Christian Robert A, Cabell Grant H, Jarvis D Landry, Mather Richard C
Columbia University Medical Center, Department of Orthopaedic Surgery, New York, New York.
Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.
Arthrosc Tech. 2023 Jan 18;12(2):e161-e165. doi: 10.1016/j.eats.2022.10.004. eCollection 2023 Feb.
One of the primary goals of hip arthroscopy for femoroacetabular impingement (FAI) syndrome is precise removal of pathologic FAI morphology while protecting and restoring the normal soft tissue anatomy. Adequate visualization is a key foundation of precise removal of FAI morphology and varying types of capsulotomies are frequently used to achieve necessary exposure. Anatomic and outcomes studies have influenced an increasing appreciation for repairing these capsulotomies. Thus one of the central technical challenges of hip arthroscopy is achieving both goals of capsule preservation and adequate visualization. Various techniques have been described, including suture-based capsule suspension, portal placement, and T-capsulotomy. The following technique describes how the proximal anterolateral accessory portal can be added to a capsule suspension and T-capsulotomy technique to improve visualization and facilitate repair.
髋关节镜治疗股骨髋臼撞击症（FAI）综合征的主要目标之一是精确去除病理性FAI形态，同时保护和恢复正常软组织解剖结构。充分的可视化是精确去除FAI形态的关键基础，并且经常使用不同类型的关节囊切开术来实现必要的暴露。解剖学和结果研究促使人们越来越重视修复这些关节囊切开术。因此，髋关节镜的核心技术挑战之一是实现保留关节囊和充分可视化这两个目标。已经描述了各种技术，包括基于缝线的关节囊悬吊、切口位置选择和T形关节囊切开术。以下技术描述了如何将近端前外侧辅助切口添加到关节囊悬吊和T形关节囊切开术技术中，以改善可视化并便于修复。
