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髋关节的诊断性和手术性关节镜检查

Diagnostic and operative arthroscopy of the hip.

作者信息

Eriksson E, Arvidsson I, Arvidsson H

出版信息

Orthopedics. 1986 Feb;9(2):169-76. doi: 10.3928/0147-7447-19860201-07.

DOI:10.3928/0147-7447-19860201-07
PMID:3960759
Abstract

Diagnostic and operative arthroscopies of the hip joint have been performed from an anterior approach after extension of the joint. The force needed to achieve a sufficient visualization of the hip joint was studied. In an anesthetized patient 300 Newtons (N) to 500 N was required, whereas up to 900 N was needed in an unanesthetized subject to achieve sufficient joint extension. Hip arthroscopy has been performed with a standard 5 mm Storz arthroscope. Alternatively, fluid and gas was used. It was possible to achieve good visualization of the anterior parts of the hip. Gas gave better information about the degree of degenerative arthritis while fluid was preferable for operative arthroscopy, eg, arthroscopic synovectomy. Synovial biopsies, removal of loose bodies, and partial arthroscopic synovectomy have been performed. The advantage was a very short time of rehabilitation. No serious complications occurred.

摘要

髋关节的诊断性和手术性关节镜检查是在关节伸展后通过前入路进行的。研究了实现髋关节充分可视化所需的力量。在麻醉患者中,需要300牛顿(N)至500 N的力,而在未麻醉的受试者中,需要高达900 N的力才能实现足够的关节伸展。髋关节镜检查使用标准的5毫米斯托兹关节镜进行。另外,也使用了液体和气体。可以很好地观察到髋关节的前部。气体能更好地显示退行性关节炎的程度,而液体更适合手术关节镜检查,如关节镜下滑膜切除术。已进行了滑膜活检、游离体摘除和部分关节镜下滑膜切除术。优点是康复时间非常短。未发生严重并发症。

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