Maldonado David R, Chen Jeffrey W, Lall Ajay C, Walker-Santiago Rafael, Shapira Jacob, Rosinsky Philip J, Chen Sarah, Domb Benjamin G
American Hip Institute, Des Plaines, Illinois, U.S.A.
Arthrosc Tech. 2019 Sep 21;8(10):e1209-e1216. doi: 10.1016/j.eats.2019.06.010. eCollection 2019 Oct.
The importance of the labrum in the biomechanics of the hip joint is well documented. Labral tears are the most common pathology in patients undergoing hip arthroscopy and therefore appropriate labral management is vital. Labral preservation has been advocated as a superior alternative to labral excision in terms of clinical outcomes. While reconstruction of the labrum is recommended for irreparable tears, labral augmentation is a viable alternative for labral function restoration under certain indications. This Technical Note will describe a method for arthroscopic hip labral augmentation using an anterior tibialis tendon allograft and the pull-through technique.
髋臼唇在髋关节生物力学中的重要性已有充分文献记载。髋臼唇撕裂是接受髋关节镜检查患者中最常见的病理情况，因此恰当的髋臼唇处理至关重要。就临床结果而言，髋臼唇保留已被倡导为优于髋臼唇切除的替代方法。虽然对于无法修复的撕裂推荐进行髋臼唇重建，但在某些适应证下，髋臼唇增强是恢复髋臼唇功能的可行替代方法。本技术说明将描述一种使用胫前肌腱同种异体移植物和牵拉技术进行关节镜下髋臼唇增强的方法。
