臨床整形外科58巻7号

2023年07月発行

特集 股関節鏡手術のエビデンス—治療成績の現状

大腿骨寛骨臼インピンジメント(FAI)に対する股関節鏡視下手術の成績—保存療法との比較を踏まえて

著者： 梅津太郎¹² 大矢昭仁² 金治有彦²³

所属機関： ¹東京都済生会中央病院整形外科 ²慶應義塾大学医学部整形外科 ³藤田医科大学ばんたね病院整形外科

ページ範囲：P.855 - P.861

2015年に日本股関節学会が大腿骨寛骨臼インピンジメント(FAI)の診断基準を発表し，本邦でも積極的にFAI治療が行われるようになった．近年，手術治療は股関節鏡視下手術が主流になりつつあり，おおむね良好な成績が得られている．関節鏡を用いた低侵襲手術でFAIにおける股関節病態の改善と変形性股関節症の発症予防が期待される一方で，術後早期の再手術例や人工股関節置換術へ移行する例も存在し，保存療法で手術を回避できる例も少なくないため，その適応には注意を要する．

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