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髋关节镜手术为何失败?翻修成功的适应证和要点。

Why Does Hip Arthroscopy Fail? Indications and PEARLS for Revision Success.

机构信息

BocaCare Orthopedics-Boca Raton Regional Hospital, Florida Atlantic University College of Medicine, Boca Raton, FL.

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.

出版信息

Sports Med Arthrosc Rev. 2021 Mar 1;29(1):44-51. doi: 10.1097/JSA.0000000000000300.

DOI:10.1097/JSA.0000000000000300
PMID:33395230
Abstract

The surgical treatment of femoroacetabular impingement has been shown to have successful early and mid-term clinical outcomes. Despite these favorable clinical outcomes that have been published in the literature, there is a subgroup of patients that present with continued or recurrent symptoms after surgical treatment. Not only has there been an increase in the number of hip arthroscopy procedures, but also there has been a corresponding increase in the number of revision hip arthroscopy and hip preservation surgeries. Previous studies have reported residual deformity to be the most common reason for revision hip arthroscopy. However, chondral, labral, and capsular considerations also are important when addressing patients not only in the primary but also, the revision setting. In this review, we outline the evaluation and treatment of the patient that presents with continued hip and groin pain after undergoing a hip.

摘要

髋关节撞击综合征的手术治疗已被证明具有良好的早期和中期临床疗效。尽管文献中已经发表了这些有利的临床结果,但仍有一部分患者在手术后出现持续或复发的症状。不仅髋关节镜手术的数量有所增加,而且髋关节镜翻修手术和髋关节保髋手术的数量也相应增加。既往研究报道残余畸形是髋关节镜翻修的最常见原因。然而,在处理初次手术和翻修手术的患者时,软骨、盂唇和关节囊的考虑也很重要。在这篇综述中,我们概述了髋关节手术后持续髋关节和腹股沟疼痛患者的评估和治疗。

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1
Why Does Hip Arthroscopy Fail? Indications and PEARLS for Revision Success.髋关节镜手术为何失败?翻修成功的适应证和要点。
Sports Med Arthrosc Rev. 2021 Mar 1;29(1):44-51. doi: 10.1097/JSA.0000000000000300.
2
Should the Capsule Be Repaired or Plicated After Hip Arthroscopy for Labral Tears Associated With Femoroacetabular Impingement or Instability? A Systematic Review.髋关节镜治疗与股骨髋臼撞击或不稳定相关的盂唇撕裂后,应修复还是折叠(缝合)囊袋?一项系统评价。
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Why do hip arthroscopy procedures fail?髋关节镜手术失败的原因是什么?
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引用本文的文献

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Orthop J Sports Med. 2025 Mar 12;13(3):23259671241308586. doi: 10.1177/23259671241308586. eCollection 2025 Mar.
2
A Technique for Optimizing Hip Labrum Suction Seal With a Double-Limb, Oblique Inverting Mattress Stitch: The "X" and the "M" Configurations.一种采用双肢斜向翻转褥式缝合优化髋臼唇吸合密封的技术:“X”形和“M”形配置
Arthrosc Tech. 2022 Oct 20;11(11):e1917-e1921. doi: 10.1016/j.eats.2022.07.005. eCollection 2022 Nov.
3
Hip Arthroscopy for Femoroacetabular Impingement-Associated Labral Tears: Current Status and Future Prospects.
用于治疗股骨髋臼撞击综合征相关盂唇撕裂的髋关节镜检查:现状与未来展望
Orthop Res Rev. 2022 Apr 21;14:121-132. doi: 10.2147/ORR.S253762. eCollection 2022.
4
Hip Capsular Deficiency-A Cause of Post-Surgical Instability in the Revision Setting Following Hip Arthroscopy for Femoroacetabular Impingement.髋关节囊缺损——股骨髋臼撞击症髋关节镜手术后翻修中手术不稳定的一个原因。
Curr Rev Musculoskelet Med. 2021 Dec;14(6):351-360. doi: 10.1007/s12178-021-09732-5. Epub 2021 Nov 17.