Howse Elizabeth A, Botros Daniel B, Mannava Sandeep, Stone Austin V, Stubbs Allston J
Department of Emergency Medicine, Kaiser Permanente Walnut Creek Medical Center, Walnut Creek, California, U.S.A.
Wake Forest University School of Medicine, Winston-Salem, North Carolina, U.S.A.
Arthrosc Tech. 2016 Mar 14;5(2):e247-50. doi: 10.1016/j.eats.2015.12.003. eCollection 2016 Apr.
Hip arthroscopy has gained popularity in recent years for diagnostic and therapeutic hip preservation management. This article details the establishment of arthroscopic portals of the hip, specifically the anterolateral and modified anterior portals without fluoroscopic guidance. The anterolateral portal is established anatomically, and the modified anterior portal is then established under arthroscopic guidance. A through understanding of the hip anatomy allows for these portals to be made both safely and reliably for hip arthroscopies in the modified supine positioned patient. The reduced use of fluoroscopy with this technique lowers the risk of ionizing radiation exposure to the patient and surgeon.
近年来，髋关节镜检查在诊断和治疗髋关节保留管理方面越来越受欢迎。本文详细介绍了髋关节镜入口的建立，特别是在无荧光透视引导下的前外侧和改良前入口。前外侧入口通过解剖定位建立，然后在关节镜引导下建立改良前入口。对髋关节解剖结构的透彻理解使这些入口能够在改良仰卧位患者的髋关节镜检查中安全可靠地建立。该技术减少了荧光透视的使用，降低了患者和外科医生受到电离辐射的风险。
