警告：請在有WIFI的場所觀看視頻，土豪請隨意。
Surgical Dislocation and Debridement for FAI
手術脫位與清理治療股骨髖臼撞擊
Overview（概述）
This procedure is used to remove excess bone growth and reshape the hip joint to allow for proper joint movement.
本手術用於去除骨贅生物並重塑髖關節，以恢復正常的關節活動。
Preparation（準備）
The patient is positioned so that the front of the hip is clearly visible to the physician, and the area is cleaned and sterilized. Local anesthesia is administered to numb the injection site, and a sedative is provided to relax the patient. General anesthesia may sometimes be used.
病人擺妥體位，以便醫生能看清髖關節前方。局部清潔消毒。施以局麻對注射部位進行麻醉，並用鎮靜劑使患者放鬆。有時，會使用全麻。
Accessing the Joint（顯露關節）
The surgeon makes an incision over the hip and carefully separates the femur from the hip socket.
術者在髖關節上作一切口，將股骨從髖臼窩上脫離。
Reshaping the Joint（關節塑形）
The surgeon uses a burr, chisel or rasp to trim away excess bone growth on the head of the femur or the socket. In many cases, both the acetabulum and femoral head require treatment. The femur is reshaped so that it is round and smooth, allowing it to glide freely in the socket cup. Overhanging bone around the rim of the cup is removed so that it does not impact the head of the femur.
術者使用磨鑽、骨鑿或骨銼剪除股骨頭或髖臼上的骨贅。在有些病例，髖臼和股骨頭均需要處理。對股骨塑形，使之圓滑，以便它在髖臼內自由滑動。去除髖臼邊緣伸出的骨贅，這樣它就不會撞擊股骨頭。
Repairing Other Damage（修復其它損傷）
The joint is examined for signs of damage. If the labrum is torn, or if articular cartilage is damaged, the surgeon will make the necessary repairs.
檢查關節有無其它損傷徵象。如果盂唇有撕裂或關節軟骨損壞，術者會作必要的修復。
End of Procedure and After Care（手術結束和術後護理）
The incisions are closed with sutures or surgical staples. The hip is bandaged. Physical therapy will be needed, and crutches or a walker should be used to avoid putting weight on the hip for two to six weeks.
用縫線或外科皮釘關閉切口，髖關節用繃帶包紮。可能需要物理治療。2~6周內應該使用拐杖或助行器以免髖關節負重。
（胡佰文 譯）
相關閱讀：
中英文字幕：運動疝（Sports Hernia）
中英文字幕：退變性髖關節炎（Degenerative Joint Disease of the Hip）
中英文字幕：髓芯減壓術治療股骨頭缺血壞死（Core Decompression for ANH）
中英文字幕：全髖置換術（Total Hip Replacement）
中英文字幕：計算機輔助髖關節置換術（Computer-Assisted Hip Replacement Surgery）
中英文字幕：髖關節滑囊炎（Bursitis of the Hip ，Trochanteric Bursitis）
中英文字幕：髖關節注射（Hip Joint Injection）
中英文字幕：股骨頭缺血性壞死（Avascular Osteonecrosis of the Hip）
中英文字幕：股骨髖臼撞擊的關節鏡手術（Arthroscopic Surgery for FAI）
中英文字幕：髖關節解剖（Anatomy of the Hip Joint ）
精彩視頻魅力無限，收藏轉發一起分享
尋醫問藥去好大夫網，請長按下圖二維碼