Clinical outcomes of arthroscopic surgery for external snapping hip.
Clinical outcomes of arthroscopic surgery for external snapping hip.
复制标题
关节镜下髋关节外弹响手术的临床效果
DOI：
10.1186/s13018-017-0584-1
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发表时间：
2017-06-02
影响因子：
2.6
通讯作者：
Cheng B
中科院分区：
文献类型：
--
作者：
Shrestha A;Wu P;Ge H;Cheng B
研究报告了关节镜技术用于髋关节外弹响综合征的松解。然而，尚未报告关节镜手术的大样本量研究。2012年1月至2013年6月，对229例双侧和19例单侧外部弹响髋关节患者进行了治疗。在确定挛缩位置后，进行相应的关节镜手术。比较术前和术后的角度。比较活动度，所有患者均获得较高的内收和屈曲角。术后随访24个月时，I型内收角从−14.4 ± 5.14改善至35.7 ± 4.21，II型内收角从−31.2 ± 5.22改善至31.7 ± 2.84，III型内收角从−49.0 ± 3.47改善至21.6 ± 3.43，IV型从-64.5 ± 4.65降至18.3 ± 3.10（P < 0.001）。同样，所有四种类型的屈曲角也明显改善（P < 0.001）。Ⅰ、Ⅱ型优良率和满意率均较好。经关节镜手术治疗后，所有患者均痊愈。关节镜手术治疗外弹响髋具有手术时间短、瘢痕小、术后恢复快、挛缩松解彻底等优点，是一种有效的治疗方法。
Studies have reported on the arthroscopic technique for release of external snapping hip syndrome. However, no study with large sample size has been reported for arthroscopic surgery. Patients with 229 bilateral and 19 unilateral external snapping hips were treated from January 2012 to June 2013. After locating the contracture position, arthroscopic surgery was performed accordingly. Preoperative and postoperative angles were compared. Comparing range of motion, all patients obtained higher adduction and flexion angles. At postoperative follow-up of 24 months, the adduction angle was improved from −14.4 ± 5.14 to 35.7 ± 4.21 for type I, from −31.2 ± 5.22 to 31.7 ± 2.84 for type II, from −49.0 ± 3.47 to 21.6 ± 3.43 for type III, and from −64.5 ± 4.65 to 18.3 ± 3.10 for type IV (P < 0.001). Similarly, the flexion angle was also significantly improved for all the four types (P < 0.001). Excellent ratio and satisfaction rate were good in types I and II. All the clinical features were cured after arthroscopic surgery. Arthroscopic surgery could be an effective procedure for external snapping hip, due to less operating time, small scar, fast postoperative recovery, and complete contracture release.