Forster-Horvath Csaba, Domb Benjamin G, Ashberg Lyall, Herzog Richard F
Orthopaedic Department, Lucerne County Hospitals Wolhusen, Wolhusen, Switzerland.
American Hip Institute, Westmont, Illinois, U.S.A.
Arthrosc Tech. 2017 Apr 3;6(2):e397-e400. doi: 10.1016/j.eats.2016.10.015. eCollection 2017 Apr.
Most surgeons create a T-shaped or interportal capsulotomy to ensure good visibility when performing hip arthroscopy. This entails transecting the iliofemoral ligament, which may or may not be repaired at the end of the procedure. Cases of iatrogenic hip instability and pain after hip arthroscopy suggest that the iliofemoral ligament plays a crucial role in the stability of the hip joint, and thus preservation should be a goal in hip arthroscopy. We describe a minimally invasive iliofemoral ligament-sparing capsulotomy, guided by the reflected head of the rectus tendon, that can be easily repaired after arthroscopic rim trimming, labral refixation, and offset correction.
大多数外科医生在进行髋关节镜检查时会做一个T形或经入口关节囊切开术，以确保良好的视野。这需要横断髂股韧带，在手术结束时该韧带可能会修复，也可能不会修复。髋关节镜检查后出现医源性髋关节不稳定和疼痛的病例表明，髂股韧带在髋关节稳定性中起关键作用，因此在髋关节镜检查中应将保留该韧带作为目标。我们描述了一种在直肌腱反射头引导下的微创保留髂股韧带的关节囊切开术，在关节镜下修整髋臼边缘、修复盂唇和纠正偏移后可以很容易地进行修复。
