FIELD:
traumatology; orthopedics.SUBSTANCE: used for
arthroscopy of the hip joint to eliminate
Cam or combined types of femoroacetabular impingement. A proximal anterolateral port is created to the
peripheral portion of the hip joint, which is used as a viewing port at the beginning of the operation; 4 cm distal and 2 cm lateral to the intersection of the midline of the
femur and the perpendicular drawn to it through the apex of the
greater trochanter, an anterior port is created, which is used as an instrumental port at the beginning of the operation. The deformation zone is brought to the bone burr, changing the positions of flexion and extension, internal and
external rotation of the
lower limb, and until the appearance of spring resistance of the fibers of the lateral
joint capsule and the ileofemoral
ligament, resection of excess
bone mass of the
anterior surface of the
proximal femur within the boundaries of the
Cam-deformation is performed. The viewing and instrument ports are changed and the deep fibers of the proximal
joint capsule and the ileofemoral
ligament are released from the
acetabulum. In the presence of Pincer
deformity, soft tissues are removed to visualize excess
bone mass within the boundaries of the Pincer
deformity, and resection of excess
bone mass of the anterolateral edge of the
acetabulum within the boundaries of the Pincer
deformity is performed until radiographic
visualization of the absence of intersection of the anterior and posterior edges of the
acetabulum. The viewing and instrument ports are replaced. An arthroscope is positioned on the outer edge of the
joint capsule fibers, and bone resection of the posterolateral surface of the
proximal femur is completed within the boundaries of the
Cam deformity by inserting a bone burr from the
skin incision of the anterior port into the
capsule opening of the proximal anterolateral port, preserving the fibers of the joint
capsule and the ileofemoral
ligament.EFFECT: method ensures correction of the
proximal femur within the boundaries of the Cam-deformation while maintaining the integrity of the structures of the passive capsular-ligamentous stabilizers and eliminates the development of complications in the form of microinstability of the hip joint, anterior
dislocation of the
femoral head,
heterotopic ossification due to maintaining the integrity of the structures of the passive capsular-ligamentous stabilizers and eliminating the development of microinstability of the hip joint, anterior
dislocation of the
femoral head and
heterotopic ossification.1 cl, 1 ex