{"title":"U 形髋关节囊切口:髋关节发育不良髋关节囊成形术的简便方法 - 技术说明。","authors":"Hesham Mohamed Elbaseet, Mohamed Abdelhady Abdelzaher","doi":"10.1016/j.otsr.2023.103625","DOIUrl":null,"url":null,"abstract":"<div><p><span><span>Developmental dysplasia<span><span> of the hip (DDH) is one of the most common hip anomalies encountered in pediatric patients. Stabilization of the </span>femoral head into the </span></span>acetabulum<span><span> is crucial for normal hip joint development. When surgical intervention is decided, open reduction is needed to remove any obstacle that hinders hip reduction. Capsulorraphy is an essential step for minimizing instability of the hip after reduction. The classic T-shaped capsular </span>incision<span> is done by two incisions: vertical limb parallel to femoral neck axis and a transverse one parallel to the inguinal ligament 5</span></span></span> <!-->mm distally to proximal capsular attachment. The cumbersomeness of this technique was noticed in suturing of the resulted two flabs from this incision. So, the suggested U-shaped incision makes suturing of the capsule easier with multiple stitches.</p></div>","PeriodicalId":54664,"journal":{"name":"Orthopaedics & Traumatology-Surgery & Research","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"U-shaped hip capsular incision: An easier way to do hip capsulorrhaphy in developmental dysplasia of the hip – Technical note\",\"authors\":\"Hesham Mohamed Elbaseet, Mohamed Abdelhady Abdelzaher\",\"doi\":\"10.1016/j.otsr.2023.103625\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><span><span>Developmental dysplasia<span><span> of the hip (DDH) is one of the most common hip anomalies encountered in pediatric patients. Stabilization of the </span>femoral head into the </span></span>acetabulum<span><span> is crucial for normal hip joint development. When surgical intervention is decided, open reduction is needed to remove any obstacle that hinders hip reduction. Capsulorraphy is an essential step for minimizing instability of the hip after reduction. The classic T-shaped capsular </span>incision<span> is done by two incisions: vertical limb parallel to femoral neck axis and a transverse one parallel to the inguinal ligament 5</span></span></span> <!-->mm distally to proximal capsular attachment. The cumbersomeness of this technique was noticed in suturing of the resulted two flabs from this incision. So, the suggested U-shaped incision makes suturing of the capsule easier with multiple stitches.</p></div>\",\"PeriodicalId\":54664,\"journal\":{\"name\":\"Orthopaedics & Traumatology-Surgery & Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Orthopaedics & Traumatology-Surgery & Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1877056823001081\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopaedics & Traumatology-Surgery & Research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1877056823001081","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
摘要
髋关节发育不良(DDH)是儿童患者中最常见的髋关节畸形之一。股骨头与髋臼的稳定对于髋关节的正常发育至关重要。在决定进行手术治疗时,需要进行开刀复位术,以清除任何阻碍髋关节复位的障碍。髋关节囊成形术是将髋关节还原后的不稳定性降至最低的重要步骤。经典的 "T "形关节囊切口由两个切口组成:与股骨颈轴线平行的垂直切口和与腹股沟韧带平行的横向切口,切口距关节囊近端附着处 5 mm。从这个切口缝合所产生的两块皮瓣时,我们发现这种技术比较麻烦。因此,建议采用 U 形切口,通过多针缝合更容易缝合囊肿。
U-shaped hip capsular incision: An easier way to do hip capsulorrhaphy in developmental dysplasia of the hip – Technical note
Developmental dysplasia of the hip (DDH) is one of the most common hip anomalies encountered in pediatric patients. Stabilization of the femoral head into the acetabulum is crucial for normal hip joint development. When surgical intervention is decided, open reduction is needed to remove any obstacle that hinders hip reduction. Capsulorraphy is an essential step for minimizing instability of the hip after reduction. The classic T-shaped capsular incision is done by two incisions: vertical limb parallel to femoral neck axis and a transverse one parallel to the inguinal ligament 5 mm distally to proximal capsular attachment. The cumbersomeness of this technique was noticed in suturing of the resulted two flabs from this incision. So, the suggested U-shaped incision makes suturing of the capsule easier with multiple stitches.
期刊介绍:
Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.