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成人股骨髋臼撞击症手术治疗的结果

Outcomes for Surgical Treatment of Femoroacetabular Impingement in Adults.

作者信息

Chambers Caitlin C, Zhang Alan L

机构信息

Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Ave, Minneapolis, MN, 55454, USA.

Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, CA, USA.

出版信息

Curr Rev Musculoskelet Med. 2019 Jul 10;12(3):271-280. doi: 10.1007/s12178-019-09567-1.

DOI:10.1007/s12178-019-09567-1
PMID:31292893
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6684675/
Abstract

PURPOSE OF REVIEW

To assess the outcomes of modern techniques for arthroscopic surgery in the treatment of femoroacetabular impingement.

RECENT FINDINGS

While initially approached by means of open surgical hip dislocation, recent literature has shown generally good outcomes of arthroscopic treatment for femoroacetabular impingement. Modern advances in hip arthroscopy technique and implants now allow for labral repair or reconstruction when indicated. Arthroscopic treatment of femoroacetabular impingement results in significant improvements in patient pain and function, with low complication rates and high patient satisfaction. A majority of improvements in these patients occur within 1 to 2 years post-operatively. Hip arthroscopy for femoroacetabular impingement yields the best results in patients without significant arthritis or hip dysplasia.

摘要

综述目的

评估现代关节镜手术技术治疗股骨髋臼撞击症的效果。

最新发现

虽然最初通过开放手术髋关节脱位来处理,但近期文献表明,关节镜治疗股骨髋臼撞击症总体效果良好。髋关节镜技术和植入物的现代进展现在允许在有指征时进行盂唇修复或重建。关节镜治疗股骨髋臼撞击症可显著改善患者疼痛和功能,并发症发生率低,患者满意度高。这些患者的大多数改善在术后1至2年内出现。对于无明显关节炎或髋关节发育不良的患者,髋关节镜治疗股骨髋臼撞击症效果最佳。

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本文引用的文献

1
Periportal Capsulotomy: A Technique for Limited Violation of the Hip Capsule During Arthroscopy for Femoroacetabular Impingement.门静脉周围关节囊切开术:一种在髋关节镜检查治疗股骨髋臼撞击症时有限度地切开髋关节囊的技术。
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In Revision Hip Arthroscopy, Labral Reconstruction Can Address a Deficient Labrum, but Labral Repair Retains Its Role for the Reparable Labrum: A Matched Control Study.在 Revision Hip Arthroscopy 中,盂唇重建可以解决有缺陷的盂唇问题,但盂唇修复对于可修复的盂唇仍有其作用:一项匹配对照研究。
Am J Sports Med. 2018 Dec;46(14):3437-3445. doi: 10.1177/0363546518809063. Epub 2018 Nov 12.
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Hip Arthroscopy for Femoroacetabular Impingement and Labral Tears in Patients Younger than 50 Years: Minimum Five-year Outcomes, Survivorship, and Risk Factors for Reoperations.髋关节镜治疗 50 岁以下患者的股骨髋臼撞击症和盂唇撕裂:至少 5 年的结果、生存率和再次手术的风险因素。
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When Do Patients Improve After Hip Arthroscopy for Femoroacetabular Impingement? A Prospective Cohort Analysis.髋关节镜治疗股骨髋臼撞击症后患者何时改善?一项前瞻性队列分析。
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Lancet. 2018 Jun 2;391(10136):2225-2235. doi: 10.1016/S0140-6736(18)31202-9. Epub 2018 Jun 1.
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Minimum Five-Year Outcomes of Hip Arthroscopy for the Treatment of Femoroacetabular Impingement and Labral Tears in Patients with Obesity: A Match-Controlled Study.肥胖患者髋关节镜治疗股骨髋臼撞击症和盂唇撕裂的至少 5 年随访结果:一项匹配对照研究。
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Midterm Outcomes and Return to Sports Among Athletes Undergoing Hip Arthroscopy.髋关节镜术后运动员的中期结果和重返运动情况。
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