Short-Term Results of Osteochondral Autologous Transfer and Femoral Neck Osteochondroplasty for the Treatment of Osteochondral Lesions of the Femoral Head and Concomitant Femoroacetabular Impingement Syndrome: A Case Series.

骨软骨自体移植和股骨颈骨软骨成形术治疗股骨头骨软骨病变和合并股骨髋臼撞击综合征的短期结果 ： 病例系列。

• 发表时间: Sep 2022
• 来源期刊: Hip Pelvis
• DOI: 10.5371/hp.2022.34.3.177
• PMID: 36299472
• 文章类型: Case Reports
• 作者列表: Díaz-Dilernia F,Astore F,Buttaro M,Zanotti G,Díaz-Dilernia F,Astore F,Buttaro M,Zanotti G

关键词: Femoral head; Femoroacetabular impingement; Osteochondral autologous transplantation; Osteochondral lesion; Surgical hip dislocation; Femoral head; Femoroacetabular impingement; Osteochondral autologous transplantation; Osteochondral lesion; Surgical hip dislocation

Abstract

This study aimed to analyse the initial results of five patients with symptomatic osteochondral lesions (OCL) and femoroacetabular impingement (FAI) who were treated successfully with osteochondral autologous transfer (OAT) and femoral neck osteochondroplasty (OCP) through surgical dislocation of the hip. Five patients with FAI and OCL of the femoral head who underwent surgery between 2015-2018 were studied retrospectively. All patients had a grade IV OCL, and the median defect size was 2 cm2 (interquartile range [IQR], 2-2). At the final follow-up, the modified Harris hip score showed a median value of 94 (IQR, 91-95) (P=0.04). Pain evaluation using the visual analogue scale showed a median value of 1 (IQR, 1-2) (P=0.04). Adequate graft union and healthy formation of the chondral surface were observed by magnetic resonance imaging. Although the procedure is demanding, the combination of OAT and femoral neck OCP appears to be an effective alternative in young patients.

摘要

本研究旨在分析5例症状性骨软骨损伤（OCL）和股骨髋臼撞击（FAI）患者的初步结果，这些患者通过手术脱位成功接受了骨软骨自体移植（OAT）和股骨颈骨软骨成形术（OCP）治疗。髋关节。回顾性研究了2015年至2018年间接受手术的5例股骨头FAI和OCL患者。所有患者的OCL为IV级,中值缺陷大小为2cm2(四分位数间距[IQR]，2-2).在最后的后续行动中，改良的Harris髋关节评分的中位数为94(IQR，91-95)(P=0.04)。使用视觉模拟量表进行疼痛评估的中位数为1（IQR，1-2)(P=0.04)。通过磁共振成像观察到足够的移植物结合和软骨表面的健康形成。虽然程序要求很高，OAT和股骨颈OCP的组合似乎是年轻患者的有效替代方案。