Floyd Edward R, Kippes Tanner L, Hardie Kyler A, Skelley Nathan W
Sanford Orthopedics & Sports Medicine, Fargo, North Dakota, U.S.A.
University of North Dakota School of Medicine & Health Sciences, Grand Forks, North Dakota, U.S.A.
Arthrosc Tech. 2024 Aug 24;14(2):103192. doi: 10.1016/j.eats.2024.103192. eCollection 2025 Feb.
Hip arthroscopy has become the preferred method for surgical management of numerous hip pathologies. Traditionally, arthroscopic access to the hip has mainly been performed by starting in the central compartment first, which commonly requires capsulotomy and subsequent closure to access the hip joint. This technique is both technically challenging and has been associated with iatrogenic damage to the hip cartilage, as well as the labrum, potentially compromising the integrity of the hip capsule. In this Technical Note, we present our approach to hip arthroscopy that accesses the hip through the peripheral compartment first, with minimal periportal capsulotomies, using a post-less traction bed. This technique can decrease the risk of iatrogenic damage, decrease surgical time, and improve visualization and accessibility for both novice and advanced hip arthroscopy surgeons.
髋关节镜检查已成为众多髋关节疾病手术治疗的首选方法。传统上，髋关节镜检查主要先从中央间隙开始，这通常需要切开关节囊并随后缝合以进入髋关节。这种技术在技术上具有挑战性，并且与对髋关节软骨以及盂唇的医源性损伤有关，可能会损害髋关节囊的完整性。在本技术说明中，我们介绍了一种髋关节镜检查方法，即首先通过外周间隙进入髋关节，使用无柱牵引床，进行最小限度的门静脉周围关节囊切开术。这种技术可以降低医源性损伤的风险，减少手术时间，并改善新手和经验丰富的髋关节镜外科医生的视野和可达性。
