|
|
髋臼盂唇损伤修复的研究进展
|
Abstract:
髋臼盂唇位于髋关节内，是附着在骨性髋臼边缘的纤维软骨环，是维持髋关节功能的重要结构，盂唇损伤后将改变髋关节的生物力学机制，引起关节不稳，最终导致骨性关节炎的发生。因影像技术的发展及全民运动的普及，髋臼盂唇损伤在年轻人的发病率逐渐上升，髋臼盂唇治疗的需求得到显著的上升。随着对关节镜的运用成熟，髋关节镜技术已经成为治疗髋臼盂唇损伤的主要手术形式，包括：盂唇清理术、修复术、重建术、加强术。其主要作用都是恢复盂唇的密闭性及缓解应力分布，从而恢复髋臼功能性。因此本文主要就髋臼盂唇损伤修复进行综述。
Background: The acetabular labrum is located in the hip joint and is a fibrocartilaginous ring attached to the bony acetabular rim, which is an important structure for maintaining the function of the hip joint. Damage to the labrum will change the biomechanical mechanism of the hip joint, causing joint instability and ultimately leading to the development of osteoarthritis. Due to the development of imaging technology and the popularity of sports among all people, the incidence of acetabular labral injury is gradually increasing among young people, and the demand for acetabular labral treatment has risen significantly. As the use of arthroscopy has matured, hip arthroscopy has become the main surgical form of treatment for acetabular labral injuries, including labral debridement, repair, reconstruction, and strengthening. The main purpose of these procedures is to restore labral confinement and relieve stress distribution, thus restoring acetabular function. Therefore, this article mainly reviews the repair of acetabular labral injury.
| [1] | Philippon, M.J., Nepple, J.J., Campbell, K.J., Dornan, G.J., Jansson, K.S., LaPrade, R.F., et al. (2014) The Hip Fluid Seal—part I: The Effect of an Acetabular Labral Tear, Repair, Resection, and Reconstruction on Hip Fluid Pressurization. Knee Surgery, Sports Traumatology, Arthroscopy, 22, 722-729. https://doi.org/10.1007/s00167-014-2874-z |
| [2] | Petersen, W., Petersen, F. and Tillmann, B. (2003) Structure and Vascularization of the Acetabular Labrum with Regard to the Pathogenesis and Healing of Labral Lesions. Archives of Orthopaedic and Trauma Surgery, 123, 283-288. https://doi.org/10.1007/s00402-003-0527-7 |
| [3] | Reiman, M.P., Mather, R.C., Hash, T.W. and Cook, C.E. (2013) Examination of Acetabular Labral Tear: A Continued Diagnostic Challenge. British Journal of Sports Medicine, 48, 311-319. https://doi.org/10.1136/bjsports-2012-091994 |
| [4] | Nepple, J.J., Philippon, M.J., Campbell, K.J., Dornan, G.J., Jansson, K.S., LaPrade, R.F., et al. (2014) The Hip Fluid Seal—Part II: The Effect of an Acetabular Labral Tear, Repair, Resection, and Reconstruction on Hip Stability to Distraction. Knee Surgery, Sports Traumatology, Arthroscopy, 22, 730-736. https://doi.org/10.1007/s00167-014-2875-y |
| [5] | Ha, Y., Kim, K. and Shin, Y. (2014) Patient Satisfaction after Arthroscopic Repair of Acetabular Labral Tears. Clinics in Orthopedic Surgery, 6, 159-164. https://doi.org/10.4055/cios.2014.6.2.159 |
| [6] | Burman, M.S. (2001) Arthroscopy or the Direct Visualization of Joints: An Experimental Cadaver Study. Clinical Orthopaedics and Related Research, 390, 5-9. https://doi.org/10.1097/00003086-200109000-00003 |
| [7] | Kautzner, J., Zeman, P., Stančák, A. and Havlas, V. (2017) Hip Arthroscopy Learning Curve: A Prospective Single-Surgeon Study. International Orthopaedics, 42, 777-782. https://doi.org/10.1007/s00264-017-3666-0 |
| [8] | 欧阳侃, 王大平, 陆伟, 等. 关节镜治疗髋臼盂唇损伤的疗效分析[J]. 中国现代医学杂志, 2019, 29(6): 112-115. |
| [9] | Byrd, J.W.T. and Jones, K.S. (2009) Hip Arthroscopy for Labral Pathology: Prospective Analysis with 10-Year Follow-up. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 25, 365-368. https://doi.org/10.1016/j.arthro.2009.02.001 |
| [10] | Lamba, A., Boos, A.M., Okoroha, K.R., Stuart, M.J., Levy, B.A., Krych, A.J., et al. (2023) Isolated Arthroscopic Debridement of Acetabular Labral Tears: High Rates of Failure and Conversion to Total Hip Arthroplasty at 13-Year Minimum Follow-Up. The American Journal of Sports Medicine, 52, 18-23. https://doi.org/10.1177/03635465231204345 |
