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股骨髋臼撞击综合征髋关节镜手术后髋部支具的生物力学分析:一项观察性研究

Biomechanical Analysis of Hip Braces after Hip Arthroscopic Surgery for Femoroacetabular Impingement Syndrome: An Observational Study.

作者信息

Hirata Kai, Murata Yoichi, Hatakeyama Akihisa, Takahashi Makoto, Quinn Patrick M, Uchida Soshi

机构信息

Research and Development Department, Nippon Sigmax Co., Ltd., Tokyo 160-0023, Japan.

Department of Orthopaedic Surgery, Wakamatsu Hospital of University of Occupational and Environmental Health, Kitakyushu 808-0024, Japan.

出版信息

Biomimetics (Basel). 2023 May 26;8(2):225. doi: 10.3390/biomimetics8020225.

Abstract

Currently, hip braces are recommended and typically worn by femoroacetabular impingement (FAI) patients after hip arthroscopic surgery. However, there is currently a lack of literature regarding the biomechanical effectiveness of hip braces. The purpose of this study was to investigate the biomechanical effect of hip braces after hip arthroscopic surgery for FAI. Overall, 11 patients who underwent arthroscopic FAI correction and labral preservation surgery were included in the study. Standing-up and walking tasks in unbraced and braced conditions were performed at 3 weeks postoperatively. For the standing-up task, videotaped images of the hip's sagittal plane were recorded while patients stood from a seated position. After each motion, the hip flexion-extension angle was calculated. For the walking task, acceleration of the greater trochanter was measured using a triaxial accelerometer. For the standing-up motion, the mean peak hip flexion angle was found to be significantly lower in the braced condition than in the unbraced condition. Furthermore, the mean peak acceleration of the greater trochanter was significantly lower in the braced condition than in the unbraced condition. Patients undergoing arthroscopic FAI correction surgery would benefit from usage of a hip brace in terms of protecting repaired tissues during early postoperative recovery.

摘要

目前,髋部支具是股骨髋臼撞击症(FAI)患者髋关节镜手术后推荐使用且通常会佩戴的。然而,目前关于髋部支具生物力学有效性的文献尚缺。本研究的目的是调查FAI髋关节镜手术后髋部支具的生物力学效果。总体而言,11例接受关节镜下FAI矫正和盂唇保留手术的患者纳入了本研究。术后3周在不佩戴支具和佩戴支具的情况下进行站立和行走任务。对于站立任务,在患者从坐姿站立时记录髋关节矢状面的录像图像。每次动作后,计算髋关节屈伸角度。对于行走任务,使用三轴加速度计测量大转子的加速度。对于站立动作,发现佩戴支具状态下髋关节平均峰值屈曲角度显著低于不佩戴支具状态。此外,佩戴支具状态下大转子的平均峰值加速度显著低于不佩戴支具状态。接受关节镜下FAI矫正手术的患者在术后早期恢复期间使用髋部支具对保护修复组织有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb19/10296209/30e88178d4dc/biomimetics-08-00225-g001.jpg

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