Nouvelles cliniques nantaises, 3, rue Éric-Tabarly, 44277 Nantes, France.
Orthop Traumatol Surg Res. 2012 Sep;98(5):583-96. doi: 10.1016/j.otsr.2012.06.001. Epub 2012 Jul 12.
The objectives of surgical treatment of femoroacetabular impingement are to improve the symptoms and to prevent or slow the progression of osteoarthritis by improving joint clearance between the acetabular rim and the femoral neck. Arthroscopic correction of bone abnormalities and treatment of articular lesions requires the use of techniques that provide good access to the peripheral and central compartments of the hip joint. Various patient positions and portal placements have been suggested. The sequence used to access the two compartments may differ according to the option chosen. Entering the central compartment first is the most popular technique for arthroscopic hip joint access and requires joint distraction under fluoroscopic monitoring. Accessing the peripheral compartment first can be achieved without distraction and does not always require fluoroscopic guidance. Regardless of the sequence, capsulotomy greatly facilitates the therapeutic procedures that are common to all approaches. Osteoplasties are conducted after careful pre-operative planning based on various visual or fluoroscopic landmarks. Several options are available for treating articular cartilage and labral lesions.
髋关节撞击综合征的手术治疗目的是通过改善髋臼缘和股骨颈之间的关节间隙来改善症状并预防或减缓骨关节炎的进展。通过关节镜矫正骨异常和治疗关节病变需要使用提供髋关节外周和中央间隙良好入路的技术。已经提出了各种患者体位和入路部位。根据所选择的方案，进入两个间隙的顺序可能不同。首先进入中央间隙是关节镜髋关节入路最常用的技术，需要在透视监测下进行关节牵开。首先进入外周间隙可以在不牵开的情况下完成，并不总是需要透视引导。无论选择哪种顺序，关节囊切开术都极大地促进了所有入路共有的治疗程序。根据各种影像学或透视学标志，在仔细的术前规划后进行骨成形术。有几种选择可用于治疗关节软骨和盂唇病变。
