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髋关节镜下自体骨软骨移植治疗股骨头剥脱性骨软骨炎

Hip Arthroscopic Osteochondral Autologous Transplantation for Treating Osteochondritis Dissecans of the Femoral Head.

作者信息

Kubo Takanori, Utsunomiya Hajime, Watanuki Makoto, Hayashi Hidetoshi, Sakai Akinori, Uchida Soshi

机构信息

AR-Ex Medical Group, Tokyo Arthroscopy Center, Tokyo, Japan.

Department of Orthopaedic Surgery, Wakamatsu Hospital, Kitakyushu, Japan.

出版信息

Arthrosc Tech. 2015 Nov 9;4(6):e675-80. doi: 10.1016/j.eats.2015.07.011. eCollection 2015 Dec.

Abstract

Osteochondritis dissecans (OCD) of the femoral head is not a common source of hip pain. Hip arthroscopy is becoming a more frequent indication for intra-articular pathologies of the hip. Osteochondral autologous transplantation is a promising technique that theoretically can reconstruct osteochondral lesions of the femoral head. We describe our technique for arthroscopic antegrade osteochondral autologous transplantation for the treatment of OCD of the femoral head. The advantages of this technique include that it is a less invasive method with the ability to assess and treat intra-articular pathologies associated with OCD of the femoral head at same time. Case series and outcomes after this technique are not currently reported in the literature; however, it could be a less invasive method and provide favorable clinical outcomes for patients with OCD lesions of the femoral head.

摘要

股骨头剥脱性骨软骨炎(OCD)并非髋部疼痛的常见原因。髋关节镜检查越来越多地用于诊断髋部关节内病变。自体骨软骨移植是一种很有前景的技术,理论上可以修复股骨头的骨软骨损伤。我们描述了用于治疗股骨头剥脱性骨软骨炎的关节镜下顺行自体骨软骨移植技术。该技术的优点包括侵入性较小,并且能够同时评估和治疗与股骨头剥脱性骨软骨炎相关的关节内病变。目前文献中尚未报道该技术的病例系列和治疗结果;然而,它可能是一种侵入性较小的方法,并为患有股骨头剥脱性骨软骨炎病变的患者提供良好的临床效果。

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