45 岁及以上患者接受髋关节镜和髋臼周围截骨术的结果与年轻组群相似：关节软骨状况是结果的主要决定因素。

IF 4.4 1区医学 Q1 ORTHOPEDICS

Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2024-11-23 DOI:10.1016/j.arthro.2024.11.074

Derek Ochiai

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引用次数: 0

摘要

45岁及以上患者接受髋关节镜和髋关节周围截骨术的结果与年轻组群相似：关节软骨状态是结果的主要决定因素摘要：分期或联合髋关节镜/髋关节周围截骨术通常只适用于同时存在髋关节发育不良、唇病理学和/或凸轮型股骨髋臼撞击的年轻患者。对于经过精心挑选的 45 岁以上几乎没有关节炎的患者，手术效果与年轻患者相似。保留髋关节手术旨在保留髋关节，避免关节炎的发生，如果患者没有关节炎，尽管年龄较大，也应考虑进行保留髋关节手术。

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Editorial Commentary: Hip Arthroscopy and Periacetabular Osteotomy in Patients 45 Years and Older Have Similar Outcomes to a Younger Cohort: Articular Cartilage Status Is the Primary Determinant of Outcome.

Staged or combined hip arthroscopy/periacetabular osteotomy has typically been reserved for the younger patient with coexisting hip dysplasia and labral pathology and/or cam-type femoroacetabular impingement. In carefully selected patients with little to no arthritis over the age of 45, results are similar to a younger cohort of patients. Hip-preserving procedures intend to preserve the hip from getting arthritis, and if a patient does not have arthritis, consideration should be given to hip preservation surgery despite a more advanced age.

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来源期刊

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.