Sheean Andrew J, Barrow Aaron E, Burns Travis C, Schmitz Matthew R
From the San Antonio Military Medical Center, San Antonio, TX.
J Am Acad Orthop Surg. 2017 Aug;25(8):594-599. doi: 10.5435/JAAOS-D-16-00231.
Hip dislocation following hip arthroscopy is a devastating complication. Previous reports of arthroscopy-related iatrogenic instability have focused on strategies aimed at restoring the stabilizing effects of the hip joint capsuloligamentous complex. Less has been written about treatment options for patients in whom deficient acetabular coverage of the femoral head is implicated in the functionally unstable hip joint. Given this relative paucity of information, an optimal treatment approach has yet to be elucidated for these patients. Periacetabular osteotomy has been described as a treatment for iatrogenic hip instability related to surgical hip dislocation; however, to our knowledge, this is the first case of a patient with hip arthroscopy-related iatrogenic instability manifesting as recurrent, frank dislocations treated with periacetabular osteotomy.
髋关节镜检查后发生的髋关节脱位是一种严重的并发症。先前关于关节镜相关医源性不稳定的报道主要集中在旨在恢复髋关节囊韧带复合体稳定作用的策略上。对于股骨头髋臼覆盖不足导致髋关节功能不稳定的患者，关于其治疗选择的报道较少。鉴于这方面的信息相对匮乏，尚未阐明针对这些患者的最佳治疗方法。髋臼周围截骨术已被描述为治疗与手术性髋关节脱位相关的医源性髋关节不稳定的一种方法；然而，据我们所知，这是首例因髋关节镜相关医源性不稳定表现为复发性、明显脱位而接受髋臼周围截骨术治疗的患者。
