Domb Benjamin G, Gupta Asheesh, Stake Christine E, Hammarstedt Jon E, Redmond John M
American Hip Institute, Chicago, Illinois, U.S.A.
Arthrosc Tech. 2014 May 27;3(3):e355-9. doi: 10.1016/j.eats.2014.02.004. eCollection 2014 Jun.
Labral reconstruction is becoming an important treatment modality for hips with nonsalvageable labra. Nonsalvageable labra can be present in cases of intrasubstance damage, revision surgery after debridement, labral calcification, and hypoplasia. Previous methods of reconstruction have been performed in an open manner and arthroscopically using ligamentum teres, iliotibial band, and gracilis autograft. We present an alternate method of arthroscopic labral reconstruction using capsular autograft. The technique uses readily available capsular tissue during arthroscopy with no donor-site morbidity. This technique may be valuable in appropriately selected patients with labral deficiency.
盂唇重建正成为治疗无法修复的盂唇的重要治疗方式。无法修复的盂唇可见于实质内损伤、清创术后翻修手术、盂唇钙化和发育不全的病例。以前的重建方法采用开放方式或关节镜下使用圆韧带、髂胫束和股薄肌自体移植物进行。我们介绍一种使用关节囊自体移植物进行关节镜下盂唇重建的替代方法。该技术在关节镜检查期间使用容易获取的关节囊组织,且无供区并发症。该技术对于适当选择的盂唇缺损患者可能具有重要价值。