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髋关节镜检查基础：分步技术

Basics of hip arthroscopy: Step-by-step technique.

作者信息

Gursoy Safa, Cirdi Yigit Umur, Kirac Muge, Chahla Jorge

机构信息

Department of Orthopaedics and Traumatology, Faculty of Medicine Acibadem Mehmet Ali Aydinlar University Istanbul Turkey.

Department of Orthopaedics and Traumatology Acibadem Atasehir Hospital Istanbul Turkey.

出版信息

J Exp Orthop. 2024 Apr 12;11(2):e12021. doi: 10.1002/jeo2.12021. eCollection 2024 Apr.

DOI:10.1002/jeo2.12021
PMID:38617136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11015078/
Abstract

Hip arthroscopy is a surgical procedure that has a technically challenging nature, requiring advanced spatial skills and specialised instrumentation. The most common indication for hip arthroscopy is femoroacetabular impingement, which is increasing due to improved awareness and knowledge of the condition among healthcare professionals. Hip arthroscopy requires many different checkpoints from patient positioning to capsule closure to be successfully completed. Patient positioning is one of the keystones of hip arthroscopy and the probability of a surgeon achieving successful outcomes is significantly influenced by the establishment of optimal access points. The importance of the acetabular labrum and capsule has been better understood in recent years. There has been a noticeable preference towards prioritising acetabular labral repair over debridement or excision. Similarly, consistent with the literature, capsule closure restores naive hip biomechanics more successfully and improves functional outcomes following hip arthroscopy. Osteochondroplasty is a frequently employed therapeutic intervention; yet, attaining optimal osteochondroplasty outcomes might present challenges. The aim is, to restore the full perfect sphericity of the femoral head without attenuation of the head. The aim of this article is to highlight the knowledge accumulated from experiences based on previous hip arthroscopy surgeries as a solution for future troubleshooting steps. : Level V.

摘要

髋关节镜检查是一种技术上具有挑战性的外科手术，需要先进的空间技能和专门的器械。髋关节镜检查最常见的适应症是股骨髋臼撞击症，由于医疗保健专业人员对该病症的认识和了解有所提高，其发病率正在上升。髋关节镜检查需要从患者体位到关节囊闭合等许多不同的检查点才能成功完成。患者体位是髋关节镜检查的关键之一，外科医生能否取得成功的结果很大程度上受到最佳入路点确定的影响。近年来，髋臼盂唇和关节囊的重要性得到了更好的理解。人们明显倾向于优先进行髋臼盂唇修复而非清创或切除。同样，与文献一致，关节囊闭合能更成功地恢复髋关节的原始生物力学，并改善髋关节镜检查后的功能结果。骨软骨成形术是一种常用的治疗干预措施；然而，要获得最佳的骨软骨成形术效果可能会面临挑战。目标是在不使股骨头变细的情况下恢复股骨头的完全完美球形。本文的目的是突出基于以往髋关节镜手术经验积累的知识，作为未来故障排除步骤的解决方案。：V级

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