Kraeutler Matthew J, Fasulo Sydney M, Dávila Castrodad Iciar M, Mei-Dan Omer, Scillia Anthony J
Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, Texas, USA.
Department of Orthopaedic Surgery, St Joseph's University Medical Center, Paterson, New Jersey, USA.
Am J Sports Med. 2023 Jan;51(1):155-159. doi: 10.1177/03635465221130768. Epub 2022 Nov 7.
BACKGROUND: Previous studies have demonstrated various groin-related nerve and soft tissue complications in patients undergoing hip arthroscopy with a perineal post. PURPOSE: To prospectively compare groin-related nerve and soft tissue complications between patients undergoing hip arthroscopy with and without the use of a perineal post. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: A prospective single-surgeon cohort study was performed on all patients undergoing hip arthroscopy by the senior author between January 2020 and March 2022. A post-free hip distraction system was used at 1 center in which the senior author operates, and a system with a large padded perineal post was used at another surgical location. Patients completed a survey at the first postoperative visit (7-10 days) to determine if they had experienced any groin-related complications after surgery (groin numbness, sexual/urinary dysfunction, skin tears). Patients with a positive survey response repeated the survey at each follow-up visit (6 weeks, 3 months, 6 months) until the symptoms resolved. The rate and duration of groin-related complications were then compared between the groups. RESULTS: A total of 87 patients were included in the study who underwent hip arthroscopy: 53 with a perineal post and 34 without. No differences were found between the post and postless groups in terms of age at surgery, sex, body mass index, or traction time. We found that 16 patients (30%) in the perineal post group experienced groin numbness versus 0 (0%) in the postless group ( < .0001). On average, groin numbness lasted 5 ± 3 days (mean ± SD) in the perineal post group. Three patients in the perineal post group experienced sexual dysfunction for a mean 7 days, as compared with none in the postless group. Seventeen patients (32%) in the perineal post group experienced foot numbness versus 4 (12%) in the postless group ( = .04). One patient in the perineal post group reported a superficial skin tear. CONCLUSION: Postless hip arthroscopy resulted in no risk of groin-related complications as compared with traditional hip arthroscopy with a perineal post.
背景：既往研究已证实，采用会阴柱进行髋关节镜检查的患者会出现各种与腹股沟相关的神经和软组织并发症。 目的：前瞻性比较使用和不使用会阴柱进行髋关节镜检查的患者之间与腹股沟相关的神经和软组织并发症。 研究设计：队列研究；证据等级，2级。 方法：对2020年1月至2022年3月期间资深作者为所有接受髋关节镜检查的患者进行了一项前瞻性单术者队列研究。在资深作者所在的1个中心使用了无柱髋关节牵引系统，在另一个手术地点使用了带有大软垫会阴柱的系统。患者在术后首次就诊（7 - 10天）时完成一项调查，以确定他们在手术后是否经历过任何与腹股沟相关的并发症（腹股沟麻木、性功能/排尿功能障碍、皮肤撕裂）。调查结果为阳性的患者在每次随访（6周、3个月、6个月）时重复进行调查，直至症状缓解。然后比较两组之间与腹股沟相关并发症的发生率和持续时间。 结果：共有87例接受髋关节镜检查的患者纳入研究：53例使用会阴柱，34例未使用。在手术年龄、性别、体重指数或牵引时间方面，使用柱组和未使用柱组之间未发现差异。我们发现，会阴柱组中有16例患者（30%）出现腹股沟麻木，而未使用柱组为0例（0%）（P <.0001）。会阴柱组中，腹股沟麻木平均持续5±3天（均值±标准差）。会阴柱组中有3例患者出现性功能障碍，平均持续7天，而未使用柱组无此情况。会阴柱组中有17例患者（32%）出现足部麻木，未使用柱组为4例（12%）（P =.04）。会阴柱组中有1例患者报告有浅表皮肤撕裂。 结论：与使用会阴柱的传统髋关节镜检查相比，无柱髋关节镜检查不会导致与腹股沟相关并发症的风险。
Orthop J Sports Med. 2022-12-23
Am J Sports Med. 2017-12-15
Iowa Orthop J. 2025
Arthrosc Tech. 2024-12-6
Arthrosc Sports Med Rehabil. 2024-12-12
Arthrosc Tech. 2024-8-31
Arthrosc Tech. 2024-6-22
Arthrosc Tech. 2024-3-5
Arthrosc Tech. 2024-3-13
Curr Rev Musculoskelet Med. 2024-3
Zotero 插件