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

境界型寛骨臼形成不全に対する股関節鏡視下手術

著者： 星野裕信¹²

所属機関： ¹藤枝市立総合病院 ²浜松医科大学整形外科

ページ範囲：P.869 - P.873

文献概要

境界型寛骨臼形成不全に対する股関節鏡視下手術の成績は寛骨臼形成不全のない症例と比較してもおおむね良好であり，股関節温存手術の分野において股関節唇損傷や大腿骨寛骨臼インピンジメント(FAI)の治療のために必要な手技である．しかし成績不良となる因子がいくつか報告されており，疼痛の残存や股関節の不安定性を助長して変形性股関節症に進行する症例もみられる．実際の臨床では個々の患者の特徴をよく吟味して適応を決定すれば，低侵襲で良好な結果が得られるため，今後のさらなるエビデンスの蓄積が必要である．

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