jktoКафедра травматологии и ортопедииDepartment of Traumatology and Orthopaedics2226-2016ПРОФИЛЬ — 2С10/17238/issn2226-2016.2026.1.71-79jkto-127Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWСовременное состояние и возможности технологии артроскопии тазобедренного сустава в лечении пациентов с фемороацетабулярным импинджментомCurrent status and potential of hip arthroscopy in the treatment of patients with femoroacetabular impingementhttps://orcid.org/0000-0001-7758-0128ФилоновП. В.FilonovP. V.

Павел Владимирович Филонов, врач-траматолог-ортопед, аспирант

195427; ул. Академика Байкова, д. 8; Санкт-Петербург

Pavel V. Filonov, Trauma and Orthopedic Surgeon, Postgraduate Student

195427; Akademika Baykova Str., 8; St. Petersburg

drpavelfilonov@gmail.comhttps://orcid.org/0000-0002-4883-0543БогопольскийО. Е.BogopolskyO. E.

Олег Евгеньевич Богопольский, врач-травматолог-ортопед

195427; ул. Академика Байкова, д. 8; Санкт-Петербург

Oleg E. Bogopolsky, Trauma and Orthopedic Surgeon

195427; Akademika Baykova Str., 8; St. Petersburg

9202211@gmail.comhttps://orcid.org/0000-0003-0733-2414ТихиловР. М.TikhilovR. M.

Рашид Муртузалиевич Тихилов, доктор медицинских наук, профессор, член-корреспондент РАН, директор

195427; ул. Академика Байкова, д. 8; Санкт-Петербург

Rashid M. Tikhilov, Doctor of Medical Sciences, Professor, Corresponding Member of the Russian Academy of Sciences, Director

195427; Akademika Baykova Str., 8; St. Petersburg

rtikhilov@gmail.comФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. Р.Р. Вредена» Минздрава РоссииРоссияVreden National Medical Research Center of Traumatology and OrthopedicsRussian Federation202612082026017179Copyright © Филонов П.В., Богопольский О.Е., Тихилов Р.М., 20262026Филонов П.В., Богопольский О.Е., Тихилов Р.М.Filonov P.V., Bogopolsky O.E., Tikhilov R.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jkto.moscow/jour/article/view/127   Введение

   Введение: Фемороацетабулярный импинджмент (ФАИ) является механическим конфликтом, возникающим при взаимодействии края вертлужной впадины с головкой и шейкой бедренной кости, приводящим к повреждению структур тазобедренного сустава (ТБС), и сопровождается клиническими проявлениями. Современным и перспективным методом лечения пациентов с ФАИ является артроскопия ТБС, однако данный метод ортопедической хирургии до сих пор находится на этапе своего активного развития с большим количеством вариантов выполнения интраоперационных манипуляций.

   Цель работы – на основании анализа отечественных и зарубежных публикаций описать современный подход к выполнению основных этапов артроскопической коррекции ФАИ, определить основные проблемы и пути развития данной технологии.

   Материалы и методы

   Материалы и методы. Проведён анализ отечественных и зарубежных научных публикаций, посвящённых вопросам эволюции артроскопического лечения пациентов с ФАИ. Поиск проведен в электронных базах данных PubMed, Google Scholar, e-LIBRARY по поисковым фразам: артроскопия тазобедренного сустава, фемороацетабулярный импинджмент, разрыв вертлужной губы тазобедренного сустава, коррекция CAM-деформации, артроскопическая капсулотомия тазобедренного сустава, hip arthroscopic surgery, femoroacetabular impingement syndrome, hip labral tears, CAM-deformity correction, arthroscopic hip capsulotomy, Глубина исследования — 60 лет. Тезисы конференций и отчеты о клинических случаях исключены.

   Результаты и обсуждение. Основными проблемами при артроскопии тазобедренного сустава являются выбор типа капсулотомии на этапе оперативного доступа, метода коррекции повреждений вертлужной губы, а также предоперационное планирование и интраоперационная реализация коррекции CAM-деформации. Ряд исследований показал, что недостаточная или избыточная коррекция CAM-деформации, дебридмент вертлужной губы, несостоятельность шва вертлужной губы и дефекты капсулы являются наиболее частыми причинами неудовлетворительных клинических исходов и ревизионных артроскопических вмешательств.

   Заключение

   Заключение. Эффективность оперативного лечения пациентов с фемороацетабулярным импинджментом (ФАИ) определяется множеством факторов, включая стратегию и технику выполнения различных этапов артроскопического вмешательства.

   Introduction

   Introduction: Femoroacetabular impingement (FAI) is a mechanical conflict between the acetabular rim and the femoral head-neck junction, leading to damage of hip joint structures and associated clinical symptoms. Hip arthroscopy is a modern and promising treatment for FAI; however, this orthopedic surgical technique is still in active development, with numerous variations in intraoperative approaches.

   Objective

   Objective. Based on an analysis of domestic and international publications, this study aims to describe current approaches to key stages of arthroscopic FAI correction, identify major challenges, and outline future directions for this technology.

   Materials and Methods

   Materials and Methods. A review of Russian and international scientific publications on the evolution of arthroscopic FAI treatment was conducted. Searches were performed in PubMed, Google Scholar, and e-LIBRARY using the following keywords: hip arthroscopy, femoroacetabular impingement, hip labral tears, CAM deformity correction, arthroscopic hip capsulotomy, hip arthroscopic surgery, femoroacetabular impingement syndrome. The search depth was 60 years. Conference abstracts and case reports were excluded.

   Results and Discussion. The main challenges in hip arthroscopy include selecting the type of capsulotomy for surgical access, choosing a method for labral repair, and preoperative planning with intraoperative execution of CAM deformity correction. Several studies have shown that insufficient or excessive CAM resection, labral debridement, failed labral repair, and capsular defects are the most common causes of poor clinical outcomes and revision arthroscopic procedures.

   Conclusion

   Conclusion. The effectiveness of surgical treatment for femoroacetabular impingement (FAI) depends on multiple factors, including the strategy and technique used at different stages of arthroscopic intervention.

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The authors declare that there are no conflicts of interest present.