髋关节镜下关节囊不同切开方式早期术后并发症

doi:10.6040/j.issn.1671-7554.0.2025.1270

Abstract

Abstract: Objective To examine effects of different capsulotomy techniques used in hip arthroscopy on early postoperative complications in patients with femoroacetabular impingement(FAI). Methods A retrospective analysis included 135 patients with FAI treated in Department of Sports Medicine, Shandong Provincial Hospital Affiliated to Shandong First Medical University, between January 2019 and September 2024. Cohort comprised 65 men and 70 women aged 15-60(38.5±8.5)years. All patients presented with combined cam and pincer morphology and underwent hip arthroscopic surgery. An outside-in capsulotomy technique was performed in all cases, including 46 patients in transverse capsulotomy group and 89 in longitudinal capsulotomy group. Intraoperative traction time was recorded. Postoperative complications within 1 year were analysed, together with modified Harris Hip Score(mHHS), International Hip Outcome Tool-12(iHOT-12), and Visual Analogue Scale(VAS)pain scores assessed at follow-up. Results All 135 patients completed postoperative follow-up. Complications occurred in 13 cases overall(9.6%), including a single major complication—fluid extravasation with femoral nerve injury—which arose in transverse capsulotomy group. Of 12 minor complications, comprising transient nerve palsy and iatrogenic injury to cartilage and labrum, 8 occurred in transverse capsulotomy group and 4 in longitudinal capsulotomy group. Overall complication rate was higher in transverse capsulotomy group than in longitudinal capsulotomy group(19.6% vs. 4.5%, P=0.006). Intraoperative traction time was significantly shorter in longitudinal capsulotomy group than in transverse capsulotomy group ［(35.3±8.4)min vs.(58.1±18.5)min, P<0.001］. Postoperative mHHS, VAS and iHOT-12 scores improved in both groups compared with preoperative values. Conclusion Longitudinal capsulotomy shows clearer advantages, with significantly shorter traction time and lower rate of early postoperative complications, making it preferred surgical approach for FAI.

Key words: Femoroacetabular impingement, Hip arthroscopy, Hip capsulotomy technique, Postoperative complications, Intraoperative traction time

CLC Number:

R684.2

DONG Zihao, LIU Zhe, WANG Hao, YU Chenxi, YANG Guang, FENG Haotian. Incidence of early postoperative complications following different capsulotomy methods in hip arthroscopy[J].Journal of Shandong University (Health Sciences), 2026, 64(5): 83-87.

References 25

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Incidence of early postoperative complications following different capsulotomy methods in hip arthroscopy

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