Mei-Dan Omer, Young David A
Department of Orthopedics, Division of Sports Medicine and Hip Preservation, University of Colorado, Denver, Colorado, U.S.A.
Arthrosc Tech. 2012 Jun 28;1(1):e107-12. doi: 10.1016/j.eats.2012.05.001. Print 2012 Sep.
Capsulotomy, which is commonly performed in hip arthroscopy, assists visualization and instrument navigation. Despite the necessity, the optimal technique, amount of resection, and indications for capsulotomy remain unknown. Capsular repair is increasingly considered because of concerns raised about the long-term effects of extensive capsulotomies and reports of devastating postoperative side effects. It was recently recommended that any patient undergoing hip arthroscopy with a large capsular defect or ligamentous laxity should be considered for capsular repair and/or plication. We present a novel technique for capsular repair using the SpeedStitch device (ArthroCare, Austin, TX), originally designed for shoulder rotator cuff repair. This capsular repair technique has proven to be easy, fast, and reproducible. If performed in the correct manner, this technique has the potential to preserve the anatomy and integrity of the iliofemoral ligament and reduce the rates of postoperative instability and pain.
关节囊切开术常用于髋关节镜检查，有助于改善视野并辅助器械操作。尽管关节囊切开术是必要的，但最佳技术、切除量以及关节囊切开术的适应症仍不明确。由于对广泛关节囊切开术的长期影响以及术后严重副作用的报道引发了担忧，关节囊修复越来越受到关注。最近有人建议，任何接受髋关节镜检查且存在大的关节囊缺损或韧带松弛的患者都应考虑进行关节囊修复和/或折叠术。我们介绍一种使用SpeedStitch装置（ArthroCare公司，得克萨斯州奥斯汀）进行关节囊修复的新技术，该装置最初设计用于修复肩关节旋转袖套。这种关节囊修复技术已被证明简单、快速且可重复。如果以正确的方式进行，该技术有可能保留髂股韧带的解剖结构和完整性，并降低术后不稳定和疼痛的发生率。