| [11] | Krych, A.J., Kuzma, S.A., Kovachevich, R., Hudgens, J.L., Stuart, M.J. and Levy, B.A. (2014) Modest Mid-Term Outcomes after Isolated Arthroscopic Debridement of Acetabular Labral Tears. Knee Surgery, Sports Traumatology, Arthroscopy, 22, 763-767. https://doi.org/10.1007/s00167-014-2872-1 |
| [12] | Chen, A.W., Yuen, L.C., Ortiz-Declet, V., Litrenta, J., Maldonado, D.R. and Domb, B.G. (2017) Selective Debridement with Labral Preservation Using Narrow Indications in the Hip: Minimum 5-Year Outcomes with a Matched-Pair Labral Repair Control Group. The American Journal of Sports Medicine, 46, 297-304. https://doi.org/10.1177/0363546517739566 |
| [13] | Kalhor, M., Horowitz, K., Beck, M., Nazparvar, B. and Ganz, R. (2010) Vascular Supply to the Acetabular Labrum. The Journal of Bone and Joint Surgery-American Volume, 92, 2570-2575. https://doi.org/10.2106/jbjs.i.01719 |
| [14] | Philippon, M.J., Arnoczky, S.P. and Torrie, A. (2007) Arthroscopic Repair of the Acetabular Labrum: A Histologic Assessment of Healing in an Ovine Model. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 23, 376-380. https://doi.org/10.1016/j.arthro.2007.01.017 |
| [15] | Audenaert, E.A., Dhollander, A.A.M., Forsyth, R.G., Corten, K., Verbruggen, G. and Pattyn, C. (2012) Histologic Assessment of Acetabular Labrum Healing. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 28, 1784-1789. https://doi.org/10.1016/j.arthro.2012.06.012 |
| [16] | Kucharik, M.P., Abraham, P.F., Nazal, M.R., Varady, N.H., Eberlin, C.T., Meek, W.M., et al. (2022) Arthroscopic Acetabular Labral Repair versus Labral Debridement: Long-Term Survivorship and Functional Outcomes. Orthopaedic Journal of Sports Medicine, 10. https://doi.org/10.1177/23259671221109012 |
| [17] | Larson, C.M., Giveans, M.R. and Stone, R.M. (2012) Arthroscopic Debridement versus Refixation of the Acetabular Labrum Associated with Femoroacetabular Impingement. The American Journal of Sports Medicine, 40, 1015-1021. https://doi.org/10.1177/0363546511434578 |
| [18] | Vassalo, C.C., Barros, A.A.G., Costa, L.P., Guedes, E.D.C. and de Andrade, M.A.P. (2018) Clinical Outcomes of Arthroscopic Repair of Acetabular Labral Tears. BMJ Open Sport & Exercise Medicine, 4, e000328. https://doi.org/10.1136/bmjsem-2017-000328 |
| [19] | Maldonado, D.R., Owens, J.S., George, T., Curley, A.J. and Domb, B.G. (2024) Acetabular Labral Reconstruction Does Not Demonstrate Superior Biomechanical Properties Compared to Labral Repair or Intact Native Labrum but Is Superior to Labral Excision: A Systematic Review of Cadaveric Studies. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 40, 614-629. https://doi.org/10.1016/j.arthro.2023.05.025 |
| [20] | Philippon, M.J., Arner, J.W., Crawford, M.D., Bolia, I.K. and Briggs, K.K. (2020) Acetabular Labral Reconstruction with Iliotibial Band Autograft: Outcome and Survivorship at a Minimum 10-Year Follow-Up. Journal of Bone and Joint Surgery, 102, 1581-1587. https://doi.org/10.2106/jbjs.19.01499 |
| [21] | Lodhia, P., McConkey, M.O., Leith, J.M., Maldonado, D.R., Brick, M.J. and Domb, B.G. (2021) Graft Options in Hip Labral Reconstruction. Current Reviews in Musculoskeletal Medicine, 14, 16-26. https://doi.org/10.1007/s12178-020-09690-4 |
| [22] | DeFroda, S.F., Hanish, S., Muhammad, M., Cook, J.L. and Crist, B. (2022) Graft Options for Hip Labral Reconstruction. JBJS Reviews, 10, e22.00124. https://doi.org/10.2106/jbjs.rvw.22.00124 |
| [23] | Chahla, J., Soares, E., Bhatia, S., Mitchell, J.J. and Philippon, M.J. (2016) Arthroscopic Technique for Acetabular Labral Reconstruction Using Iliotibial Band Autograft. Arthroscopy Techniques, 5, e671-e677. https://doi.org/10.1016/j.eats.2016.02.025 |
| [24] | Ejinsman, L. and Philippon, M.J. (2011) Arthroscopic Labral Reconstruction in the Hip Using Iliotibial Band Autograft. Operative Techniques in Sports Medicine, 19, 134-139. https://doi.org/10.1053/j.otsm.2010.10.004 |
| [25] | Geyer, M.R., Philippon, M.J., Fagrelius, T.S. and Briggs, K.K. (2013) Acetabular Labral Reconstruction with an Iliotibial Band Autograft: Outcome and Survivorship Analysis at Minimum 3-Year Follow-Up. The American Journal of Sports Medicine, 41, 1750-1756. https://doi.org/10.1177/0363546513487311 |
