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关节镜下髋关节盂唇重建与增强——逆行经髋臼后上象限技术：逆行通道，从前向后打结，并截断。

Arthroscopic Hip Labral Reconstruction and Augmentation-Retro TAPT: Retrograde Passage, Tie Anterior to Posterior, and Truncate.

作者信息

Cabarcas Brandon C, Reuter Zachary C, Ward Gavin H, Ina Jason, Krych Aaron J, Hevesi Mario

机构信息

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.

出版信息

Arthrosc Tech. 2025 Mar 14;14(6):103514. doi: 10.1016/j.eats.2025.103514. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103514
PMID:40656683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255405/
Abstract

The standard of care for hip labral tears is arthroscopic repair, with labral reconstruction performed more commonly for irreparable tears in order to avoid isolated labral debridement. However, labral reconstruction can be technically demanding. We provide a concise step-by-step guide for performing labral reconstruction or augmentation using a modified retrograde pull-through technique, including tips, tricks, and surgeon pearls, and pitfalls. Despite the procedure's technically challenging nature, we believe our technique highlights several important steps to improve the practicality and efficiency of the case and produce satisfactory patient outcomes.

摘要

髋关节盂唇撕裂的标准治疗方法是关节镜修复，对于无法修复的撕裂，更常进行盂唇重建以避免单纯的盂唇清创术。然而，盂唇重建在技术上要求较高。我们提供了一份简洁的分步指南，介绍使用改良逆行牵拉技术进行盂唇重建或增强的方法，包括技巧、窍门、手术要点及陷阱。尽管该手术在技术上具有挑战性，但我们认为我们的技术突出了几个重要步骤，可提高手术的实用性和效率，并产生令人满意的患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/d03b14d176dd/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/10307e0041c0/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/15b9dba48277/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/6b9b27e9c234/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/253393ce1793/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/4635d755e06f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/033ec816d9e8/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/13f9f21ca220/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/ed0f2c6720f4/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/6dbe816e24c6/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/8502b7e0c9a5/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/d03b14d176dd/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/10307e0041c0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/b9521aec6f56/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/15b9dba48277/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/6b9b27e9c234/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/253393ce1793/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/4635d755e06f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/033ec816d9e8/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/13f9f21ca220/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/ed0f2c6720f4/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/6dbe816e24c6/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/8502b7e0c9a5/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d10/12255405/d03b14d176dd/gr12.jpg

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本文引用的文献

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The Beveled Rim Technique for Labral Reconstruction.用于盂唇重建的斜切边缘技术。
Arthrosc Tech. 2024 Aug 19;14(1):103156. doi: 10.1016/j.eats.2024.103156. eCollection 2025 Jan.
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Puncture Capsulotomy Technique During Hip Arthroscopy.髋关节镜检查中的穿刺囊切开术技术
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Editorial Commentary: Iliotibial Band Autograft Is a Safe and Effective Technique for Hip Labral Reconstruction.社论评论：阔筋膜张肌腱重建术是一种安全有效的髋关节盂唇重建技术。
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Single Portal Segmental Labral Reconstruction of the Hip.髋关节单通道节段性盂唇重建术
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Minimum 5-Year Outcomes After Primary Segmental Labral Reconstruction for Irreparable Labral Tears in the Hip With Hamstring Grafts: With a Subanalysis Comparing Autograft Versus Allograft.原发性节段性盂唇重建治疗髋关节不可修复性盂唇撕裂的 5 年以上随访结果：腘绳肌腱移植物自体与同种异体的对比亚分析。
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Curr Rev Musculoskelet Med. 2021 Dec;14(6):340-350. doi: 10.1007/s12178-021-09733-4. Epub 2021 Nov 20.
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Circumferential and Segmental Arthroscopic Labral Reconstruction of the Hip Utilizing the Knotless Pull-Through Technique with All-Suture Anchors.使用全缝线锚钉的无结牵拉技术进行髋关节环周和节段性关节镜下盂唇重建
Arthrosc Tech. 2021 Sep 8;10(10):e2245-e2251. doi: 10.1016/j.eats.2021.05.029. eCollection 2021 Oct.
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