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干式关节镜下髋关节盂唇修复以尽量减少冲洗液的使用。

Dry Arthroscopic Hip Labral Repair to Minimize Use of Irrigation Fluid.

作者信息

Ina Jason G, Thompson Austen L, Cabarcas Brandon C, Krych Aaron J, Hevesi Mario

机构信息

Department of Orthopaedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota, U.S.A.

出版信息

Arthrosc Tech. 2025 Mar 14;14(6):103509. doi: 10.1016/j.eats.2025.103509. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103509
PMID:40656703
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255452/
Abstract

Hip arthroscopy is a technically demanding procedure that can require a substantial volume of irrigation fluid. Techniques should be explored to optimize fluid use while ensuring satisfactory surgical instrumentation and labral repair. In this technical note, we present a method for performing a dry arthroscopic labral repair. This technique can be used in the treatment of a variety of labral pathologies, including primary labral repair with knotless or hand-tied anchors, revision labral repair, and labral reconstruction, without the need for irrigation fluid. Additionally, we discuss supplemental techniques that can be used during other portions of the arthroscopic hip procedure to limit irrigation fluid use.

摘要

髋关节镜检查是一项技术要求很高的手术，可能需要大量的冲洗液。应探索优化液体使用的技术，同时确保满意的手术器械操作和盂唇修复。在本技术说明中，我们介绍一种进行干式关节镜盂唇修复的方法。该技术可用于治疗多种盂唇病变，包括使用无结或手工打结锚钉进行初次盂唇修复、盂唇修复翻修以及盂唇重建，无需冲洗液。此外，我们还讨论了在关节镜髋关节手术的其他部分可用于限制冲洗液使用的辅助技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/4cb86b9fe93f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/5898fe6dedd4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/5cb2bf084d1f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/67ca08c542a5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/08623d7b8f16/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/ea3928dfed55/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/4cb86b9fe93f/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/5898fe6dedd4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/5cb2bf084d1f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/67ca08c542a5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/08623d7b8f16/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/ea3928dfed55/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4622/12255452/4cb86b9fe93f/gr6.jpg

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Orthop J Sports Med. 2024 Oct 10;12(10):23259671241277793. doi: 10.1177/23259671241277793. eCollection 2024 Oct.
2
The Use of Combined Hip Arthroscopy and Periacetabular Osteotomy for Hip Dysplasia Is Increasing and Has Low Complication Rates.联合髋关节镜检查和髋臼周围截骨术治疗髋关节发育不良的应用正在增加，且并发症发生率较低。
Arthrosc Sports Med Rehabil. 2024 Mar 26;6(3):100929. doi: 10.1016/j.asmr.2024.100929. eCollection 2024 Jun.
3
Editorial Commentary: The Hip Arthroscopy Volume-to-Competency Learning Curve Debate Is Complicated: Learning When "Enough Is Enough" Is a Lifetime Discipline.
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Surgeon Experience in Hip Arthroscopy Affects Surgical Time, Complication Rate, and Reoperation Rate: A Systematic Review on the Learning Curve.髋关节镜手术医生的经验影响手术时间、并发症发生率和再次手术率：学习曲线的系统评价。
Arthroscopy. 2020 Dec;36(12):3092-3105. doi: 10.1016/j.arthro.2020.06.033. Epub 2020 Jul 15.
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Trends in Hip Arthroscopic Labral Repair: An American Board of Orthopaedic Surgery Database Study.髋关节镜下盂唇修复的趋势：美国骨科外科学会数据库研究。
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