Deshmane Prashant P, Kahlenberg Cynthia A, Patel Ronak M, Han Brian, Terry Michael A
Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, U.S.A.
Arthrosc Tech. 2012 Dec 17;2(1):e15-9. doi: 10.1016/j.eats.2012.10.001. Print 2013 Feb.
The labrum is essential for stability, movement, and prevention of arthritis in the hip. In cases of labral damage where repair of a labral tear is not possible, reconstruction can be a useful alternative. Several different autografts have been used, including the iliotibial band (ITB), the ligamentum teres capitis, and the gracilis tendon. Authors have reported both open and arthroscopic techniques for reconstruction with good preliminary results. However, an all-arthroscopic labral reconstruction technique including the graft harvest and reconstruction portions of a labral reconstruction procedure using an ITB autograft has not been previously described. We describe a technique for an all-arthroscopic labral reconstruction performed using a novel method for arthroscopic harvest of the ITB. The decreased invasiveness of our described technique for labral reconstruction may potentially minimize scarring, bodily disfigurement, infection, and postoperative pain associated with the graft harvesting incision.
髋臼唇对于髋关节的稳定性、运动以及预防关节炎至关重要。在髋臼唇损伤无法修复撕裂的情况下，重建可能是一种有效的替代方法。已经使用了几种不同的自体移植物，包括髂胫束（ITB）、股骨头圆韧带和股薄肌腱。作者报告了开放和关节镜技术进行重建，初步结果良好。然而，此前尚未描述一种全关节镜下髋臼唇重建技术，包括使用ITB自体移植物进行髋臼唇重建手术的移植物获取和重建部分。我们描述了一种使用新颖的关节镜下获取ITB方法进行全关节镜下髋臼唇重建的技术。我们所描述的髋臼唇重建技术侵入性降低，可能会将与移植物获取切口相关的疤痕形成、身体畸形、感染和术后疼痛降至最低。
