采用内侧半月板同种异体移植进行髋臼盂唇重建：一种新手术技术的初步结果
Acetabular labral reconstruction with medial meniscal allograft: preliminary results of a new surgical technique.
作者信息
Chen Michael J, Hollyer Ian, Pun Stephanie Y, Bellino Michael J
机构信息
Department of Orthopaedic Surgery, The Stanford Child and Adult Hip Preservation Center, Stanford University School of Medicine, 450 Broadway Street, Pavilion C, 4th Floor, Stanford, Redwood City, CA, USA.
出版信息
Eur J Orthop Surg Traumatol. 2022 Apr;32(3):515-521. doi: 10.1007/s00590-021-02986-2. Epub 2021 May 24.
PURPOSE
Reconstruction of the acetabular labrum during femoroacetabular impingement (FAI) surgery is accepted when the labrum is deficient and irreparable. Here we describe a novel technique using fresh-frozen medial meniscal allograft for labral reconstruction during surgical hip dislocation for correction of pincer FAI due to acetabular overcoverage.
METHODS
The results from seven hips (six patients) that underwent this procedure with 1 year minimum follow-up, and radiographs are presented.
RESULTS
Six of the seven hips had improvements in pain, hip flexion, hip abduction, and Merle d'Aubigné-Postel scores. Only one patient with pre-existing osteoarthritis underwent reoperation with conversion to total hip arthroplasty. All digastric trochanteric osteotomies healed, and there were no cases of femoral head osteonecrosis or progression of Tönnis grades.
CONCLUSIONS
The medial meniscus is a morphologically and clinically suitable option for labral reconstruction and effectively restores the hip fluid seal.
目的
当髋臼盂唇缺损且无法修复时，在股骨髋臼撞击症（FAI）手术中进行髋臼盂唇重建已被认可。在此，我们描述一种新技术，即在手术性髋关节脱位期间，使用新鲜冷冻的内侧半月板同种异体移植物进行盂唇重建，以矫正髋臼覆盖过度所致的钳夹型FAI。
方法
呈现了7例髋关节（6例患者）接受此手术且至少随访1年的结果及X线片。
结果
7例髋关节中的6例在疼痛、髋关节屈曲、髋关节外展以及Merle d'Aubigné - Postel评分方面有所改善。仅1例术前存在骨关节炎的患者接受了再次手术，改行全髋关节置换术。所有双转子截骨均愈合，未发生股骨头坏死病例或Tönnis分级进展。
结论
内侧半月板在形态学和临床上是盂唇重建的合适选择，可有效恢复髋关节的流体密封。
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