Smoljanović Tomislav, Prutki Maja, Strazar Klemen, Curić Stjepan, Mahnik Alan, Bojanić Ivan
Klinika za ortopediju, Medicinski fakultet Sveucilista u Zagrebu, KBC Zagreb.
Klinicki zavod za dijagnosticku i intervencijsku radiologiju, Medicinski fakultet Sveucilista u Zagrebu, KBC Zagreb.
Lijec Vjesn. 2013 Sep-Nov;135(9-10):246-56.
In the last ten years, hip arthroscopy has been developing intensively and it is rapidly gaining primacy in the treatment of various injuries and damages to the hip itself and its immediate vicinity. The basic advantage of hip arthroscopy surgery versus classic open surgery is avoiding an open dislocation of the hip and, thus, reducing patient's morbidity and accelerating his/her rehabilitation, which leads to a quicker return to everyday activities. The success of arthroscopic surgery depends on the correct indication for the surgery and on the experience and the skill of the operator. It also depends on the properly conducted rehabilitation and the patient's compliance, as well as on the patient's realistic expectations. Indications for hip arthroscopy today are the following: injury and damage to acetabular labrum and/or articular cartilage, femoroacetabular impingement syndrome, injuries and damages to the ligament of the femoral head, loose and foreign joint bodies as well as different conditions of synovial membrane (synovial chondromatosis, pigmented villonodular synovitis and other inflammatory arthropathy such as rheumatoid arthritis). In this article we describe the indications, technique, complications and the prospect of hip arthroscopy, with a detailed overview of contemporary literature data.
在过去十年中,髋关节镜检查技术得到了迅猛发展,在治疗髋关节及其周围的各种损伤方面迅速占据主导地位。髋关节镜手术相对于传统开放手术的基本优势在于避免了髋关节的开放性脱位,从而降低了患者的发病率并加速了康复过程,使患者能够更快地恢复日常活动。关节镜手术的成功取决于手术的正确适应症、术者的经验和技术。它还取决于合理进行的康复治疗以及患者的依从性,以及患者的现实期望。如今髋关节镜检查的适应症如下:髋臼盂唇和/或关节软骨的损伤、股骨髋臼撞击综合征、股骨头韧带的损伤、关节内松动体和异物以及滑膜的不同病症(滑膜软骨瘤病、色素沉着绒毛结节性滑膜炎和其他炎性关节病,如类风湿性关节炎)。在本文中,我们描述了髋关节镜检查的适应症、技术、并发症及前景,并对当代文献数据进行了详细综述。