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中华腔镜外科杂志(电子版) ›› 2016, Vol. 09 ›› Issue (03): 187 -189. doi: 10.3877/cma.j.issn.1674-6899.2016.03.016

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髋关节镜治疗股骨髋臼撞击征的研究进展
丁冉 1, 王卫国 1, 郭万首 1 , ( )   
  1. 1. 100029 北京,中日友好医院骨关节外科
  • 收稿日期:2016-03-08 出版日期:2016-06-30
  • 通信作者: 郭万首

Advances of hip arthroscopy in the treatment of femoroacetabular impingement

Ran Ding 1, Weiguo Wang 1, Wanshou Guo 1 , ( )   

  1. 1. Department of Joint Surgery, China-Japan Friendship Hospital, Beijing 100029, China
  • Received:2016-03-08 Published:2016-06-30
  • Corresponding author: Wanshou Guo
  • About author:
    Corresponding author: Guo Wanshou, Email:

股骨髋臼撞击征是近10余年才被逐渐认识的一种髋关节疾病,也是年轻人髋部疼痛的常见病因之一,其会导致髋关节运动过程中异常应力接触,这种病理力学机制与早期骨关节炎的发展密切相关。手术本身主要针对于病因进行治疗。随着关节镜技术和可折弯器械的发展,髋关节镜运用得越来越广泛,患者创伤小、术后康复较快且并发症发生率较低,短期和中期的效果令人满意,单纯盂唇修复的效果也优于单纯清理术,但是这些尚需要长期和大样本量的结果来进行随访。

With the introduction of the concept of femoroacetabular impingement (FAI), it has been recognized gradually in recent ten years. FAI has been described as a common cause of hip pain in young adults. This leads to abnormal contact pressures in hip joint. The associated pathomechanics can lead to the development of early osteoarthritis. Surgery aims at mainly on etiology. Recent developments in hip arthroscopy techniques and bended instruments have made it possible in many cases for treating femoroacetabular impingement. Hip arthroscopy has the advantages of small incision, quick recovery and few complications. Arthroscopic intervention results in improvements in functional outcomes at both the short-term and midterm for patients. Labral repair may result in improvements over labral debridement. However, a larger sample size and a longer follow-up period are required to fully determine efficacy of this surgical technique.

