Alrabaa Rami George, Kannan Abhishek, Zhang Alan L
Department of Orthopaedic Surgery, University of California - San Francisco, San Francisco, California, U.S.A.
Arthrosc Tech. 2022 Jun 21;11(6):e1117-e1122. doi: 10.1016/j.eats.2022.02.018. eCollection 2022 Jun.
Multiple approaches for management of the hip capsule during hip arthroscopy for femoroacetabular impingement syndrome have been reported. Capsular closure is advocated in the setting of larger capsulotomies, including interportal and T-capsulotomies, to reduce the risk of iatrogenic instability or microinstability of the hip. The periportal capsulotomy technique has been described for conservative management of the capsule that would not necessitate closure. However, hip arthroscopy for patients with ligamentous laxity or joint hypermobility may warrant capsule closure or plication even with use of conservative capsulotomy techniques. We introduce a technique for closure of periportal capsulotomy as a means to repair or plicate the hip capsule in the at-risk hypermobile patient.
已有报道称，在髋关节镜检查治疗股骨髋臼撞击综合征时，有多种处理髋关节囊的方法。对于较大的关节囊切开术，包括经皮穿刺和T形关节囊切开术，主张进行关节囊缝合，以降低髋关节医源性不稳定或微不稳定的风险。经皮穿刺关节囊切开术技术已被描述用于对关节囊进行保守处理，而无需缝合。然而，对于韧带松弛或关节活动度过大的患者，即使使用保守的关节囊切开术技术，髋关节镜检查可能仍需要进行关节囊缝合或折叠。我们介绍一种经皮穿刺关节囊切开术缝合技术，作为修复或折叠有活动度过大风险患者的髋关节囊的一种方法。
