Adler Kelly L, Cook P Christopher, Geisler Paul R, Yen Yi-Meng, Giordano Brian D
Department of Orthopaedics & Rehabilitation, Division of Sports Medicine, Hip Preservation Program, University of Rochester Medical Center, Rochester, New York.
Department of Exercise & Sport Science, Athletic Training Education Program, Ithaca College, Ithaca, New York.
Sports Health. 2016 Jan-Feb;8(1):57-64. doi: 10.1177/1941738115577621. Epub 2015 Mar 19.
Successful treatment of nonarthritic hip pain in young athletic individuals remains a challenge. A growing fund of clinical knowledge has paralleled technical innovations that have enabled hip preservation surgeons to address a multitude of structural variations of the proximal femur and acetabulum and concomitant intra-articular joint pathology. Often, a combination of open and arthroscopic techniques are necessary to treat more complex pathomorphologies. Peri- and postoperative recovery after such procedures can pose a substantial challenge to the patient, and a dedicated, thoughtful approach may reduce setbacks, limit morbidity, and help optimize functional outcomes.
PubMed and CINAHL databases were searched to identify relevant scientific and review articles through December 2014 using the search terms hip preservation, labrum, surgical dislocation, femoroacetabular impingement, postoperative rehabilitation, peri-acetabular osteotomy, and rotational osteotomy. Reference lists of included articles were reviewed to locate additional references of interest.
Clinical review.
Level 4.
Hip preservation procedures and appropriate rehabilitation have allowed individuals to return to a physically active lifestyle.
Effective postoperative rehabilitation must consider modifications and precautions specific to the particular surgical techniques used. Proper postoperative rehabilitation after hip preservation surgery may help optimize functional recovery and maximize clinical success and patient satisfaction.
成功治疗年轻运动员的非关节炎性髋关节疼痛仍然是一项挑战。随着临床知识的不断积累，技术创新也在同步发展，这使得髋关节保留手术医生能够应对股骨近端和髋臼的多种结构变异以及随之而来的关节内病理状况。通常，需要结合开放手术和关节镜技术来治疗更复杂的病理形态。此类手术后的围手术期和术后恢复可能给患者带来巨大挑战，而一种专门、周全的方法可能会减少挫折、降低发病率并有助于优化功能结果。
检索了PubMed和CINAHL数据库，以通过使用搜索词“髋关节保留”“盂唇”“手术脱位”“股骨髋臼撞击症”“术后康复”“髋臼周围截骨术”和“旋转截骨术”来识别截至2014年12月的相关科学和综述文章。对纳入文章的参考文献列表进行了审查，以找到其他感兴趣的参考文献。
临床综述。
4级。
髋关节保留手术和适当的康复使患者能够恢复积极的身体活动生活方式。
有效的术后康复必须考虑特定手术技术所特有的调整和预防措施。髋关节保留手术后适当的术后康复可能有助于优化功能恢复，并最大限度地提高临床成功率和患者满意度。
