Matsuda Dean K, Martin Hal D, Parvizi Javad
DISC Sports and Spine, Marina del Rey, California, U.S.A.
The Hip Preservation Center, Dallas, Texas, U.S.A.
Arthrosc Tech. 2016 Mar 21;5(2):e275-80. doi: 10.1016/j.eats.2016.01.017. eCollection 2016 Apr.
Minimizing soft tissue dissection and improving visualization of vital structures during periacetabular osteotomy (PAO) is of paramount importance to improve patient outcome and minimize complications. The endoscopy-assisted PAO was introduced to accomplish this objective. It involves an initial hip arthroscopy, for treatment of central compartment pathology, followed by a mini-open Bernese periacetabular osteotomy under fluoroscopic and endoscopic guidance, and completed by final dynamic hip arthroscopy to assess acetabular reorientation and fixation and to perform femoroplasty in relation to the new acetabular rim position, if needed. Endoscopy-assisted PAO is used to treat dysplasia or acetabular retroversion in a minimally invasive fashion.
在髋臼周围截骨术（PAO）中，尽量减少软组织分离并改善重要结构的可视化对于改善患者预后和减少并发症至关重要。为实现这一目标，引入了内镜辅助PAO。它包括最初的髋关节镜检查，用于治疗中央间室病变，随后在荧光镜和内镜引导下进行微创的伯尔尼髋臼周围截骨术，最后通过动态髋关节镜检查评估髋臼重新定位和固定情况，并在需要时根据新的髋臼边缘位置进行股骨成形术。内镜辅助PAO用于以微创方式治疗发育异常或髋臼后倾。
