Zilkens Christoph, Miese Falk, Jäger Marcus, Bittersohl Bernd, Krauspe Rüdiger
Department of Orthopaedic Surgery, University Hospital of Düsseldorf, Germany.
Orthop Rev (Pavia). 2011;3(2):e9. doi: 10.4081/or.2011.e9. Epub 2011 Jun 29.
Hip joint instability and impingement are the most common biomechanical risk factors that put the hip joint at risk to develop premature osteoarthritis. Several surgical procedures like periacetabular osteotomy for hip dysplasia or hip arthroscopy or safe surgical hip dislocation for femoroacetabular impingement aim at restoring the hip anatomy. However, the success of joint preserving surgical procedures is limited by the amount of pre-existing cartilage damage. Biochemically sensitive MRI techniques like delayed Gadolinium Enhanced MRI of Cartilage (dGEMRIC) might help to monitor the effect of surgical or non-surgical procedures in the effort to halt or even reverse joint damage.
髋关节不稳定和撞击是导致髋关节过早发生骨关节炎的最常见生物力学风险因素。一些外科手术，如针对髋关节发育不良的髋臼周围截骨术、髋关节镜检查或针对股骨髋臼撞击症的安全手术性髋关节脱位，旨在恢复髋关节解剖结构。然而，保留关节的外科手术的成功受到已有软骨损伤程度的限制。像延迟钆增强软骨磁共振成像（dGEMRIC）这样的生物化学敏感磁共振成像技术可能有助于监测手术或非手术治疗的效果，以努力阻止甚至逆转关节损伤。
