Adhesions in the setting of hip arthroscopy

被引:2
作者
Ruzbarsky, Joseph J. [1 ,2 ,3 ]
Soares, Rui W. [4 ]
Comfort, Spencer M. [1 ]
Arner, Justin W. [5 ]
Philippon, Marc J. [1 ,2 ,3 ]
机构
[1] Steadman Philippon Res Inst, Vail, CO 81657 USA
[2] Steadman Clin, Vail, CO 81657 USA
[3] US Coalit Prevent Illness & Injury Sport, Vail, CO 81657 USA
[4] Cleveland Clin, Dept Orthopaed Surg, Cleveland, OH USA
[5] Univ Pittsburgh, Med Ctr, Dept Orthopaed Surg, Pittsburgh, PA USA
关键词
hip pain; arthrofibrosis; adhesions; stiffness; hip arthroscopy; PLATELET-RICH PLASMA; CAPSULOLABRAL ADHESIONS; MUSCLE REGENERATION; SKELETAL-MUSCLE; REVISION; IMPROVES; BETA; FIBROSIS; RECOVERY; OUTCOMES;
D O I
10.1530/EOR-21-0068
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
With the growing number of primary arthroscopies performed, patients requiring revision hip arthroscopies for various issues is high including postoperative adhesion formation, a source of pain, mechanical symptoms, range of motion limitation, stiffness, and microinstability.Adhesions are a consequence of biological pathways that have been stimulated by injury or surgical interventions leading to an increased healing response.Preventative efforts have included surgical adjuncts during/after primary hip arthroscopy, biologic augmentation, and postoperative rehabilitation.Treatment options for adhesion formation includes surgical lysis of adhesions with or without placement of biologic membranes aimed at inhibiting adhesion reformation as well as systemic medications to further reduce the risk.Postoperative rehabilitation exercises have also been demonstrated to prevent adhesions as a result of hip arthroscopy. Ongoing clinical trials are further investigating pathways and prevention of adhesion formation.
引用
收藏
页码:792 / 797
页数:6
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