Ricciardi Benjamin F, Sink Ernest L
Center for Hip Pain and Preservation, Hospital for Special Surgery, New York, NY.
J Pediatr Orthop. 2014 Oct-Nov;34 Suppl 1:S25-31. doi: 10.1097/BPO.0000000000000296.
Surgical hip dislocation (SHD) is a versatile approach used to address both intra-articular and extra-articular pathology around the hip joint in both pediatric and adult patients. It allows anterior dislocation of the femoral head for direct visualization of the hip joint while preserving femoral head vascularity and minimizing trauma to the abductor musculature. Previously described indications for SHD include femoroacetabular impingement, deformity resulting from Legg-Calve-Perthes disease, slipped capital femoral epiphysis, periarticular trauma, benign lesions of the hip joint, and osteochondral lesions. In this review, we will describe current surgical techniques, indications, and clinical outcomes for SHD.
手术性髋关节脱位(SHD)是一种通用的手术方法,用于治疗儿童和成人患者髋关节周围的关节内和关节外病变。它可使股骨头向前脱位,以便直接观察髋关节,同时保留股骨头血供并将对外展肌的创伤降至最低。先前描述的SHD适应证包括股骨髋臼撞击症、Legg-Calve-Perthes病导致的畸形、股骨头骨骺滑脱、关节周围创伤、髋关节良性病变以及骨软骨病变。在本综述中,我们将描述SHD的当前手术技术、适应证和临床结果。