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股骨骨骺滑脱的由外向内技术:髋关节镜检查中一种安全且可重复的方法

The Outside-In Technique for Slipped Capital Femoral Epiphysis: A Safe and Reproducible Approach in Hip Arthroscopy.

作者信息

Salas Antonio Porthos, Brizuela-Ventura Miguel, Velasco-Vazquez Hector, Mazek Jacek

机构信息

Hip Arthroscopy and Preservation Mexico, San Pedro Garza Garcia, Mexico.

Hospital Angeles Valle Oriente, San Pedro Garza Garcia, Mexico.

出版信息

Arthrosc Tech. 2020 Mar 13;9(4):e493-e497. doi: 10.1016/j.eats.2019.12.001. eCollection 2020 Apr.

DOI:10.1016/j.eats.2019.12.001
PMID:32368469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7189202/
Abstract

Femoroacetabular impingement syndrome caused by slipped capital femoral epiphysis (SCFE) can be successfully treated arthroscopically and with the minimally invasive, outside-in surgical technique. The advantages of the technique are that the residual cam-type deformity caused by the slippage can be corrected and reconstructed reliably and reproducibly before distracting the hip joint; and radiation with fluoroscopy is used for only definitive reduction and reconstruction, which is obtained with cannulated screws. In addition, this safe technique allows distraction of the hip after screw placement, without affecting the reconstruction, to address labral tears and chondrolabral delaminations caused by the impingement.

摘要

由股骨头骨骺滑脱(SCFE)引起的股骨髋臼撞击综合征可通过关节镜及微创的由外向内手术技术成功治疗。该技术的优点在于,在髋关节牵开之前,能够可靠且可重复地矫正和重建由滑脱引起的残余凸轮型畸形;并且仅在使用空心螺钉进行最终复位和重建时使用荧光透视辐射。此外,这种安全技术允许在螺钉置入后牵开髋关节,而不影响重建,以处理由撞击引起的盂唇撕裂和软骨盂唇分层。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/949f6e4e8f9a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/0b2d2ed546c9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/841cdcf78b86/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/82e9c3102427/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/3665619f3512/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/949f6e4e8f9a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/0b2d2ed546c9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/841cdcf78b86/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/82e9c3102427/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/3665619f3512/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f178/7189202/949f6e4e8f9a/gr5.jpg

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本文引用的文献

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Arthrosc Tech. 2018 Oct 15;7(11):e1167-e1171. doi: 10.1016/j.eats.2018.07.014. eCollection 2018 Nov.
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Moderate and severe SCFE (Slipped Capital Femoral Epiphysis) arthroscopic osteoplasty vs open neck osteotomy-a retrospective analysis of results.中重度 SCFE(股骨头骨骺滑脱)关节镜下骨成形术与开放颈骨切开术的比较:结果的回顾性分析。
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Surgical treatment of femoroacetabular impingement after slipped capital femoral epiphysis.
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Surgical treatment of femoroacetabular impingement following slipped capital femoral epiphysis: A systematic review.股骨头骨骺滑脱后股骨髋臼撞击症的外科治疗:一项系统评价
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The use of hip arthroscopy in the management of the pediatric hip.髋关节镜在小儿髋关节治疗中的应用。
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Radiographic and anatomic landmarks to approach the anterior capsule in hip arthroscopy.髋关节镜检查中用于接近前囊的影像学和解剖学标志。
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