Lodhia Parth, McConkey Mark Owen
University of British Columbia.
Arthroscopy. 2024 Feb;40(2):328-329. doi: 10.1016/j.arthro.2023.07.017.
Revision hip arthroscopy is an increasingly common procedure as rates of primary hip arthroscopy rise. Etiologies for symptom recurrence may include residual femoroacetabular impingement, cam over-resection, labral pathology, chondral wear, adhesions, and instability. This has spawned sophisticated surgical techniques in hip arthroscopy including labral reconstruction. Indications for labral reconstruction in the revision setting obviously include labral deficiency. In addition, in the absence of other obvious reasons for failure of the primary procedure, a labral reconstruction should be considered for diminutive labra. The ability to predict labral size before surgery based on magnetic resonance imaging can be invaluable.
随着初次髋关节镜检查手术率的上升,翻修髋关节镜检查手术越来越常见。症状复发的病因可能包括残留的股骨髋臼撞击症、凸轮过度切除、盂唇病变、软骨磨损、粘连和不稳定。这催生了髋关节镜检查中的复杂手术技术,包括盂唇重建。翻修手术中盂唇重建的适应症显然包括盂唇缺损。此外,在初次手术失败没有其他明显原因的情况下,对于较小的盂唇应考虑进行盂唇重建。术前基于磁共振成像预测盂唇大小的能力可能非常宝贵。