Editorial Commentary: Comprehensive treatment of hip acetabular dysplasia plus labral and/or cam pathology with combined periacetabular osteotomy and hip arthroscopy.
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引用次数: 0
Abstract
Periacetabular osteotomy (PAO) is the agreed upon treatment for symptomatic hip dysplasia in the skeletally mature patient. Many surgeons perform hip arthroscopy to address intra-articular damage around the time of the PAO. Other surgeons believe that correcting the dysplasia with the PAO unloads the soft tissues, which negates the need for arthroscopy. Current evidence is unclear as to whether hip arthroscopy, whether concomitant or staged, is needed when performing PAO for hip dysplasia. In the United States, the chosen approach is often determined by surgeon training, comfort level, and logistical issues. Over time, the chosen approach may change, as more surgeons are trained in both open and arthroscopic hip preservation. Certainly, some patients benefit from hip arthroscopy along with PAO for labral pathology and/or femoral cam deformity.
髋关节周围截骨术(PAO)是骨骼发育成熟的患者治疗无症状髋关节发育不良的公认方法。许多外科医生在进行 PAO 时会进行髋关节镜检查,以解决关节内损伤问题。其他外科医生则认为,通过 PAO 矫正发育不良可减轻软组织的负担,从而无需进行关节镜检查。目前的证据还不清楚在进行 PAO 治疗髋关节发育不良时是否需要进行髋关节镜检查,无论是同时进行还是分阶段进行。在美国,所选择的方法通常由外科医生的培训、舒适度和后勤问题决定。随着时间的推移,随着越来越多的外科医生接受过开放式和关节镜髋关节保存术的培训,所选择的方法可能会发生变化。当然,有些患者在进行 PAO 治疗的同时,也会因髋关节镜下的髋关节唇病变和/或股骨凸轮畸形而受益。
期刊介绍:
Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.