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Abstract：
Hip arthroscopy is a surgical procedure that has a technically challenging nature, requiring advanced spatial skills and specialised instrumentation. The most common indication for hip arthroscopy is femoroacetabular impingement, which is increasing due to improved awareness and knowledge of the condition among healthcare professionals. Hip arthroscopy requires many different checkpoints from patient positioning to capsule closure to be successfully completed. Patient positioning is one of the keystones of hip arthroscopy and the probability of a surgeon achieving successful outcomes is significantly influenced by the establishment of optimal access points. The importance of the acetabular labrum and capsule has been better understood in recent years. There has been a noticeable preference towards prioritising acetabular labral repair over debridement or excision. Similarly, consistent with the literature, capsule closure restores naive hip biomechanics more successfully and improves functional outcomes following hip arthroscopy. Osteochondroplasty is a frequently employed therapeutic intervention; yet, attaining optimal osteochondroplasty outcomes might present challenges. The aim is, to restore the full perfect sphericity of the femoral head without attenuation of the head. The aim of this article is to highlight the knowledge accumulated from experiences based on previous hip arthroscopy surgeries as a solution for future troubleshooting steps. Level of Evidence: Level V.
摘要：
髋关节镜检查是一种具有技术挑战性的外科手术，需要先进的空间技能和专业的仪器。髋关节镜检查最常见的适应症是股骨髋臼撞击，由于医疗保健专业人员对病情的认识和知识的提高，这一比例正在增加。髋关节镜检查需要从患者定位到胶囊闭合的许多不同的检查点才能成功完成。患者定位是髋关节镜检查的重点之一,并且外科医生获得成功结果的概率受到最佳接入点的建立的显著影响。髋臼唇和囊的重要性近年来已得到更好的理解。明显倾向于优先考虑髋臼唇修复而不是清创或切除。同样，与文献一致，胶囊闭合更成功地恢复了幼稚的髋关节生物力学，并改善了髋关节镜检查后的功能结果。骨软骨成形术是一种经常使用的治疗干预措施；然而，获得最佳骨软骨成形术结果可能存在挑战.目的是,以恢复股骨头的完全完美球形而不衰减头部。本文的目的是强调从以前的髋关节镜手术经验中积累的知识，作为未来故障排除步骤的解决方案。证据级别：V级
