Acetabular Morphologic Characteristics Predict Early Conversion to Arthroplasty After Isolated Hip Arthroscopy for Femoroacetabular Impingement.
髋臼形态特征预测股骨髋臼撞击单纯髋关节镜术后早期转换为关节成形术。

摘要

BACKGROUND:Hip arthroscopy in the setting of dysplasia and borderline dysplasia is controversial. Dysplasia severity is most often defined by the lateral center edge angle (LCEA) but can also be evaluated radiographically by the acetabular inclination (AI).
PURPOSE/HYPOTHESIS:The purpose was to determine the effect of AI on outcomes after isolated hip arthroscopy for femoroacetabular impingement (FAI). We hypothesized that patients with dysplasia would have higher rates of arthroplasty as well as inferior clinical and functional outcomes compared with patients who did not have dysplasia.
STUDY DESIGN:Cohort study; Level of evidence, 3.
METHODS:A hip arthroscopy registry was reviewed for participants undergoing arthroscopic correction of FAI from February 28, 2008, to June 10, 2013. Participants required a clinical diagnosis and isolated arthroscopic correction of FAI with preoperative imaging and intraoperative cartilage status recorded. AI dysplasia was defined as an AI greater than 10°, LCEA dysplasia as LCEA less than 18°, and borderline LCEA dysplasia as LCEA 18° to 25°. Patients without an acetabular deformity (LCEA 25°-40°; AI 

译文

背景: 髋关节镜检查在发育不良和边缘发育不良的情况下是有争议的。发育不良严重程度通常由外侧中心边缘角 (LCEA) 定义,但也可以通过髋臼倾斜度 (AI) 进行影像学评估。
目的/假设: 目的是确定 AI 对股骨髋臼撞击 (FAI) 单纯髋关节镜术后结果的影响。我们假设,与没有发育不良的患者相比,发育不良患者的关节成形术率更高,临床和功能结果也更差。
研究设计: 队列研究; 证据水平,3。
方法: 对 2008年2月28日至 2013年6月10日期间接受 FAI 关节镜矫正的参与者进行髋关节镜登记。参与者需要临床诊断和单独的 FAI 关节镜矫正,并记录术前成像和术中软骨状态。AI 发育不良定义为 AI 大于 10 °,LCEA 发育不良定义为 LCEA 小于 18 °,临界 LCEA 发育不良定义为 LCEA 18 ° 至 25 °。无髋臼畸形的患者 (LCEA 25 °-40 °; AI

Arthroscopy

骨科 膝关节手术 诊断方式
概述  :  

膝关节镜属于一种微创技术,这项技术可以对膝关节上存在的伤病实施检查和诊断,通俗一点来说就是膝关节镜微创技术。目前,这项技术已经在膝关节领域得到较大发展,多数诊断以及治疗完全可以在关节镜下一次完成,这对以往的手术来说是一种突破,膝关节手术也逐渐向更加微创化的方向发展,检查的更加彻底和完整,手术具有创伤小、康复快的效果。  检查适应征1、半月板损伤,半月板的切除、修整、成形、缝合修复等。2、关节炎症,针对化脓的关节炎实施清创,然后展开冲洗和引流。针对结核病灶展开具体的清理,对骨性关节炎

Arthroscopy /ɑr'θrɑskəpi/

释义   n. 关节镜检查;关节内视镜检查法

例句   Infonnation in this group, MRI diagnosis of menisci injury 130, outside the hospital 14 knee arthroscopy line, has 12 confirmed maniacal tear. 本组资料中,MRI诊断半月板损伤130个,14个膝关节外院行关节镜检查,12个证实有半月板撕裂。


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