Khanduja Vikas, Villar Richard N
The Wellington Hospital, St. John's Wood, The Villar Suite, 1st Floor, South Building, London, NW8 9LE, UK.
Knee Surg Sports Traumatol Arthrosc. 2007 Aug;15(8):1035-40. doi: 10.1007/s00167-007-0319-7. Epub 2007 May 30.
Femoroacetabular impingement (FAI) has recently been implicated in causing a spectrum of injury ranging from anterior hip pain, labral tears, chondral damage, and eventually perhaps to idiopathic arthritis of the hip. Three distinct types have been described: cam, pincer and mixed, with the mixed one being the commonest. Surgical treatment of femoroacetabular impingement is focused towards providing an adequate clearance to alleviate femoral abutment against the acetabular rim. This is achieved by restoring a normal femoral head-neck offset and recessing the acetabular rim if necessary. The treatment of FAI has been achieved with reasonable success by open surgical dislocation as described by the Swiss group. However, the protracted post-operative recovery coupled with the trauma sustained during the open procedure, have led to the development of an arthroscopic approach to manage this problem. The purpose of this article is to provide the reader with an up-to-date knowledge of the clinical and diagnostic aspects of FAI, to describe our arthroscopic technique in detail with its pitfalls and possible complications and to discuss the results and future of FAI.
股骨髋臼撞击症（FAI）最近被认为会引发一系列损伤，从髋关节前部疼痛、盂唇撕裂、软骨损伤，最终甚至可能导致髋关节特发性关节炎。已描述了三种不同类型：凸轮型、钳夹型和混合型，其中混合型最为常见。股骨髋臼撞击症的手术治疗旨在提供足够的间隙，以减轻股骨与髋臼边缘的撞击。这通过恢复正常的股骨头-颈偏移并在必要时使髋臼边缘凹陷来实现。如瑞士团队所描述的，通过开放手术脱位，FAI的治疗已取得了相当的成功。然而，术后恢复时间长以及开放手术过程中遭受的创伤，促使了关节镜手术方法的发展以解决这一问题。本文的目的是为读者提供关于FAI临床和诊断方面的最新知识，详细描述我们的关节镜技术及其陷阱和可能的并发症，并讨论FAI的治疗结果和未来发展。
