Ward James P, Rogers Patrick, Youm Thomas
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 E 17th St, Ste 1402, New York, NY 10003, USA.
Orthopedics. 2012 Jul 1;35(7):612-7. doi: 10.3928/01477447-20120621-11.
Indications for arthroscopic surgery of the hip have increased over the past several years, along with the number of procedures performed annually. In addition, the number of unsuccessful procedures and subsequent revision surgeries have also increased. Recent literature has defined several common causes for failed hip arthroscopy. Severe osteoarthritis and osteonecrosis are associated with poor outcomes. Findings during revision hip arthroscopy consistently demonstrate untreated femoroacetabular impingement, chondral defects, labral tears, and postoperative adhesions. The treating surgeon must be diligent in his or her indications for surgery, as well as in addressing all pathology at the initial surgery.
在过去几年中，髋关节镜手术的适应症有所增加，每年进行的手术数量也随之增加。此外，手术失败和后续翻修手术的数量也有所增加。最近的文献已经明确了髋关节镜手术失败的几个常见原因。严重骨关节炎和骨坏死与不良预后相关。翻修髋关节镜检查时的发现始终显示存在未治疗的股骨髋臼撞击症、软骨缺损、盂唇撕裂和术后粘连。主刀医生在手术适应症的把握以及初次手术时对所有病理情况的处理上都必须谨慎。
