Aoki Stephen K, Beckmann James T, Wylie James D
Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, U.S.A.
Arthrosc Tech. 2016 Jul 18;5(4):e743-e749. doi: 10.1016/j.eats.2016.02.024. eCollection 2016 Aug.
Arthroscopic osteochondroplasty has become the most common treatment for cam-type femoroacetabular impingement. However, gauging the appropriate depth and location of the femoral osteochondroplasty remains challenging, given the parallax observed from using a 70° arthroscope across multiple viewing perspectives. Consequently, reliable techniques must use a combination of arthroscopic and fluoroscopic checks and balances to assess the femoral head-neck junction to help guide bony resection. We have developed a technique for osteochondroplasty that has made the process more efficient and reliable in our hands. It involves creating a trough at the apex of the osteochondroplasty and then contouring the proximal and distal regions to re-create normal proximal femoral geometry. This article details our technique for femoral osteochondroplasty, which can be performed alone for isolated cam impingement or in concert with other intra- and extra-articular procedures to address associated hip pathology.
关节镜下骨软骨成形术已成为治疗凸轮型股骨髋臼撞击症最常用的方法。然而，由于使用70°关节镜从多个视角观察时会出现视差，确定股骨骨软骨成形术的合适深度和位置仍然具有挑战性。因此，可靠的技术必须结合关节镜检查和透视检查与平衡，以评估股骨头-颈交界处，帮助指导骨切除。我们已经开发出一种骨软骨成形术技术，在我们手中，该过程变得更加高效和可靠。它包括在骨软骨成形术的顶点创建一个凹槽，然后对近端和远端区域进行塑形，以重新塑造正常的股骨近端形态。本文详细介绍了我们的股骨骨软骨成形术技术，该技术可单独用于孤立的凸轮撞击症，也可与其他关节内和关节外手术联合进行，以解决相关的髋关节病变。
