Sharfman Zachary T, Atzmon Ran, Gortzak Yair, Rotem Gilad, Drexler Michael, Haviv Barak, Amar Eyal, Rath Ehud
Tel Aviv University Sackler Faculty of Medicine.
Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, 6 Weizman Street, Tel Aviv 64239, Israel.
J Hip Preserv Surg. 2016 Jul 15;3(4):312-317. doi: 10.1093/jhps/hnw025. eCollection 2016 Oct.
The purpose of this study is to demonstrate the assessment of intra-capsular femoral head and neck tumors, and to describe the arthroscopic surgical technique used to resect and fill the bone defects. Three cases of benign femoral head and neck lesions are presented. Two benign enchondromas and one benign osteochondroma were resected arthroscopically. Traction was used in one case. Modified Harris Hip Score improved in all three cases to scores of 95 or greater with an average improvement of 16 points with a minimum follow up of 15 months. Arthroscopic surgical resection of intra-capsular femoral hip lesions offers an effective alternative to open resection. This technique offered good outcomes in the limited cohort. We suggest that arthroscopic resection of intra-capsular femoral hip lesions be considered in relevant cases as an alternative to open resection.
本研究的目的是展示对股骨头和股骨颈囊内肿瘤的评估，并描述用于切除和填充骨缺损的关节镜手术技术。本文介绍了3例股骨头和股骨颈良性病变的病例。通过关节镜切除了2例良性内生软骨瘤和1例良性骨软骨瘤。其中1例使用了牵引。所有3例患者的改良Harris髋关节评分均提高到95分或更高，平均提高16分，最短随访时间为15个月。关节镜手术切除股骨头囊内病变为开放切除提供了一种有效的替代方法。在这个有限的队列中，该技术取得了良好的效果。我们建议，在相关病例中，可考虑将关节镜切除股骨头囊内病变作为开放切除的替代方法。