| [26] | Maldonado, D.R., Glein, R.M. and Domb, B.G. (2021) Arthroscopic Acetabular Labral Reconstruction: A Review. Journal of Hip Preservation Surgery, 7, 611-620. https://doi.org/10.1093/jhps/hnab003 |
| [27] | Atzmon, R., Radparvar, J.R., Sharfman, Z.T., Dallich, A.A., Amar, E. and Rath, E. (2018) Graft Choices for Acetabular Labral Reconstruction. Journal of Hip Preservation Surgery, 5, 329-338. https://doi.org/10.1093/jhps/hny033 |
| [28] | Rucinski, K., Wissman, R., Crecelius, C., DeFroda, S., Crist, B. and Cook, J. (2023) Poster 371: A Comparison of Fresh-Frozen Tendon versus Fresh Meniscus Allograft Transplantation for Acetabular Labrum Reconstruction. Orthopaedic Journal of Sports Medicine, 11. https://doi.org/10.1177/2325967123s00334 |
| [29] | Deng, Z., Yue, J., Zheng, Y., et al. (2021) Arthroscopic Acetabular Labrum Reconstruction with Capsular Autograft: Clinical Outcome and Preliminary Results. American Journal of Translational Research, 13, 13183-13191. |
| [30] | Rahl, M.D., LaPorte, C., Steinl, G.K., O’Connor, M., Lynch, T.S. and Menge, T.J. (2019) Outcomes after Arthroscopic Hip Labral Reconstruction: A Systematic Review and Meta-Analysis. The American Journal of Sports Medicine, 48, 1748-1755. https://doi.org/10.1177/0363546519878147 |
| [31] | Shi, Y., Chen, L., Xu, Y., Hu, X., Ao, Y. and Wang, J. (2016) Acetabular Labral Reconstruction with Autologous Tendon Tissue in a Porcine Model: In Vivo Histological Assessment and Gene Expression Analysis of the Healing Tissue. The American Journal of Sports Medicine, 44, 1031-1039. https://doi.org/10.1177/0363546515623784 |
| [32] | Shi, Y., Chen, L., Xu, Y., et al. (2019) Acetabular Labral Reconstruction Using Autografts Reduces Osteoarthritis Development Compared with Labral Resection in a Porcine Model. American Journal of Translational Research, 11, 2484-2495. |
| [33] | Capurro, B., Reina, F., Carrera, A., Monllau, J.C., Marqués-López, F., Marín-Peña, O., et al. (2022) Hip Labral Recons-truction with a Polyurethane Scaffold: Restoration of Femoroacetabular Contact Biomechanics. Orthopaedic Journal of Sports Medicine, 10. https://doi.org/10.1177/23259671221118831 |
| [34] | Wu, R., Gao, G., Zhang, S., Liu, R., Dong, H. and Xu, Y. (2022) BMP-2 Modified Electrospun Scaffold for Acetabular Labral Reconstruction Promotes Collagen Fiber Regeneration in a Porcine Model. The American Journal of Sports Medicine, 50, 757-768. https://doi.org/10.1177/03635465211066948 |
| [35] | Locks, R., Chahla, J., Frank, J.M., Anavian, J., Godin, J.A. and Philippon, M.J. (2017) Arthroscopic Hip Labral Augmentation Technique with Iliotibial Band Graft. Arthroscopy Techniques, 6, e351-e356. https://doi.org/10.1016/j.eats.2016.10.001 |
| [36] | Su, T., Ao, Y., Yang, L. and Chen, G. (2022) The Vascularization Course of Labral Autograft and Its Effect on Tissue Healing: Acetabular Labral Augmentation versus Labral Reconstruction in a Porcine Model. The American Journal of Sports Medicine, 50, 2647-2658. https://doi.org/10.1177/03635465221108195 |
| [37] | Su, T., Ao, Y., Yang, L. and Chen, G. (2022) Tissue Integration and Chondroprotective Potential of Acetabular Labral Augmentation with Autograft Tendon: Study of a Porcine Model. Journal of Bone and Joint Surgery, 105, 435-447. https://doi.org/10.2106/jbjs.22.00896 |
| [38] | Singh, H., DeFroda, S.F., Gursoy, S., Vadhera, A.S., Perry, A.K., Nho, S.J., et al. (2021) Hip Labral Reconstruction with Capsular Autograft Augmentation. Arthroscopy Techniques, 10, e1547-e1551. https://doi.org/10.1016/j.eats.2021.02.025 |
| [39] | Soares, R.W., Ruzbarsky, J.J., Arner, J.W., Comfort, S.M., Briggs, K.K. and Philippon, M.J. (2022) Midterm Outcomes after Hip Labral Augmentation in Revision Hip Arthroscopy. The American Journal of Sports Medicine, 50, 1299-1305. https://doi.org/10.1177/03635465221080162 |
