Severyns Mathieu, Andeol Quentin, Flurin Laure, Abdellatif Kerim, Cazor Antoine, Vendeuvre Tanguy, Hostalrich Francois-Xavier, Benchikh El-Fegoun Abdelkrim, Odri Guillaume Anthony
CHU Martinique (University Hospital of Martinique), Orthopaedic and Traumatologic Department, Martinique, France.
CHU Martinique (University Hospital of Martinique), Department of Infectious Diseases, Martinique, France.
Arthrosc Tech. 2020 Jul 14;9(8):e1067-e1071. doi: 10.1016/j.eats.2020.04.002. eCollection 2020 Aug.
Hip dysplasia is an important cause of osteoarthritis in young adults. For these patients, conservative treatment is an interesting alternative to arthroplasty. The current literature suggests better clinical and functional outcomes when shelf acetabuloplasty is performed for a moderate joint pinch (<50%) associated with an important external coverage defect of the acetabular cup (<25°). Compared with open surgical procedures, minimally invasive surgical techniques or arthroscopy tend to reduce morbidity. To date, the major intraoperative difficulty remains the positioning of the graft. This Technical Note aims to outline a minimally invasive shelf acetabuloplasty, with optimization of the position of the autologous iliac crest bone graft using 3-dimensional navigation.
髋关节发育不良是年轻成年人骨关节炎的一个重要原因。对于这些患者，保守治疗是关节置换术的一个有吸引力的替代方案。当前文献表明，当针对伴有髋臼杯重要外展覆盖缺陷（<25°）的中度关节夹挤（<50%）进行髋臼造盖术时，临床和功能结局更佳。与开放手术相比，微创外科技术或关节镜检查往往能降低发病率。迄今为止，主要的术中困难仍然是移植物的定位。本技术说明旨在概述一种微创髋臼造盖术，利用三维导航优化自体髂嵴骨移植物的位置。