1
Bedi A, Kelly BT. Femoroacetabular impingement[J]. J Bone Joint Surg Am, 2013, 95(1): 82-92.
2
Bedi A, Kelly BT, Khanduja V. Arthroscopic hip preservation surgery: current concepts and perspective [J]. Bone Joint J, 2013, 95 (1): 10-19.
3
Pfirrmann CWA, Mengiardi B, Dora C, et al. Cam and pincer femoroacetabular impingement: characteristic mr arthrographic findings in 50 patients [J]. Radiology, 2006, 240(3): 778-785.
4
Ganz R, Gill TJ, Gautier E, et al. Surgical dislocation of the adult hip: a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis [J]. J Bone Joint Surg Br, 2001, 83(8): 1119-1124.
5
Ganz R, Parvizi J, Beck M, et al. Femoroacetabular impingement: a cause of osteoarthritis of the hip[J]. Clin Orthop Relat Res, 2003, 417(417): 112-120.
6
Kelly BT, Williams RJ, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues [J]. Am J Sports Med, 2003, 31(6): 1020-1037.
7
Sampson TG. Arthroscopic treatment of femoroacetabular impingement [J]. Techniques in Orthopedics, 2005, 20(1): 56-62.
8
Bozic KJ, Chan V, Valone FH, et al. Trends in hip arthroscopy utilization in the United States [J]. J Arthroplasty, 2013, 28(8): 140-143.
9
Clohisy JC, St John LC, Schutz AL. Surgical treatment of femoroacetabular impingement: a systematic review of the literature [J]. Clin Orthop, 2010, 468(2): 555-564.
10
Lynch TS, Terry MA, Bedi A, et al. Hip arthroscopic surgery: patient evaluation, current indications, and outcomes [J]. Am J Sports Med, 2013, 41(5): 1174-1189.
11
Gupta A, Suarez-Ahedo C, Redmond JM, et al. Best practices during hip arthroscopy: aggregate recommendations of high-volume surgeons [J]. Arthroscopy, 2015, 31(9): 1722-1727.
12
Smart LR, Oetgen M, Noonan B, et al. Beginning hip arthroscopy: indications, positioning, portals, basic techniques, and complications [J]. Arthroscopy, 2007, 23(12): 1348-1353.
13
Gédouin JE. Arthroscopic treatment of femoroacetabular impingement: technical review [J]. Orthop Traumatol Surg Res, 2012, 98(5): 583-596.
14
Philippon MJ, Briggs KK, Yen YM, et al. Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow up [J]. J Bone Joint Surg Br, 2009, 91(1): 16-23.
15
Byrd JW, Jones KS. Arthroscopic femoroplasty in the management of cam-type femoroacetabular impingement [J]. Clin Orthop Relat Res, 2009, 467(3): 739-746.
16
Domb BG, Stake CE, Botser IB, et al. Surgical dislocation of the hip versus arthroscopic treatment of femoroacetabular impingement: a prospective matched-pair study with average 2-year follow-up [J]. Arthroscopy, 2013, 29(9): 1506-1513.
17
Larson CM, Giveans MR. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement [J]. Arthroscopy, 2009, 25(4): 369-376.
18
Larson CM, Giveans MR, Stone RM. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement: mean 3.5-year follow-up [J]. Am J Sports Med, 2012, 40(5): 1015-1021.
19
Schilders E, Dimitrakopoulou A, Bismil Q, et al. Arthroscopic treatment of labral tears in femoroacetabular impingement: a comparative study of refixation and resection with a minimum two-year follow-up [J]. J Bone Joint Surg Br, 2011, 93(8): 1027-1032.
20
Philippon MJ, Yen YM, Briggs KK, et al. Early outcomes after hip arthroscopy for femoroacetabular impingement in the athletic adolescent patient: a preliminary report [J]. J Paediatr Orthop, 2008, 28(7): 705-710.
21
Philippon MJ, Weiss DR, Kuppersmith DA, et al. Arthroscopic labral repair and treatment of femoroacetabular impingement in professional hockey players [J]. Am J Sports Med m, 2010, 38(1): 99-104.
22
Grzybowski JS, Malloy P, Stegemann C, et al. Rehabilitation following hip arthroscopy -a systematic review [J]. Front Surg, 2015, 2(21): 1-10.
23
Spencer GL, Eischen JJ, Levy BA, et al. A comprehensive five-phase rehabilitation programme after hip arthroscopy for femoroacetabular impingement [J]. Knee Surg Sports Traumatol Arthrosc, 2013, 22(4): 848-859.
24
Ilizaliturri VM. Complications of arthroscopic femoroacetabular impingement treatment: a review [J]. Clin Orthop, 2009, 467(3): 760-768.
25
Kowalczuk M, Bhandari M, Farrokhyar F, et al. Complications following hip arthroscopy: a systematic review and meta-analysis [J]. Knee Surg Sports Traumatol Arthrosc, 2012, 21(7): 1669-1675.
26
Harris JD, McCormick FM, Abrams GD, et al. Complications and reoperations during and after hip arthroscopy: a systematic review of 92 studies and more than 6000 patients [J]. Arthroscopy, 2013, 29(3): 589-595.
27
Gupta A, Redmond JM, Hammarstedt JE, et al. Safety measures in hip arthroscopy and their efficacy in minimizing complications: a systematic review of the evidence [J]. Arthroscopy, 2014, 30(10): 1342-1348.
28
Rath E, Sherman H, Sampson TG, et al. The incidence of heterotopic ossification in hip arthroscopy [J]. Arthroscopy, 2013, 29(3): 427-433.
29
Beckmann JT, Wylie JD, Kapron AL, et al. The effect of nsaid prophylaxis and operative variables on heterotopic ossification after hip arthroscopy [J]. Am J Sports Med, 2014, 42(6): 1359-1364.
30
Badylak JS, Keene JS. Do iatrogenic punctures of the labrum affect the clinical results of hip arthroscopy [J]. Arthroscopy, 2011, 27(6): 761-767.
31
Fowler J, Owens BD. Abdominal compartment syndrome after hip arthroscopy [J]. Arthroscopy, 2010, 26(1): 128-130.
32
Heyworth BE, Shindle MK, Voos JE, et al. Radiologic and intraoperative findings in revision hip arthroscopy [J]. Arthroscopy, 2007, 23(12): 1295-1302.
33
Philippon MJ, Stubbs AJ, Shenker ML, et al. Arthroscopic management of femoroacetabular impingement: osteoplasty technique and literature review [J]. Am J Sports Med, 2007, 35(9): 1571-1580.
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