Application of an improved"outside-in"technique in hip arthroscopic surgery
10.3969/j.issn.1000-6710.2025.03.001
- VernacularTitle:一种改良的"由外向内"技术在髋关节镜手术中的应用
- Author:
Jing YANG
1
;
Qiang WANG
;
Baojin SU
;
Baohua HE
;
Hang SHI
;
Yuchen SHANG
;
Wei DONG
;
Mengru LI
;
Yuhao ZHENG
;
Jin ZHANG
Author Information
1. 应急总医院骨科(北京 100028)
- Publication Type:Journal Article
- Keywords:
hip arthroscopy;
femoroacetabular impingement syndrome;
effect;
outside-in;
hip capsule
- From:
Chinese Journal of Sports Medicine
2025;44(3):171-176
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of applying an improved"outside-in"technique in hip arthroscopic surgery.Methods Totally 136 patients undergoing hip arthroscopic surgery between June 2021 and July 2023 were selected and studied retrospectively.According to their different surgi-cal approach,they were divided into a modified approach group(n=75,including 30 males and 45 fe-males,with an average age of 36±14)and a classic approach group(n=61,including 33 males and 28 females,with an average age of 31±11).Before as well as 4 weeks,3 months and 6 months after the surgery,both groups were evaluated using the visual analog scale(VAS)and Harris hip score,and observed their surgical complications.Moreover,the surgical outcomes and time of sur-gical approach establishment were compared between the two groups.Results There was no significant difference between the two groups in general information,preoperative VAS and Harris scores.More-over,no significant difference was found between the two groups in the Harris score after surgery.Compared with the classic approach group,the improved group had significantly less surgical time(49.0±16.9 min vs.66.0±13.3 min,P<0.05),without using the C-arm fluoroscopy during surgery.Moreover,in the modified approach group,the time for establishing the mid-anteriorapproach was sig-nificantly shortened(10.4±5.9 min vs.25.9±15.1 min,P<0.05),along with the traction time during surgery(66.0±13.3 min vs.49.0±16.9 min,P<0.05).Conclusion The modified"outside-in"hip ar-throscopy technique is a safe and effective surgical method,easier to operate,with shorter surgical time.
