解放军医学院学报2023，Vol.44Issue(11)：1194-1199,1205,7.DOI:10.12435/j.issn.2095-5227.2023.111
关节镜治疗成人临界型髋关节发育不良2年以上疗效观察
Clinical observation of arthroscopic treatment of adult borderline dysplasia of hip for more than 2 years
摘要
Abstract
Background Arthroscopic surgery for borderline developmental dysplasia of the hip(BDDH)remains controversial.Objective To observe the effect of hip arthroscopy surgery for BDDH after more than 2 years of operation,and explore the effect of arthroscopic surgery for BDDH.Methods A retrospective analysis was performed in BDDH patients who underwent arthroscopic surgery in the First Medical Center of Chinese PLA General Hospital from September 2016 to June 2020.Based on the preoperative imaging and intraoperative pathological findings,corresponding managements were conducted.By April 2023,the modified Harris hip score(mHHS),international hip outcome score-12(IHOT-12),visual analog scale(VAS),and patient's satisfaction score were assessed via questionnaire star with telephone before operation and at two years after operation.Results Totally 52 patients were included in the study,including 15 males and 37 females.The mean age was 30.75±8.39 years,and the mean LCEA was 21.97°±2.14°.The incidence of intraoperative labral tear,acetabular and femoral head cartilage injury was 100%,44.23%and 32.69%,respectively.All patients underwent acetabular minimal rim trimming with labral repair and fixation,and capsular closure after capsulotomy.The incidence of Cam deformity removal and abnormal anterior inferior iliac spine(AIIS)decompression was 88.46%and 57.69%,respectively.The mean postoperative follow-up was 44.35±10.96 months,and the mHHS score(82.88±9.15 vs 44.38±15.05),iHOT-12 score(83.62±9.59 vs 41.18±13.20)and VAS score(1.83±1.02 vs 6.42±1.29)were all significantly improved compared with those before operation(P＜0.01).Conclusion BDDH is mainly caused by mechanical factors of labrum and cartilage injury.The labrum repair and fixation based on the acetabular minimal rim trimming,Cam deformity sufficient removal,type 2-3 AIIS decompression and capsular closure are performed to obtain satisfactory clinical results.关键词
髋/关节镜/成人/临界性髋关节发育不良/髋关节微创手术Key words
hip/arthroscopy/adult/borderline hip dysplasia/minimally invasive hip surgery分类
医药卫生引用本文复制引用
张佳,李春宝,张建平,肇刚,王江涛,刘玉杰..关节镜治疗成人临界型髋关节发育不良2年以上疗效观察[J].解放军医学院学报,2023,44(11):1194-1199,1205,7.基金项目
国家自然科学基金项目(82072517) （82072517）
