髋关节镜检查的并发症
Complications in Hip Arthroscopy.
作者信息
Nakano Naoki, Khanduja Vikas
机构信息
Department of Trauma and Orthopaedics, Addenbrooke's, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
出版信息
Muscles Ligaments Tendons J. 2016 Dec 21;6(3):402-409. doi: 10.11138/mltj/2016.6.3.402. eCollection 2016 Jul-Sep.
Abstract
BACKGROUND
Recent developments in hip arthroscopic techniques and technology have made it possible in many cases to avoid open surgical dislocation for treating a variety of pathology in the hip. Although early reports suggest favourable results' using hip arthroscopy and it has been shown to be a relatively safe procedure, complications do exist and can sometimes lead to significant morbidity.
METHODS
This is a review article. The aim of this manuscript is to present the most frequent and/or serious complications that could occur at or following hip arthroscopy and some guidelines to avoid these complications.
CONCLUSION
Most complications of hip arthroscopy are minor or transient but serious complications can occur as well. A lot of complication e.g. acetabular labral puncture go unreported. Appropriate education and training, precise and meticulous surgical technique with correct instrumentation, the right indication in the right patient and adherence to advice from mentors and experienced colleagues are all essential factors for a successful outcome. Level of evidence: V.
摘要
背景
髋关节镜技术和设备的最新进展使得在许多情况下避免切开手术脱位来治疗髋关节的各种病变成为可能。尽管早期报告显示使用髋关节镜有良好的效果，并且已证明这是一种相对安全的手术，但并发症确实存在，有时可能导致严重的发病情况。
方法
这是一篇综述文章。本文的目的是介绍髋关节镜手术时或术后可能发生的最常见和/或最严重的并发症，以及一些避免这些并发症的指南。
结论
髋关节镜手术的大多数并发症是轻微的或短暂的，但也可能发生严重并发症。许多并发症，例如髋臼盂唇穿刺，并未报告。适当的教育和培训、使用正确器械的精确细致的手术技术、对合适患者的正确适应症选择以及遵循导师和有经验同事的建议，都是取得成功结果的关键因素。证据级别：V级
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