Ruzbarsky Joseph J, Soares Rui W, Comfort Spencer M, Arner Justin W, Philippon Marc J
Steadman Philippon Research Institute, Vail, Colorado, USA.
Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USA.
EFORT Open Rev. 2023 Nov 1;8(11):792-797. doi: 10.1530/EOR-21-0068.
With the growing number of primary arthroscopies performed, patients requiring revision hip arthroscopies for various issues is high including postoperative adhesion formation, a source of pain, mechanical symptoms, range of motion limitation, stiffness, and microinstability. Adhesions are a consequence of biological pathways that have been stimulated by injury or surgical interventions leading to an increased healing response. Preventative efforts have included surgical adjuncts during/after primary hip arthroscopy, biologic augmentation, and postoperative rehabilitation. Treatment options for adhesion formation includes surgical lysis of adhesions with or without placement of biologic membranes aimed at inhibiting adhesion reformation as well as systemic medications to further reduce the risk. Postoperative rehabilitation exercises have also been demonstrated to prevent adhesions as a result of hip arthroscopy. Ongoing clinical trials are further investigating pathways and prevention of adhesion formation.
随着初次关节镜手术数量的不断增加，因各种问题需要进行髋关节翻修关节镜手术的患者数量也很多，这些问题包括术后粘连形成、疼痛来源、机械症状、活动范围受限、僵硬和微不稳定。粘连是由损伤或手术干预刺激的生物途径的结果，导致愈合反应增加。预防措施包括初次髋关节镜手术期间/之后的手术辅助、生物增强和术后康复。粘连形成的治疗选择包括粘连松解手术，可选择或不放置旨在抑制粘连重新形成的生物膜，以及使用全身性药物以进一步降低风险。术后康复锻炼也已被证明可预防髋关节镜手术后的粘连。正在进行的临床试验正在进一步研究粘连形成的途径和预防方法。
