| Inside-out和Outside-in髋关节镜技术治疗股骨髋臼撞击征的疗效对比研究 |
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Received:November 29, 2020
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| 作者 | Author | 单位 | Unit | E-Mail |
| 钟名金 |
ZHONG Ming-jin |
深圳大学第一附属医院 深圳市第二人民医院运动医学科, 广东 深圳 518000 |
Department of Sports Medicine, the Second People's Hospital of Shenzhen University, Shenzhen 518000, Guangdong, China |
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| 欧阳侃 |
OUYANG Kan |
深圳大学第一附属医院 深圳市第二人民医院运动医学科, 广东 深圳 518000 |
Department of Sports Medicine, the Second People's Hospital of Shenzhen University, Shenzhen 518000, Guangdong, China |
510296924@qq.com |
| 彭亮权 |
PENG Liang-quan |
深圳大学第一附属医院 深圳市第二人民医院运动医学科, 广东 深圳 518000 |
Department of Sports Medicine, the Second People's Hospital of Shenzhen University, Shenzhen 518000, Guangdong, China |
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| 陈康 |
CHEN Kang |
深圳大学第一附属医院 深圳市第二人民医院运动医学科, 广东 深圳 518000 |
Department of Sports Medicine, the Second People's Hospital of Shenzhen University, Shenzhen 518000, Guangdong, China |
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| 柳海峰 |
LIU Hai-feng |
深圳大学第一附属医院 深圳市第二人民医院运动医学科, 广东 深圳 518000 |
Department of Sports Medicine, the Second People's Hospital of Shenzhen University, Shenzhen 518000, Guangdong, China |
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| 邓桢翰 |
DENG Zhen-han |
深圳大学第一附属医院 深圳市第二人民医院运动医学科, 广东 深圳 518000 |
Department of Sports Medicine, the Second People's Hospital of Shenzhen University, Shenzhen 518000, Guangdong, China |
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| 朱伟民 |
ZHU Wei-min |
深圳大学第一附属医院 深圳市第二人民医院运动医学科, 广东 深圳 518000 |
Department of Sports Medicine, the Second People's Hospital of Shenzhen University, Shenzhen 518000, Guangdong, China |
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| 陆伟 |
LU Wei |
深圳大学第一附属医院 深圳市第二人民医院运动医学科, 广东 深圳 518000 |
Department of Sports Medicine, the Second People's Hospital of Shenzhen University, Shenzhen 518000, Guangdong, China |
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| 期刊信息：《中国骨伤》2021年34卷，第12期，第1141-1146页 |
| DOI：10.12200/j.issn.1003-0034.2021.12.010 |
| 基金项目:广东省医学科学技术研究基金项目（编号：A2018284）；深圳市第二人民医院临床研究项目（编号：20193357019） |
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目的：对比分析两种髋关节镜技术治疗股骨髋臼撞击征（femoroacetabular impingement，FAI）的临床疗效和并发症。
方法：回顾性分析2016年6月至2019年6月采用髋关节镜手术治疗并获得随访的48例FAI患者。根据手术方式的不同分为两组，Inside-out组，由中央到外周；Outside-in组，由外周到中央。Inside-out组24例，男14例，女10例，年龄（39.8±7.6）岁；Outside-in组24例，男13例，女11例，年龄（39.5±9.1）岁。两组患者年龄、性别、体质量指数、侧别、撞击类型、病程、随访时间比较差异无统计学意义。对两组术后髋关节改良Harris （modified Harris hip score，mHHS），非骨关节炎髋关节（nonarthritic hip score，NAHS）评分和术后并发症发生率进行比较。
结果：两组患者术后髋关节功能评分mHHS和NAHS评分均较术前提高，但组间比较差异无统计学意义（P>0.05）。Inside-out组术后4例出现神经牵拉伤，3例医源性损伤；而Outside-in组仅1例神经牵拉伤。Inside-out组并发症发生率高于Outside-in组（16.7% vs 4.2%，χ2=5.400，P=0.020）。
结论：Inside-out和Outside-in两种髋关节镜技术治疗FAI均可取得良好的临床效果，但相对于Inside-out技术，Outside-in技术术后并发症发生率低，针对符合适应证的患者可以优先选择。 |
| [关键词]:髋关节 股骨髋臼撞击征 临床疗效 关节镜技术 |
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| Clinical outcomes of hip arthroscopic treatment for femoroacetabular impingement: a comparative study between Inside-out and Outside-in approach |
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Abstract:
Objective: To compare the clinical outcomes and complications of hip arthroscopic treatment for femoroacetabular impingement (FAI) performed with either Inside-out or Outside-in approach.
Methods: The clinical date of 48 patients with FAI treated by hip arthroscopy surgery and follow-up from June 2016 to June 2019 were retrospectively analyzed. According to the different operative methods,the patients were divided into two groups. Inside-out group,from central compartment to peripheral compartment;Outside-in group,from peripheral compartment to central compartment. There were 14 males and 10 females in Inside-out group with an average age of (39.8±7.6)years old,13 males and 11 females in Inside-out group with an average age of (39.5±9.1)years old in Outside-in group. There was no significant difference in age,gender,body mass index,side,impingement type,medical history and follow-up time between the two groups. The complication occurrence rate,modified Harris hip score(mHHS)and nonarthritic hip score(NAHS) were compared between these two groups.
Results: The mHHs and NAHS scores of the two groups were significantly higher than those before operation,but there was no significant difference between the two groups(P>0.05). In the Inside-out group,there were 4 cases of nerve traction injury and 3 cases of iatrogenic injury,while only 1 case of nerve traction injury occurred in the Outside-in group. The incidence of complications in the inside out group was higher than that in the outside in group(16.7% vs 4.2%, χ2=5.400,P=0.020).
Conclusion: Both hip arthroscopic surgery methods can obtain satisfactory clinical efficacy in the treatment of FAI,but the incidence of postoperative complications of Outside-in surgical method is lower. The out-side in method can be preferentially selected for the patients with the indications of operation. |
| KEYWORDS:Hip joint Femoroacetabular impingement Clinical outcomes Arthroscopic technique |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 钟名金,欧阳侃,彭亮权,陈康,柳海峰,邓桢翰,朱伟民,陆伟.Inside-out和Outside-in髋关节镜技术治疗股骨髋臼撞击征的疗效对比研究[J].中国骨伤,2021,34(12):1141~1146 |
| 英文格式: | ZHONG Ming-jin,OUYANG Kan,PENG Liang-quan,CHEN Kang,LIU Hai-feng,DENG Zhen-han,ZHU Wei-min,LU Wei.Clinical outcomes of hip arthroscopic treatment for femoroacetabular impingement: a comparative study between Inside-out and Outside-in approach[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(12):1141~1146 |
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