Arthroscopic osteophyte grinding combined with suture absorbable anchor screw repair for treatment of femoral acetabular impaction with glenoid lip injury Zhang Wei, Chen Hong , Peng Chao, Zhang Xihu. oint Orthopedics & SportsMedicine Ward , Hengshui People ' s Hospital, Hebei Province , Hengshui 053000 , ChinaCorresponding author: Zhang Wei, E-mail: huthea546@ 21cn. comFunding program : Hebei Medical Science Research Proiect 2021 ( 20210322)

Abstract：

Objective To observe the efficacy and safety of arthroscopic osteophyte grinding combined with suture absorbable anchor screw repair in the treatment of femoral acetabular impaction with glenoid lip injury. Methods Seventy patients with femoral acetabulum impaction and glenoid lip injury were selected from the joint sports medical ward of Hengshui People's Hospital of Hebei Province from February 2018 to February 2020. They were divided into control group and observation group according to the method of random number table, with 35 patients in each group. The control group was treated with arthroscopic osteophyte grinding and glenoplasty, while the observation group was treated with arthroscopic osteophyte grinding and suture absorbable anchor nail repair. The occurrence of surgery and complications, trauma stress index [cortisol(Cor), adrenocorticotropic hormone(ACTH), C-reactive protein(CRP)], hip joint function(modified Harris score), pain degree(VAS score), hip joint range of motion before and after surgery were compared between the two groups, as well as patients' satisfaction with curative effect. Results The operation time in the observation group was longer than that in the control group(t/P=3.594/0.001). The levels of serum Cor, ACTH and CRP in the two groups increased first and then decreased on the 1st, 3rd and 7th day after operation(P<0.01), and the levels of serum Cor, ACTH and CRP in the observation group were lower than those in the control group on the 1st, 3rd and 7th day after operation(P<0.01). The modified Harris score of the two groups showed an upward trend at 3 months, 6 months, 1 year and 2 years after operation, while the VAS score showed a downward trend(P<0.01), and the improvement degree of the observation group was significantly better than that of the control group(P<0.001). The flexion, pronation and abduction of the hip joint in the two groups showed an increasing trend at 3 months, 6 months, 1 year and 2 years after operation(P<0.01), and the increase in the observation group was higher than that in the control group(P<0.001). The satisfaction degree of patients in the observation group was higher than that in the control group(χ²/P=4.861/0.028). The incidence of complications in the observation group was slightly lower than that in the control group, but the difference was not statistically significant(χ²/P=1.790/0.181). Conclusion Arthroscopic osteophyte grinding combined with suture absorbable anchor nail repair can promote the recovery of hip joint function, reduce pain, improve traumatic stress response, reduce the incidence of complications, and improve patient satisfaction with treatment.

Femoroacetabular impingement;                    Glenoid labral injury;                    Bone grinding;                    Wire-wound absorbable anchors;                    Arthroscopy;                    Traumatic stress;                    Hip joint function;