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Arthroskopische Rekonstruktion des Labrum acetabulare mit einem autologen Tractus-iliotibialis-Transplantat

Arthroscopic reconstruction of the labrum acetabulare with an autologous iliotibial tract transplant

  • Leitthema
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Arthroskopie Aims and scope

Zusammenfassung

Irreparable Labrumrupturen und -defektzustände können zu anhaltenden Schmerzen und einer progredienten Degeneration des Hüftgelenks führen. Die arthroskopische Labrumrekonstruktion mit Autotransplantation eines Tractus-iliotibialis-Streifens stellt eine Behandlungsoption bei ausgewählten Patienten dar. Die ersten Ergebnisse von 37 Patienten bei mindestens einem Jahr Nachbeobachtungszeit und mit einer signifikanten Steigerung des mittleren modifizierten Harris Hip Scores von präoperativ 62 auf postoperativ 85 sind viel versprechend.

Abstract

Irreparable tears and defects of the labrum acetabulare can be the cause of persistent hip pain and progressive degeneration of the hip. The arthroscopic reconstruction of the labrum with an iliotibial tract autograft is a therapeutic option in selected patients. The early results of 37 patients after a minimum follow-up of 1 year and a significant increase of the mean modified Harris hip score from preoperative 62 to postoperative 85 are very promising.

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Correspondence to M.J. Philippon.

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Der Koautor Bruno G. Schroder e Souza, MD, ist 2009/2010 Gaststipendiat in Hüftarthroskopie und Biomechanik bei der Steadman Hawkins Research Foundation, Vail – CO, USA. Stipendium vom Instituto Brasil de Tecnologias da Saude (IBTS).

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Philippon, M., Schroder e Souza, B. & Briggs, K. Arthroskopische Rekonstruktion des Labrum acetabulare mit einem autologen Tractus-iliotibialis-Transplantat. Arthroskopie 22, 306–311 (2009). https://doi.org/10.1007/s00142-009-0523-1

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