Uchida Soshi, Wada Takahiko, Sakoda Shinsuke, Ariumi Akihiro, Sakai Akinori, Iida Hirokazu, Nakamura Toshitaka
Departments of Orthopaedic Surgery, Wakamatsu Hospital for the University of Occupational and Environmental Health, University of Occupational and Environmental Health, Kitakyushu.
Hirakata Hospital, Kansai Medical University, Hirakata, Japan.
Arthrosc Tech. 2014 Feb 20;3(1):e185-91. doi: 10.1016/j.eats.2013.09.013. eCollection 2014 Feb.
In addition to the underlying shallow acetabular deformity, a patient with hip dysplasia has a greater risk of development of a labral tear, a cam lesion, and capsular laxity. This combination of abnormalities exacerbates joint instability, ultimately leading to osteoarthritis. Unsurprisingly, only repairing the acetabular labrum remains controversial, and the outcome is unpredictable. In this technical note, with video, we demonstrate an entirely endoscopic approach for simultaneously repairing the most common mechanical abnormalities found in moderate hip dysplasia: labral repair, cam osteochondroplasty, capsular plication, and shelf acetabuloplasty using an autologous iliac bone graft.
除了潜在的髋臼浅畸形外，髋关节发育不良患者发生盂唇撕裂、凸轮病变和关节囊松弛的风险更高。这些异常情况的组合会加剧关节不稳定，最终导致骨关节炎。不出所料，仅修复髋臼盂唇仍存在争议，且结果不可预测。在本技术说明及视频中，我们展示了一种完全内镜下的方法，用于同时修复中度髋关节发育不良中最常见的机械性异常：盂唇修复、凸轮骨软骨成形术、关节囊折叠术以及使用自体髂骨移植的髋臼加盖成形术。
