侧卧位无后位髋关节镜检查安全且牵拉相关并发症发生率低

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-08-01 DOI:10.1016/j.asmr.2025.101205

Jacob D. Kodra B.S. , Robert Healey M.B.A. , Kaleb Keener B.S. , Christopher Papatheofanis D.O. , Michael P. Muldoon M.D.

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引用次数: 0

摘要

目的探讨侧卧位无后位髋关节镜术后早期牵拉相关并发症的发生率。方法本回顾性研究纳入了2019年1月至2022年6月由一名培训过的骨科医生接受髋关节镜检查的患者。如果患者在研究期间接受了单侧唇部修复、股骨成形术和/或髋臼成形术，则纳入研究；在12周内参加了所有3次术后随访；并采用上述手术技术进行治疗。同时行髋臼周围或股骨截骨术的患者被排除在外。记录术中牵引力、持续时间及是否充足。术后并发症和神经性症状在髋关节镜术后12周的随访中被询问。数据分析采用t检验，显著性水平为P <； 0.05。结果共纳入患者242例，其中女性151例，男性91例，年龄17 ~ 70岁。平均牵引力为66.74±20.62磅力（lbf），平均牵引力持续时间为62.73±19.35分钟。仅有7例（2.89%）出现神经性症状，其中42.86%在3个月内消退。与男性患者相比，女性患者需要的牵引力（56.67±12.17 lbf vs 83.63±21.37 lbf, P < 001）和牵引力时间（59.54±17.41 min vs 67.93±21.25 min, P = 0.0015）显著低于男性患者。男性患者术后症状发生率（6.59%）高于女性患者（0.66%,P = 0.012）。结论侧卧位行无支架髋关节镜检查，牵拉相关神经性并发症发生率低。证据水平：IV级，治疗性病例系列。

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Postless Hip Arthroscopy in the Lateral Decubitus Position Is Safe and Associated With Low Rates of Traction-Related Complications

Purpose

To evaluate the incidence of traction-related complications in the early postoperative period after postless hip arthroscopy with patients in the lateral decubitus position.

Methods

This retrospective study included patients undergoing hip arthroscopy by a single fellowship-trained orthopaedic surgeon from January 2019 to June 2022. Patients were included if they underwent unilateral labral repair, femoroplasty, and/or acetabuloplasty within the study period; attended all 3 postoperative visits over a period of 12 weeks; and were treated with the described surgical technique. Patients who underwent concomitant periacetabular or femoral osteotomy were excluded. Intraoperative traction force, duration, and adequacy were recorded. Postoperative complications and neuropathic symptoms were queried at postoperative visits up to 12 weeks after hip arthroscopy. Data were analyzed using t tests, with the level of significance set at P < .05.

Results

A total of 242 patients (151 females and 91 males) aged 17 to 70 years were included. The mean traction force was 66.74 ± 20.62 pounds-force (lbf), with a mean traction duration of 62.73 ± 19.35 minutes. Neuropathic symptoms occurred in only 7 patients (2.89%), with 42.86% resolving within 3 months. Compared to male patients, female patients required significantly less traction force (56.67 ± 12.17 lbf vs 83.63 ± 21.37 lbf, P < .001) and traction time (59.54 ± 17.41 minutes vs 67.93 ± 21.25 minutes, P = .0015). The postoperative symptom incidence was higher in male patients (6.59%) than female patients (0.66%, P = .012).