Yu Haomiao, Wang Mingxin, Wang Long, Wang Yaoting, Li Chunbao
Department of Orthopedics, the Fourth Medical Center of Chinese PLA General Hospital, Beijing, People's Republic of China.
Department of Orthopaedics, Beijing Friendship Hospital, Beijing, People's Republic of China.
Arthrosc Tech. 2022 Dec 21;12(1):e1-e10. doi: 10.1016/j.eats.2022.08.050. eCollection 2023 Jan.
Hip arthroscopy is the predominant surgical procedure for the treatment of femoroacetabular impingement syndrome (FAI). Usually, hip arthroscopy requires intraoperative fluoroscopic guidance for portal establishment, acetabuloplasty, suture anchor placement, and femoroplasty, which has disadvantages such as radiation exposure and prolonged operative time. This article presents a technique of hip arthroscopy without fluoroscopy throughout. By establishing portals through a semiopen hollow guide bar, "one-line trimming" for pincer deformity removal, modified distal anterolateral portal for anchor placement, "triangular abrasion" for cam deformity resection, and intraoperative dynamic examination to ensure adequate relief of impingement, we provide a safe and effective surgical procedure for hip arthroscopy to treat FAI without fluoroscopy.
髋关节镜检查是治疗股骨髋臼撞击综合征（FAI）的主要外科手术方法。通常，髋关节镜检查在建立手术入路、髋臼成形术、缝合锚钉置入和股骨成形术时需要术中透视引导，这存在辐射暴露和手术时间延长等缺点。本文介绍一种全程无需透视的髋关节镜技术。通过使用半开放式空心导杆建立手术入路、采用“一线修整”去除钳夹畸形、改良远端前外侧入路进行锚钉置入、采用“三角磨削”切除凸轮畸形，并进行术中动态检查以确保充分解除撞击，我们提供了一种安全有效的无透视髋关节镜手术方法来治疗FAI。
