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简化的髋关节内镜下外展肌修复术：双滑轮缝线通过无结技术

Endoscopic Abductor Repairs of the Hip Simplified: Double-Pulley Suture-Passage Free Technique.

作者信息

Zhang Ting, Swift Brendan, Akhter Fauzen, Ayeni Olufemi, Almasri Mahmoud

机构信息

Cincinnati Sports Medicine & Orthopaedic Center, Cincinnati SportsMedicine Research and Education Foundation, Mercy Health, Cincinnati, Ohio, U.S.A.

Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

出版信息

Arthrosc Tech. 2024 Dec 25;14(4):103306. doi: 10.1016/j.eats.2024.103306. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103306
PMID:40452974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126036/
Abstract

Greater trochanteric pain syndrome is a prevalent cause of lateral-sided hip pain. In this Technical Note, we propose an endoscopic double-pulley technique that demonstrates gluteus medius and minimus repair via a double-row tape-bridge configuration. Our approach facilitates abductor repair in a consistent and reproducible manner using 3 to 4 peritrochanteric portals while avoiding the difficulties of antegrade or retrograde suture passage. This surgical technique is useful for high-grade partial tears, minimally retracted full-thickness tears, or refractory greater trochanteric pain syndrome with gluteal tendinopathy.

摘要

大转子疼痛综合征是髋部外侧疼痛的常见原因。在本技术说明中，我们提出了一种内镜双滑轮技术，该技术通过双排带桥结构展示了臀中肌和臀小肌修复。我们的方法使用3至4个转子周围入路，以一致且可重复的方式促进外展肌修复，同时避免顺行或逆行缝线穿过的困难。这种手术技术适用于高级别部分撕裂、最小程度回缩的全层撕裂或伴有臀肌腱病的难治性大转子疼痛综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/bc55ff5783fc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/861d334ed1cd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/a54d82799d20/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/90aa211dcf1d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/9232ffd29479/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/bc55ff5783fc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/861d334ed1cd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/a54d82799d20/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/90aa211dcf1d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/9232ffd29479/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/362d/12126036/bc55ff5783fc/gr5.jpg

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1
Endoscopic Abductor Repairs of the Hip Simplified: Double-Pulley Suture-Passage Free Technique.简化的髋关节内镜下外展肌修复术：双滑轮缝线通过无结技术
Arthrosc Tech. 2024 Dec 25;14(4):103306. doi: 10.1016/j.eats.2024.103306. eCollection 2025 Apr.
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本文引用的文献

1
Endoscopic Hip Abductor Tendon Repair Results in Successful Outcomes With 5- to 10-Year Follow-Up.关节镜下髋关节外展肌腱修复术后 5-10 年随访结果满意。
Arthroscopy. 2024 Jun;40(6):1816-1821. doi: 10.1016/j.arthro.2023.11.031. Epub 2023 Dec 12.
2
Favorable and Durable Outcomes at 10-Year Follow-Up After Endoscopic Gluteus Medius Repair With Concomitant Hip Arthroscopy.内镜臀中肌修复联合髋关节镜检查 10 年随访的良好且持久的结果。
Arthroscopy. 2024 Aug;40(8):2215-2224. doi: 10.1016/j.arthro.2023.10.049. Epub 2023 Nov 13.
3
Short-term outcomes following mini-open repair of chronic gluteus medius tendon tears using a double-row technique.
采用双排技术对慢性臀中肌腱撕裂进行迷你切开修复后的短期疗效
J Hip Preserv Surg. 2021 Aug 25;8(2):202-208. doi: 10.1093/jhps/hnab060. eCollection 2021 Jul.
4
Both open and endoscopic gluteal tendon repairs lead to functional improvement with similar failure rates: a systematic review.开放和内镜臀肌腱修复术均可改善功能，且失败率相似：系统评价。
J ISAKOS. 2021 Jan;6(1):28-34. doi: 10.1136/jisakos-2020-000474. Epub 2020 Sep 24.
5
Arthroscopic management of greater trochanter pain syndrome and abductor tears has demonstrated promising results in terms of improvement in pain scores and functional outcomes: a scoping review.关节镜下治疗大转子疼痛综合征和外展肌撕裂在改善疼痛评分和功能结果方面显示出了良好的效果：一项范围综述。
Knee Surg Sports Traumatol Arthrosc. 2021 Aug;29(8):2401-2407. doi: 10.1007/s00167-020-06322-9. Epub 2020 Oct 12.
6
Lesions of the abductors in the hip.髋部外展肌损伤。
EFORT Open Rev. 2020 Sep 10;5(8):464-476. doi: 10.1302/2058-5241.5.190094. eCollection 2020 Aug.
7
Imaging of Abductor Tears: Stepwise Technique for Accurate Diagnosis.外展肌撕裂的影像学检查：准确诊断的分步技术
Arthrosc Tech. 2017 Oct 12;6(5):e1523-e1527. doi: 10.1016/j.eats.2017.06.032. eCollection 2017 Oct.
8
Outcomes of Open Versus Endoscopic Repair of Abductor Muscle Tears of the Hip: A Systematic Review.髋关节外展肌撕裂的开放修复与内镜修复的疗效：一项系统评价
Arthroscopy. 2015 Oct;31(10):2057-67.e2. doi: 10.1016/j.arthro.2015.03.042. Epub 2015 May 29.
9
Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis.大转子疼痛综合征的超声表现与原发性滑囊炎的罕见性。
AJR Am J Roentgenol. 2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.
10
Endoscopic repair of full-thickness abductor tendon tears: surgical technique and outcome at minimum of 1-year follow-up.内镜下修复全层肩袖撕裂：至少 1 年随访的手术技术和结果。
Arthroscopy. 2013 Dec;29(12):1941-7. doi: 10.1016/j.arthro.2013.08.024. Epub 2013 Oct 17.