Chen Jeffrey W, Rosinsky Philip J, Shapira Jacob, Maldonado David R, Kyin Cynthia, Lall Ajay C, Domb Benjamin G
Vanderbilt University School of Medicine, Nashville, Tennessee, U.S.A.
American Hip Institute Research Foundation, Des Plaines, Illinois, U.S.A.
Arthrosc Tech. 2020 Feb 7;9(2):e239-e245. doi: 10.1016/j.eats.2019.10.003. eCollection 2020 Feb.
Management of chondral lesions of the femoral head can be challenging. Previously described approaches include arthroscopic surgery for small lesions and open surgical dislocation for larger lesions. In 2001, Ganz popularized the trochanteric flip osteotomy for surgical dislocation, and this remains the workhorse for treatment of large chondral lesions. However, by using a Smith-Peterson (direct anterior) approach and a femoral head allograft, large lesions may be treated while avoiding both trochanteric osteotomy and donor-site morbidity. We present our technique using a Smith-Peterson approach and osteochondral implantation of fresh femoral head allograft for surgical treatment of a femoral head chondral lesion.
股骨头软骨损伤的治疗颇具挑战性。先前描述的方法包括针对小损伤的关节镜手术以及针对大损伤的开放手术脱位。2001年，甘茨推广了用于手术脱位的转子翻转截骨术，这仍是治疗大软骨损伤的主要方法。然而，通过采用史密斯-彼得森（直接前路）入路和股骨头同种异体骨移植，可以在避免转子截骨术和供区并发症的同时治疗大损伤。我们介绍了我们使用史密斯-彼得森入路和新鲜股骨头同种异体骨软骨植入术治疗股骨头软骨损伤的技术。
