Matsuda Dean K, Ching Kaycee, Matsuda Nicole A
Department of Orthopedics, DISC Sports and Spine, Marina del Rey, California, U.S.A.
University of California, Berkeley, California, U.S.A.
Arthrosc Tech. 2017 Jul 3;6(4):e913-e919. doi: 10.1016/j.eats.2017.03.002. eCollection 2017 Aug.
Many patients are afflicted with painful conditions affecting both hips, most commonly femoroacetabular impingement. Some patients prefer the advantage of undergoing a single surgical procedure and anesthetic followed by a single postoperative rehabilitation program. We present a Technical Note on single-stage bilateral hip arthroscopy. This Technical Note reports on key steps enabling safe and efficient performance of bilateral arthroscopic acetabuloplasty, labral refixation, femoroplasty, and dynamic testing while limiting traction times and facilitating rapid transition to the second hip arthroscopic surgery. Enabling factors include supine positioning with bilateral mobile leg spars, rapid surgical and hip traction times, and postoperative rehabilitation with immediate weight bearing as tolerated. A rationale for deciding which hip should undergo arthroscopy first is also offered. Concurrent bilateral hip arthroscopy is a viable option for select patients and experienced surgical teams, enabling potentially expedited recovery and return to work or sport with inherent cost savings.
许多患者患有影响双侧髋关节的疼痛性疾病，最常见的是股骨髋臼撞击症。一些患者倾向于选择接受单次外科手术和麻醉，随后进行单一术后康复计划的优势。我们展示了一篇关于一期双侧髋关节镜检查的技术说明。本技术说明报告了关键步骤，这些步骤能够安全、高效地进行双侧关节镜下髋臼成形术、盂唇修复术、股骨成形术和动态测试，同时限制牵引时间并便于快速过渡到第二次髋关节镜手术。促成因素包括仰卧位并使用双侧可移动腿撑、快速的手术和髋关节牵引时间，以及术后可耐受时立即负重的康复方式。还提供了决定先对哪一侧髋关节进行关节镜检查的理由。对于特定患者和经验丰富的手术团队来说，同期双侧髋关节镜检查是一个可行的选择，有可能加快康复进程，使其恢复工作或运动，同时节省成本。
