Simultaneous Bilateral Hip Arthroscopy
Simultaneous Bilateral Hip Arthroscopy
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DOI：
10.1016/j.eats.2017.03.002
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发表时间：
2017-08-01
影响因子：
1.2
通讯作者：
Matsuda, Nicole A.
中科院分区：
文献类型：
--
作者：
Matsuda, Dean K.;Ching, Kaycee;Matsuda, Nicole A.
许多患者患有双髋疼痛，最常见的是股髋臼撞击。一些患者更喜欢接受单一手术和麻醉，然后进行单一术后康复计划的优势。我们提出了单阶段双侧髋关节镜的技术说明。本技术说明报告了安全有效地进行双侧关节镜下髋臼成形术、唇部再固定、股骨成形术和动态测试的关键步骤，同时限制牵引时间并促进快速过渡到第二次髋关节镜手术。促成因素包括仰卧位，双侧活动腿梁，快速手术和髋关节牵引时间，术后康复，在可容忍的情况下立即负重。本文还提供了决定哪个髋关节应该首先接受关节镜检查的基本原理。同时进行双侧髋关节镜检查对于特定的患者和经验丰富的手术团队来说是一个可行的选择，可以潜在地加速恢复并恢复工作或运动，同时节省固有的成本。
Many patients are afflicted with painful conditions affecting both hips, most commonly femoroacetabular impingement. Some patients prefer the advantage of undergoing a single surgical procedure and anesthetic followed by a single postoperative rehabilitation program. We present a Technical Note on single-stage bilateral hip arthroscopy. This Technical Note reports on key steps enabling safe and efficient performance of bilateral arthroscopic acetabuloplasty, labral refixation, femoroplasty, and dynamic testing while limiting traction times and facilitating rapid transition to the second hip arthroscopic surgery. Enabling factors include supine positioning with bilateral mobile leg spars, rapid surgical and hip traction times, and postoperative rehabilitation with immediate weight bearing as tolerated. A rationale for deciding which hip should undergo arthroscopy first is also offered. Concurrent bilateral hip arthroscopy is a viable option for select patients and experienced surgical teams, enabling potentially expedited recovery and return to work or sport with inherent cost savings.