Wolff Andrew B, Grossman Jamie
Department of Orthopedic Surgery, Washington Orthopaedics and Sports Medicine, 2021 K Street Northwest, Suite 516, Washington, DC 20006, USA.
Department of Orthopaedic Surgery, Lenox Hill Hospital, 210 East 64th Street, New York, NY 10065, USA.
Clin Sports Med. 2016 Jul;35(3):345-360. doi: 10.1016/j.csm.2016.02.004. Epub 2016 Apr 23.
The options for labral treatment are debridement, repair, and reconstruction. Debridement of labral tissue is indicated when there is peripheral tearing of the labrum that does not compromise the functionality of the labrum at its base or if the labrum is not playing an important role in the patient's pathology. Labral repair is performed when the base of the labrum is unstable at its attachment at the acetabular rim and the tissue is of otherwise good quality. Labral reconstruction is an option for labral tissue compromised beyond repair, segmental labral defect, or previous failed repair.
髋臼唇缘的治疗方法包括清创、修复和重建。当髋臼唇缘出现周边撕裂但不影响其基部功能,或髋臼唇缘在患者病理过程中未起重要作用时,需对髋臼唇缘组织进行清创。当髋臼唇缘基部在髋臼边缘的附着处不稳定但组织质量良好时,需进行髋臼唇缘修复。对于无法修复的髋臼唇缘组织损伤、节段性髋臼唇缘缺损或先前修复失败的情况,髋臼唇缘重建是一种选择。