Day Hannah K, Shelton Trevor J, Comfort Spencer M, Melugin Heath P, Rutledge Joan C, Ruzbarsky Joseph J, Philippon Marc J
Steadman Philippon Research Institute and the Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA.
Arthrosc Tech. 2022 Oct 20;11(11):e1879-e1882. doi: 10.1016/j.eats.2022.06.021. eCollection 2022 Nov.
Avascular necrosis of the femoral head (AVNFH) is a debilitating disease that requires early intervention to prevent subchondral collapse and irreversible damage leading to premature hip replacement. Patients presenting with AVNFH can have concomitant intra-articular pathology, including femoroacetabular impingement (FAI), that contributes to their hip pain and dysfunction. It is important to restore the native hip anatomy in addition to providing revascularization of necrotic areas to reduce pain, improve function, and maximize efforts to preserve the joint. The purpose of this Technical Note is to describe our preferred arthroscopic approach to core decompression through the femoral neck in combination with femoral osteoplasty to address AVNFH and FAI in a single-staged and minimally invasive procedure.
股骨头缺血性坏死（AVNFH）是一种使人衰弱的疾病，需要早期干预以防止软骨下塌陷和不可逆转的损伤，从而避免过早进行髋关节置换。患有AVNFH的患者可能伴有关节内病变，包括股骨髋臼撞击症（FAI），这会导致髋关节疼痛和功能障碍。除了对坏死区域进行血管重建外，恢复髋关节的自然解剖结构对于减轻疼痛、改善功能以及最大程度地保护关节至关重要。本技术说明的目的是描述我们首选的关节镜下经股骨颈进行髓芯减压并联合股骨截骨成形术的方法，以在单一阶段的微创手术中治疗AVNFH和FAI。
