髋关节周围肌腱病变的内镜治疗:腰肌、臀中肌和腘绳肌

Rafael Arriaza Loureda , Raúl Torres Eguía , Gonzalo Couceiro Sánchez
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引用次数: 1

摘要

目的介绍目前通过内窥镜手术解决髋关节周围肌腱病变的新治疗选择,即所谓的“开箱手术”。方法回顾了文献和作者的经验,介绍了内窥镜手术在解决髋关节周围肌腱病变中的应用。结果:虽然还没有大型的发表系列,但似乎已经有足够的证据表明,内窥镜手术治疗这种病理的效果至少与开放手术相似,而且发病率和并发症发生率更低。结论对于治疗髋关节病变的外科医生来说,掌握关节内窥镜手术技术对于解决需要使用开放手术进行复杂或深度入路的问题非常有用。临床相关性了解关节内窥镜治疗的可能性将有助于外科医生为患者选择最佳的手术方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tratamiento endoscópico de la patología tendinosa alrededor de la cadera: psoas, glúteo medio e isquiotibiales

Objectives

To present the new therapeutic options currently offered by endoscopic surgery in order to resolve tendon pathology around the hip joint, in the so-called ‘outside the box surgery’.

Methods

A review of the literature and the authors’ experience is presented on the use of endoscopic surgery in resolving tendon pathology around the hip joint.

Results

Although there are still no large published series, there already appears to be sufficient evidence that endoscopic surgery offers at least similar results to those of open surgery for the treatment of this pathology, as well as having lower morbidity and complication rates.

Conclusions

For those surgeons treating hip pathology, mastering arthro-endoscopic surgical techniques is extremely useful in order to resolve problems that would require complex or deep approaches using open surgery.

Level of evidence

5

Clinical relevance

Knowledge of arthro-endoscopic therapeutic possibilities will help surgeons to choose the best surgical option for patients.

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