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一篇批判性综述:髋关节关节缺损的管理与手术选择

A Critical Review: Management and Surgical Options for Articular Defects in the Hip.

作者信息

Makhni Eric C, Stone Austin V, Ukwuani Gift C, Zuke William, Garabekyan Tigran, Mei-Dan Omer, Nho Shane J

机构信息

Division of Sports Medicine, Department of Orthopedic Surgery, Henry Ford Health System, 6777 West Maple Road, 3rd Floor East, West Bloomfield, MI 48322, USA.

Department of Orthopedic Surgery, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1070, USA.

出版信息

Clin Sports Med. 2017 Jul;36(3):573-586. doi: 10.1016/j.csm.2017.02.010. Epub 2017 Apr 26.

Abstract

Patients with articular cartilage lesions of the hip may present with pain and symptoms that may be vague in nature and onset. Therefore, a thorough history and physical examination should be performed for every patient presenting with hip pain and/or disability. The management may be operative or nonoperative. Nonoperative management includes a trial of rest and/or activity modification, along with anti-inflammatory medications, physical therapy, and biologic injections. Operative treatment in the form of arthroscopic techniques continues to decrease morbidity and offer innovative solutions and new applications for microfracture, ACT, and AMIC.

摘要

髋关节软骨损伤患者可能出现疼痛和性质及发作时间不明确的症状。因此,对于每一位出现髋关节疼痛和/或功能障碍的患者,都应进行全面的病史询问和体格检查。治疗方法可分为手术治疗和非手术治疗。非手术治疗包括休息和/或调整活动的试验,以及使用抗炎药物、物理治疗和生物注射。关节镜技术形式的手术治疗持续降低发病率,并为微骨折、自体软骨细胞移植和基质诱导自体软骨细胞移植提供创新解决方案和新应用。

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