Özbek Emre Anil, Miller Liane, James Michael, Mauro Craig S
Department of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A.
Department of Orthopedics and Traumatology, Ankara University, Ankara, Turkey.
Arthrosc Tech. 2023 Jul 10;12(8):e1305-e1309. doi: 10.1016/j.eats.2023.03.023. eCollection 2023 Aug.
Capsule closure during hip arthroscopy is increasingly being shown to optimize outcomes and minimize complications. Although various techniques and suture configurations have been described, closure of the hip capsule remains a technically challenging step for many hip arthroscopists. The purpose of this Technical Note is to summarize capsular management in arthroscopic hip-preservation surgery and to outline a technique of passing capsule sutures under hip traction. This technique is useful, as it facilitates adequate visualization of the vertical limb of the T capsulotomy and interportal capsulotomy, which is difficult when attempted with the hip out of traction and flexed. Our technique also helps to reduce the risk of iatrogenic cartilage injury during suture passage by increasing the distance between the femoral head and capsule leaflets, or the functional working area for capsule closure.
髋关节镜检查期间的关节囊闭合越来越多地被证明可优化手术效果并将并发症降至最低。尽管已经描述了各种技术和缝合配置，但对于许多髋关节镜医师来说，髋关节囊的闭合仍然是一个技术上具有挑战性的步骤。本技术说明的目的是总结关节镜下髋关节保留手术中的关节囊处理方法，并概述一种在髋关节牵引下穿过关节囊缝线的技术。该技术很有用，因为它有助于充分观察T形关节囊切开术和经门关节囊切开术的垂直部分，而在髋关节无牵引且屈曲的情况下尝试时很难做到这一点。我们的技术还通过增加股骨头与关节囊瓣之间的距离或关节囊闭合的功能工作区域，有助于降低缝线穿过过程中医源性软骨损伤的风险。
