Jin Taoran, Zhang Jin
Department of Orthopedics and Rehabilitation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Capital Medical University, Beijing, China.
Department of Sports Medicine, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Arthrosc Tech. 2024 Dec 13;14(5):103366. doi: 10.1016/j.eats.2024.103366. eCollection 2025 May.
The labrum and capsule are indispensable structures for stability and the prevention of arthritis in the hip. Subsequent revision has been performed on patients who went through the failure of previous hip arthroscopic surgery, which caused the defect of the labrum and capsule, leading to continued hip pain and dysfunction postoperatively. For a select few patients, the labrum's rerupture is beyond the scope of conventional suturing techniques, necessitating a reconstructive procedure to re-establish its integrity. Additionally, an attempt at secondary closure of the capsule can be challenging because of capsular limb adherence to the surrounding soft tissues. We describe a technique for simultaneous arthroscopic labral and anterior hip joint capsule reconstruction using an iliotibial band autograft. This procedure allows simultaneous reconstruction of the hip labrum and capsule stability with minimally invasive approaches to revise and re-establish the structural stability of the hip joint.
盂唇和关节囊是维持髋关节稳定性及预防关节炎的不可或缺的结构。对于之前接受过髋关节镜手术但手术失败、导致盂唇和关节囊缺损并术后持续存在髋关节疼痛和功能障碍的患者，后续进行了翻修手术。对于少数患者，盂唇再次撕裂超出了传统缝合技术的范围，需要进行重建手术以恢复其完整性。此外，由于关节囊边缘与周围软组织粘连，二次缝合关节囊具有挑战性。我们描述了一种使用自体髂胫束同时进行关节镜下盂唇和髋关节前关节囊重建的技术。该手术允许通过微创方法同时重建髋关节盂唇和关节囊稳定性，以修复并重新建立髋关节的结构稳定性。
