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侧卧位定位下的后入路髋关节镜检查

Post-Less Hip Arthroscopy With Positioning in Lateral Decubitus.

作者信息

Kodra Jacob D, Papatheofanis Christopher, Healey Robert, Muldoon Michael P

机构信息

Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A.

San Diego Hip Preservation Center, San Diego, California, U.S.A.

出版信息

Arthrosc Tech. 2024 Dec 6;14(4):103356. doi: 10.1016/j.eats.2024.103356. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103356
PMID:40452984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126027/
Abstract

The number of pathologies treated successfully by hip arthroscopy continues to increase, and multiple efficacious techniques exist to perform this procedure. Hip arthroscopy performed with patients in the lateral decubitus position without a perineal post is less appreciated yet encourages increased visualization of the hip joint, improved ergonomics and maneuverability, and decreased postoperative complications. This article includes a detailed description of post-less hip arthroscopy with patient positioning in lateral decubitus.

摘要

通过髋关节镜检查成功治疗的病症数量持续增加，并且存在多种有效的技术来实施该手术。在没有会阴柱的情况下让患者处于侧卧位进行髋关节镜检查的情况较少受到关注，但这种方式能增加髋关节的可视性、改善人体工程学和可操作性，并减少术后并发症。本文详细描述了患者侧卧位无会阴柱的髋关节镜检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e4/12126027/df0a860f875a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e4/12126027/bc8e40ad753d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e4/12126027/71fe0cbc6a71/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e4/12126027/9a1be2e96f69/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e4/12126027/df0a860f875a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e4/12126027/bc8e40ad753d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e4/12126027/71fe0cbc6a71/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e4/12126027/9a1be2e96f69/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00e4/12126027/df0a860f875a/gr4.jpg

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本文引用的文献

1
Postless Arthroscopic Hip Preservation Can be Adequately Performed Using Published Techniques.采用已发表的技术可充分实施无后置入关节镜下髋关节保留手术。
Arthrosc Sports Med Rehabil. 2022 Dec 5;5(1):e273-e280. doi: 10.1016/j.asmr.2022.09.013. eCollection 2023 Feb.
2
A Prospective Comparison of Groin-Related Complications After Hip Arthroscopy With and Without a Perineal Post.有会阴柱与无会阴柱髋关节镜检查后腹股沟相关并发症的前瞻性比较
Am J Sports Med. 2023 Jan;51(1):155-159. doi: 10.1177/03635465221130768. Epub 2022 Nov 7.
3
Postless Hip Distraction Systems Decrease the Amount of Traction Force Needed to Obtain Adequate Hip Distraction Versus a Conventional Post Hip Distractor.
与传统的柱式髋关节撑开器相比，无柱式髋关节撑开系统可减少获得足够髋关节撑开所需的牵引力。
Arthroscopy. 2023 Mar;39(3):740-747. doi: 10.1016/j.arthro.2022.10.009. Epub 2022 Oct 22.
4
Post-Related Complications in Hip Arthroscopy Are Reported Significantly Greater in Prospective Versus Retrospective Literature: A Systematic Review.关节镜髋关节术后相关并发症在前瞻性文献中比回顾性文献报告的发生率显著更高：一项系统评价。
Arthroscopy. 2022 May;38(5):1658-1663. doi: 10.1016/j.arthro.2021.11.045. Epub 2021 Dec 7.
5
Hip Arthroscopy With and Without A Perineal Post: A Comparison of Early Postoperative Pain.髋关节镜检查联合和不联合会阴部入路：术后早期疼痛的比较。
Arthroscopy. 2021 Sep;37(9):2840-2845. doi: 10.1016/j.arthro.2021.03.045. Epub 2021 Mar 31.
6
Traction Time, Force and Postoperative Nerve Block Significantly Influence the Development and Duration of Neuropathy Following Hip Arthroscopy.髋关节镜术后神经病变的发生和持续时间与牵引时间、力及术后神经阻滞显著相关。
Arthroscopy. 2019 Oct;35(10):2825-2831. doi: 10.1016/j.arthro.2019.03.062.
7
Hip Distraction Without a Perineal Post: A Prospective Study of 1000 Hip Arthroscopy Cases.髋关节牵开无会阴柱：1000 例髋关节镜手术的前瞻性研究。
Am J Sports Med. 2018 Mar;46(3):632-641. doi: 10.1177/0363546517741704. Epub 2017 Dec 15.
8
A Comparison of Supine and Lateral Decubitus Positions for Hip Arthroscopy: A Systematic Review of Outcomes and Complications.髋关节镜检查仰卧位与侧卧位的比较：结果与并发症的系统评价
Arthroscopy. 2016 Apr;32(4):716-25.e8. doi: 10.1016/j.arthro.2015.12.028. Epub 2016 Mar 2.
9
Physiological changes as a result of hip arthroscopy performed with traction.髋关节镜牵引下的生理变化。
Arthroscopy. 2012 Oct;28(10):1365-72. doi: 10.1016/j.arthro.2012.04.139. Epub 2012 Aug 21.
10
Beginning hip arthroscopy: indications, positioning, portals, basic techniques, and complications.髋关节镜手术入门：适应症、体位、入路、基本技术及并发症
Arthroscopy. 2007 Dec;23(12):1348-53. doi: 10.1016/j.arthro.2007.06.020. Epub 2007 Oct 3.