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用于股骨髋臼撞击症的髋关节镜检查:超声引导下的鸟瞰/正面视角及三维髋关节打印

Hip Arthroscopy for Femoral Acetabular Impingement: A Bird's-Eye/En Face Perspective With Ultrasound Guidance and 3-Dimensional Hip Printing.

作者信息

Ali Malik I, Ravipati Anjaneyulu Purnachandra Tejaswi, Wong Ivan

机构信息

Faculty of Medicine, Dalhousie University.

Division of Orthopaedic Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

Arthrosc Tech. 2019 Oct 7;8(11):e1301-e1307. doi: 10.1016/j.eats.2019.07.004. eCollection 2019 Nov.

Abstract

Femoral acetabular impingement is a common hip disorder that may prove debilitating to many patients. Surgical management is indicated by way of hip arthroscopy for impinging CAM and pincer acetabular lesions. Traditionally, fluoroscopy has been used for the intraoperative assessment of bony resection; however, many disadvantages include radiation risks, equipment demands, and more. With ultrasound-guided arthroscopy, we describe the use of 1:1 3-dimensional hip printed models through various visual perspectives of impinging lesions. Given the low cost of 3-dimensional hip printing, lack of radiation exposure, and tactile multiangular views, we propose a safer and more reproducible intraoperative technique to conventional fluoroscopy to achieve better resection and outcomes after femoral acetabular impingement surgery.

摘要

股骨髋臼撞击症是一种常见的髋关节疾病,可能会使许多患者衰弱。对于撞击性钳夹型髋臼病变,手术治疗采用髋关节镜检查。传统上,荧光透视用于术中骨切除评估;然而,其存在诸多缺点,包括辐射风险、设备需求等。通过超声引导关节镜检查,我们描述了通过撞击性病变的各种视觉角度使用1:1三维髋关节打印模型的情况。鉴于三维髋关节打印成本低、无辐射暴露以及具有触觉多角度视图,我们提出一种比传统荧光透视更安全、更可重复的术中技术,以在股骨髋臼撞击症手术后实现更好的切除效果和预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/509b/6926318/aa5d9d2a9c41/gr1.jpg

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