Matsuda Dean K
Kaiser West Los Angeles Medical Center, Los Angeles, California, U.S.A.
Arthrosc Tech. 2013 Dec 8;3(1):e31-4. doi: 10.1016/j.eats.2013.08.009. eCollection 2014 Feb.
We present the case of a femoral head malunion with lateral cephalic femoroacetabular impingement managed by arthroscopic osteotomy/takedown, bone grafting, internal fixation, and cephaloplasty. The treatment rationale and surgical technique are presented. A successful outcome at 3 years was obtained with radiographic evidence of union without osteonecrosis. Even beyond acute femoral head osteosynthesis, arthroscopic surgery may enhance the ability to treat femoral head malunions. Moreover, arthroscopic osteosynthesis may address lateral cephalic FAI, a previously unreported condition.
我们报告了一例股骨头畸形愈合合并外侧股骨头髋臼撞击症的病例，采用关节镜下截骨/拆除、植骨、内固定和股骨头成形术进行治疗。阐述了治疗原理和手术技术。术后3年获得了成功的结果，影像学显示骨折愈合且无骨坏死。即使超出急性股骨头骨合成的范畴，关节镜手术仍可能提高治疗股骨头畸形愈合的能力。此外，关节镜下骨合成术可能解决外侧股骨头撞击症这一此前未报道的情况。
