Kahana-Rojkind Ady H, Rodriguez Juan Diego, Sikligar Drashti, McCarroll Tyler R, Quesada-Jimenez Roger, Domb Benjamin G
American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
American Hip Institute, Chicago, Illinois, U.S.A.
Arthrosc Tech. 2024 Dec 12;14(4):103347. doi: 10.1016/j.eats.2024.103347. eCollection 2025 Apr.
The significance of addressing labral tears cannot be overstated given that the labrum plays a crucial role in preventing or mitigating the onset of osteoarthritis. Traditionally, labral repair has involved capsule elevation followed by acetabular rim trimming and decortication to optimize healing of the labrum to the acetabular rim. However, in certain patients, such as those with borderline dysplasia, the goal is to preserve as much of the acetabular rim as possible to prevent further instability. This study aims to present an arthroscopic marrow venting technique designed to optimize healing during hip labral repair. The procedure involves targeted marrow stimulation by micro-drilling along the acetabular rim to release and activate biological healing factors, thereby promoting the integration of the labrum and restoring the seal around the hip. This approach eliminates the need for capsule elevation and rim trimming, which preserves bone and capsular tissue and reduces the risk of iatrogenic instability.
鉴于盂唇在预防或减轻骨关节炎发作方面起着至关重要的作用，处理盂唇撕裂的重要性再怎么强调也不为过。传统上，盂唇修复包括抬高关节囊，随后进行髋臼边缘修整和去皮质术，以优化盂唇与髋臼边缘的愈合。然而，在某些患者中，如边缘发育不良的患者，目标是尽可能保留髋臼边缘，以防止进一步的不稳定。本研究旨在介绍一种关节镜下骨髓通气技术，该技术旨在优化髋关节盂唇修复过程中的愈合。该手术包括沿髋臼边缘进行微钻孔以释放和激活生物愈合因子，从而促进盂唇的整合并恢复髋关节周围的密封，以此进行有针对性的骨髓刺激。这种方法无需抬高关节囊和修整边缘，从而保留了骨组织和关节囊组织，并降低了医源性不稳定的风险。
