Acetabular labral tears: Result of arthroscopic partial limbectomy

Acetabular labral tears: Result of arthroscopic partial limbectomy
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DOI:
10.1016/s0749-8063(00)90121-x
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发表时间:
2000-01-01
期刊:
影响因子:
4.7
通讯作者:
Villar, RN
Villar, RN
中科院分区:
医学1区
文献类型:
--
作者:
Santori, N;Villar, RN

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髋臼唇撕裂是一种罕见的,但公认的原因髋关节症状的年轻人。临床和影像学诊断都很困难。过去的治疗选择是保守或开放性关节切开术。髋关节镜已被证明是一种有效的工具,用于诊断和治疗慢性髋关节疼痛患者保守治疗难治性的目的。我们回顾了76例关节镜下角膜缘切除术。所有患者均出现髋关节症状超过6个月。非手术治疗无反应。结果进行了评估与哈里斯髋关节评分和问卷调查。58例患者平均随访3.5年(范围:24 - 61个月)。39例患者(67.3%)对手术结果满意。其余19人(32.7%)不满意。关节镜检查是一种有效的非侵入性程序的评估和治疗盂唇病变。短期后续行动显示出令人鼓舞的结果。
Acetabular labral tears are a rare but well recognized cause of hip symptoms in young adults. Both clinical and radiographic diagnoses are difficult. The treatment of choice in the past has been either conservative or open arthrotomy. Hip arthroscopy has proved to be an effective tool for both diagnostic and therapeutic purposes in patients with chronic hip pain refractory to conservative treatment. We reviewed a series of 76 arthroscopic limbectomies. All patients had experienced hip symptoms for more than 6 months. None responded to nonsurgical treatment. Results were evaluated with the Harris Hip Score and with a questionnaire. Fifty-eight cases had a mean 3.5 years follow-up (range, 24 to 61 months). Thirty-nine patients (67.3%) were pleased with the result of their operation. The remaining 19 (32.7%) were not satisfied. Arthroscopy is an effective noninvasive procedure for the assessment and treatment of labral lesions. Short-term follow-up shows encouraging results.