Zhang Hong, Luo Dianzhong, Cheng Hui
Department of Joint Surgery, First Affiliated Hospital of PLA General Hospital, Beijing, 100048,
Department of Joint Surgery, First Affiliated Hospital of PLA General Hospital, Beijing, 100048, P.R.China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Jul 15;32(7):854-859. doi: 10.7507/1002-1892.201806079.
During the past decades, the field of hip preservation in China has achieved great improvements. Theoretically, the blood supply of the femoral head and the acetabulum along with the mechanism of early-stage hip osteoarthritis has been gradually cleared. The knowledge and application of the periacetabular osteotomy, surgical hip dislocation, and hip arthroscopy has been vigorously promoted. Improved understanding of the mechanism, pathology, and prevention protocols of the secondary hip dysplasia have been obtained, despite the fact that lack of awareness of some mechanism and detail, for example, hip instability or borderline dysplasia, . On the basis of summing up those clinical progress, this article further elaborated the historical development of hip preservation through the review of several traditional treatment, and made objective assessment about the follow-up, evaluation, minimally invasive surgery, and individualized treatment newly reported.
在过去几十年里，中国的髋关节保留领域取得了巨大进步。从理论上讲，股骨头和髋臼的血液供应以及早期髋骨关节炎的机制已逐渐明晰。髋臼周围截骨术、手术性髋关节脱位和髋关节镜检查的知识及应用得到了大力推广。尽管对一些机制和细节（例如髋关节不稳定或临界发育不良）缺乏认识，但对继发性髋关节发育不良的机制、病理及预防方案有了更深入的了解。在总结这些临床进展的基础上，本文通过回顾几种传统治疗方法，进一步阐述了髋关节保留的历史发展，并对新报道的随访、评估、微创手术及个体化治疗进行了客观评估。
