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采用自体股薄肌进行关节镜下盂唇重建。

Arthroscopic labral reconstruction with gracilis autograft.

作者信息

Matsuda Dean K

机构信息

Kaiser West Los Angeles Medical Center, Los Angeles, California, U.S.A.

出版信息

Arthrosc Tech. 2012 Feb 23;1(1):e15-21. doi: 10.1016/j.eats.2011.12.001. Print 2012 Sep.

Abstract

Despite growing interest in hip arthroscopy and labral preservation, some patients have severely damaged, degenerative, or deficient labrums and may be candidates for arthroscopic labral reconstruction. The ligamentum teres has been used as a graft source for open hip labral grafting, and the iliotibial band has been used in the arthroscopic setting. We present an alternative method of hip labral reconstruction using the gracilis autograft, which does not require post-harvest manipulation. Arthroscopic techniques for graft tensioning and labrum-graft overlap are introduced that may facilitate restoration of labral function in patients with otherwise non-salvageable labrums.

摘要

尽管对髋关节镜检查和盂唇保留的兴趣日益增加,但一些患者的盂唇严重受损、退变或缺失,可能适合进行关节镜下盂唇重建。圆韧带已被用作开放髋关节盂唇移植的移植物来源,而髂胫束已被用于关节镜手术中。我们提出一种使用股薄肌自体移植物进行髋关节盂唇重建的替代方法,该方法无需术后处理。本文介绍了用于移植物张紧和盂唇-移植物重叠的关节镜技术,这可能有助于恢复那些原本无法挽救的盂唇患者的盂唇功能。

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