Ide T, Akamatsu N, Nakajima I
Department of Orthopaedic Surgery, Yamanashi Medical College, Japan.
Arthroscopy. 1991;7(2):204-11. doi: 10.1016/0749-8063(91)90109-b.
Hip arthroscopic examination of 196 joints was performed in 104 patients treated during the past 4 years. Of these, 11 joints were treated by arthroscopic surgery. We have developed a technique using a two-directional approach that facilitates a global view of joint areas and allows simpler performance of surgical procedures. Removal of loose bodies, joint debridement in osteoarthritis, and synovectomy in rheumatoid arthritis are good indications for arthroscopic surgery of the hip joint. Short-term follow-up was satisfactory, and a reduction of pain was obtained in all patients. Although the joint space of the hip is narrower and the operative technique is more difficult to perform than in the knee, we believe that arthroscopic surgery of the hip is a suitable method in selected cases.
在过去4年中，对104例患者的196个关节进行了髋关节镜检查。其中，11个关节接受了关节镜手术治疗。我们开发了一种使用双向入路的技术，该技术有助于全面观察关节区域，并使手术操作更简便。取出游离体、骨关节炎的关节清创术以及类风湿关节炎的滑膜切除术是髋关节镜手术的良好适应证。短期随访结果令人满意，所有患者的疼痛均有所减轻。尽管髋关节间隙比膝关节更窄，手术技术也更难实施，但我们认为在某些特定病例中，髋关节镜手术是一种合适的方法。
