Wang Yaoting, Yu Haomiao, Wang Long, Zhang Jing, Wang Mingxin, Li Chunbao
Department of Orthopedics, the Fourth Medical Center of Chinese PLA General Hospital, Beijing, People's Republic of China.
Department of Orthopaedics, Beijing Friendship Hospital, Beijing, People's Republic of China.
Arthrosc Tech. 2024 Mar 5;13(6):102963. doi: 10.1016/j.eats.2024.102963. eCollection 2024 Jun.
Hip arthroscopy has become a predominant treatment for hip disorders such as femoroacetabular impingement syndrome and labral injury, and appropriate distraction for the hip joint is necessary for successful surgery. The traditional distraction method uses a perineal post but may cause complications such as perineum injury and nerve damage. For this reason, some surgeons have proposed postless distraction techniques, but they usually require additional equipment purchase and cost, which is not conducive to application. Therefore, we developed a post-free distraction technique without additional equipment. This method uses only surgical draw sheets, safety straps, a hip fracture table, and a hip distractor that are routinely provided in the operating room, and postless hip distraction can be achieved by using the Trendelenburg position, which is reliable, simple, and reproducible to be used in hip arthroscopy.
髋关节镜检查已成为治疗股骨髋臼撞击综合征和盂唇损伤等髋关节疾病的主要方法，而髋关节的适当牵引对于手术成功至关重要。传统的牵引方法使用会阴柱，但可能会导致会阴损伤和神经损伤等并发症。因此，一些外科医生提出了无柱牵引技术，但通常需要额外购买设备和花费，不利于应用。所以，我们开发了一种无需额外设备的无柱牵引技术。该方法仅使用手术室常规配备的手术床单、安全带、髋关节骨折手术台和髋关节牵引器，通过采用头低脚高位可实现无柱髋关节牵引，该方法可靠、简单且可重复，可用于髋关节镜检查。
