Tian Kang, Gao Guanying, Dong Hanmei, Zhang Weiguo, Wang Jianquan, Xu Yan
Department of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Institute of Sports Medicine, Peking University Third Hospital, Beijing, China.
Department of Bone and Joint, First Affiliated Hospital, Dalian Medical University, Dalian, China.
Arthrosc Tech. 2022 Jun 14;11(7):e1181-e1187. doi: 10.1016/j.eats.2022.02.029. eCollection 2022 Jul.
Synovial disease is a common reason for hip joint dysfunction. Although traditionally treated with open synovectomy, with the popularization and development of arthroscopic techniques, arthroscopic synovectomy has become the main surgical treatment for synovial diseases. Given the long soft tissue channel and learning curve, arthroscopic synovectomy of the hip joint has high surgical requirements for surgeons. However, there is currently no standardized surgical protocol for arthroscopic synovectomy of the hip joint to guide the surgeon to perform hip synovectomy in an orderly manner. During the past 3 years, we have employed a novel technique, wherein we divided the synovium of the hip into seven regions based on the anatomical structure and the operating range of the arthroscopic portals. With the assistance of flexion, extension, and traction of the hip joint, synovectomy was sequentially performed under arthroscopic guidance. This regional surgical technique can be popularized and likely has the potential to become a standardized arthroscopic synovectomy protocol of the hip joint.
滑膜疾病是髋关节功能障碍的常见原因。虽然传统上采用开放性滑膜切除术治疗，但随着关节镜技术的普及和发展，关节镜下滑膜切除术已成为滑膜疾病的主要手术治疗方法。鉴于软组织通道长且学习曲线较陡，髋关节镜下滑膜切除术对外科医生的手术要求很高。然而，目前尚无髋关节镜下滑膜切除术的标准化手术方案来指导外科医生有序地进行髋关节滑膜切除术。在过去3年中，我们采用了一种新技术，即根据关节镜入路的解剖结构和操作范围将髋关节滑膜分为七个区域。在髋关节屈伸和牵引的辅助下，在关节镜引导下依次进行滑膜切除术。这种区域手术技术可以推广，并且有可能成为髋关节镜下滑膜切除术的标准化方案。
