髋关节撞击征中股骨头和髋臼囊肿的微创骨移植:关节镜技术及病例报告。
Minimally invasive bone grafting of cysts of the femoral head and acetabulum in femoroacetabular impingement: arthroscopic technique and case presentation.
机构信息
Department of Orthopaedic Surgery, University of California, Davis, Sacramento, California 95817, USA.
出版信息
Arthroscopy. 2010 Feb;26(2):279-85. doi: 10.1016/j.arthro.2009.09.016.
Femoroacetabular impingement (FAI) has been recently established as a risk factor in the development of osteoarthritis of the hip. Intraosseous cysts are commonly seen on imaging of FAI. In most cases these cysts are incidental and do not require specific treatment at the time of surgical treatment of hip impingement. However, in some cases the cysts may mechanically compromise the acetabular rim or femoral neck. We present a technique for treating such cysts with an all-arthroscopic technique using a commercially available bone graft substitute composed of cancellous bone and demineralized bone matrix placed within an arthroscopic cannula for direct delivery into the cysts. This technique may be of benefit to surgeons treating FAI with an all-arthroscopic technique.
股髋臼撞击症(FAI)最近被确立为髋关节骨关节炎发展的一个危险因素。在 FAI 的影像学检查中,常见到骨内囊肿。在大多数情况下,这些囊肿是偶然发现的,在髋关节撞击症的手术治疗时不需要特定的治疗。然而,在某些情况下,囊肿可能会对髋臼缘或股骨颈产生机械性影响。我们提出了一种使用全关节镜技术治疗此类囊肿的方法,该技术使用一种市售的由松质骨和脱矿骨基质组成的骨移植替代物,通过关节镜套管直接将其输送到囊肿中。对于使用全关节镜技术治疗 FAI 的外科医生来说,这种技术可能会有所帮助。