Carton Patrick Finton, Filan David
The Hip and Groin Clinic, Whitfield Clinic Medical Centre, Waterford City, Ireland.
J Hip Preserv Surg. 2017 Oct 10;5(1):78-87. doi: 10.1093/jhps/hnx038. eCollection 2018 Jan.
Arthroscopic labral 'takedown' and refixation is utilized to permit adequate visualization and resection of the acetabular rim deformity, in patients with pincer or mixed femoroacetabular impingement. Deficiencies exist in present techniques, which include disruption of vital anatomical support and vascular structures to the labrum and chondrolabral junction, drill or anchor articular penetration risk, bunching, elevation and instability of the labrum. A new operative technique is described which preserves the important chondrolabral interface, accurately restoring the 'flap seal' of the acetabular labrum while minimizing vascular disruption and reducing the risk of drill and anchor penetration. A prospective series of 123 consecutive cases of pincer or mixed femoroacetabular impingement, treated with arthroscopic labral cuff refixation and preservation of the chondrolabral interface, is reported; operative technique and 2-year outcomes are presented.
对于钳夹型或混合型股骨髋臼撞击症患者，关节镜下盂唇“松解”及重新固定可用于充分显露和切除髋臼边缘畸形。现有技术存在不足之处，包括对盂唇和软骨盂唇交界处重要解剖结构支撑及血管结构的破坏、钻头或锚钉穿透关节的风险、盂唇的聚集、抬高和不稳定。本文描述了一种新的手术技术，该技术保留了重要的软骨盂唇界面，精确恢复髋臼盂唇的“瓣状密封”，同时将血管破坏降至最低，并降低钻头和锚钉穿透的风险。本文报告了一组前瞻性研究，连续123例钳夹型或混合型股骨髋臼撞击症患者接受了关节镜下盂唇袖带重新固定并保留软骨盂唇界面的治疗；介绍了手术技术及2年的治疗结果。
