Boyer T, Dorfmann H
1IAL Nollet, 23 rue Brochant, 75017 Paris, France.
J Bone Joint Surg Br. 2008 Mar;90(3):314-8. doi: 10.1302/0301-620X.90B3.19664.
Between 1985 and 2000, 120 patients underwent arthroscopic management for primary synovial chondromatosis of the hip. We report the outcome of 111 patients with a mean follow-up of 78.6 months (12 to 196). More than one arthroscopy was required in 23 patients (20.7%), and 42 patients (37.8%) went on to require open surgery. Outcomes were evaluated in greater detail in 69 patients (62.2%) treated with arthroscopy alone, of whom 51 (45.9%) required no further treatment and 18 (16.2%) required further arthroscopies. Of the 111 patients, 63 (56.7%) had excellent or good outcomes. At the most recent follow-up, 22 patients (19.8%) had undergone total hip replacement. Hip arthroscopy proved beneficial for patients diagnosed with primary synovial chondromatosis of the hip, providing good or excellent outcomes in more than half the cases.
1985年至2000年间,120例患者接受了髋关节原发性滑膜软骨瘤病的关节镜治疗。我们报告了111例患者的治疗结果,平均随访78.6个月(12至196个月)。23例患者(20.7%)需要进行不止一次关节镜检查,42例患者(37.8%)随后需要进行开放手术。对仅接受关节镜治疗的69例患者(62.2%)的结果进行了更详细的评估,其中51例(45.9%)无需进一步治疗,18例(16.2%)需要进一步进行关节镜检查。在111例患者中,63例(56.7%)的治疗结果为优或良。在最近一次随访时,22例患者(19.8%)已接受全髋关节置换术。髋关节镜检查对诊断为髋关节原发性滑膜软骨瘤病的患者有益,超过半数病例的治疗结果为优或良。