1-17-1, Hamamachi, Wakamatsu, Kitakyushu, Fukuoka, 808-0024, Japan. .
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Źródło:
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Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2020 Sep; Vol. 28 (9), pp. 2763-2771. Date of Electronic Publication: 2018 Jun 28.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: [Heidelberg, Germany] : Springer International, c1993-
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MeSH Terms:
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Muscle Strength*
Arthroscopy/*methods
Decompression, Surgical/*methods
Femoracetabular Impingement/*surgery
Ilium/*anatomy & histology
Adolescent ; Adult ; Anatomic Variation ; Arthroscopy/rehabilitation ; Decompression, Surgical/rehabilitation ; Female ; Femoracetabular Impingement/etiology ; Hip Joint/surgery ; Humans ; Ilium/diagnostic imaging ; Knee Joint ; Male ; Middle Aged ; Muscle Strength Dynamometer ; Patient Reported Outcome Measures ; Postoperative Period ; Reoperation/statistics & numerical data ; Treatment Outcome ; Young Adult
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References:
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Contributed Indexing:
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Keywords: Anterior inferior iliac spine; Femoroacetabular impingement; Hip arthroscopy; Muscle strength; Rehabilitation; Subspinal impingement
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Entry Date(s):
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Date Created: 20180630 Date Completed: 20210114 Latest Revision: 20210114
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Update Code:
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20240105
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PubMed Central ID:
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PMC7471103
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DOI:
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10.1007/s00167-018-5026-z
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PMID:
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29955931
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Purpose: The purpose of this study was to assess the additional effect of anterior inferior iliac spine (AIIS) decompression on knee extensor and hip flexor strength and compare functional outcomes after arthroscopic FAI correction with and without AIIS decompression.
Methods: Sixty patients who underwent arthroscopic FAI correction surgery were divided into two groups matched for AIIS morphology: 31 patients who underwent arthroscopic FAI surgery only (without AIIS decompression) (FAI group) (AIIS Type I; n = 5, Type II; n = 26, Type III; n = 0) and 29 patients who underwent arthroscopic FAI surgery with AIIS decompression (AIIS group) (AIIS Type I; n = 5, Type II; n = 24, Type III; n = 0). Knee extensor and hip flexor strength were evaluated preoperatively and at 6 months after surgery. Patient-reported outcome (PRO) scores using the modified Harris hip score (MHHS), the nonarthritic hip score (NAHS) and iHOT-12 were obtained preoperatively and at 6 months after surgery.
Results: In the AIIS group, there was no significant difference between knee extensor strength pre- and postoperatively (n.s.). In the AIIS group, hip flexor strength was significantly improved postoperatively compared to preoperative measures (p < 0.05). In the FAI group, there were no significant improvements regarding muscle strength (n.s.). While there were no significant differences of preoperative and postoperative MHHS and NAHS between both groups (MHHS; n.s., NAHS; n.s.), the mean postoperative iHOT-12 in the FAI group was inferior to that in the AIIS group. (p < 0.01). The revision surgery rate for the AIIS group was significantly lower compared with that in the FAI group (p < 0.05).
Conclusion: Anterior inferior iliac spine decompression, as a part of an arthroscopic FAI corrective procedure, had a lower revision surgery rate and did not compromise knee extensor and hip flexor strength, and it improved clinical outcomes comparable to FAI correction without AIIS decompression. AIIS decompression for FAI correction improved postoperative PRO scores without altering the muscle strength of hip flexor and knee extensor.
Level of Evidence: III.
