Cross George W V, Sobti Anshul S, Khan Tahir
Specialist Registrar (SpR), Caterall Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, United Kingdom.
Young Adult Hip & Paediatric Orthopaedic Fellow, Caterall Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, United Kingdom.
J Clin Orthop Trauma. 2021 Sep 30;22:101617. doi: 10.1016/j.jcot.2021.101617. eCollection 2021 Nov.
Arthritis of the hip is a degenerative disease characterised by pain and inflammation. It is common and most often affects middle-aged to older adults, with the definitive management being total hip replacement. Advances in the surgical techniques has brought about the popularity of hip preservation surgery in patients with pre-arthritic hip abnormalities, with a goal to prevent progression to early arthritis and subsequently prolong the need for arthroplasty. There is a large body of evidence correlating femoroacetabular impingement (FAI) and the progression of osteoarthritis. Hip arthroscopy is a successful technique in the management of FAI and labral damage. There is, however, less evidence behind its use in those patients with established arthritic changes. After review of such evidence, we believe hip arthroscopy, and other hip preservation procedures, have a key role, and should be considered in the management of early hip arthritis. However, there is no role for such procedures in end-stage arthritis.
髋关节关节炎是一种以疼痛和炎症为特征的退行性疾病。它很常见，最常影响中年及老年人，最终的治疗方法是全髋关节置换术。手术技术的进步使得髋关节保留手术在患有关节炎前期髋关节异常的患者中受到欢迎，目的是防止发展为早期关节炎，从而延长关节置换术的需求时间。有大量证据表明股骨髋臼撞击症（FAI）与骨关节炎的进展相关。髋关节镜检查是治疗FAI和盂唇损伤的一种成功技术。然而，对于已出现关节炎改变的患者，其应用的证据较少。在审视这些证据后，我们认为髋关节镜检查及其他髋关节保留手术具有关键作用，在早期髋关节关节炎的治疗中应予以考虑。然而，这些手术在终末期关节炎中并无作用。
