Nội soi khớp điều trị các tổn thương sau trật khớp háng

Traumatic hip dislocation is a severe injury often leading to significant intra-articular pathologies that can severely impact long-term hip function and patient quality of life. Traditionally, management has involved open surgical interventions; however, advancements in minimally invasive techniques have prompted a re-evaluation of treatment strategies. The effective resolution of these secondary pathologies is paramount to prevent chronic pain, stiffness, and degenerative changes. This study aims to evaluate the functional outcomes of arthroscopic treatment following traumatic hip dislocation, offering insights into its efficacy and safety as a contemporary therapeutic approach.

Orthopedic surgeons, sports medicine physicians, physical therapists, and researchers focused on hip joint pathologies and minimally invasive surgical techniques.

This retrospective case series investigated the functional outcomes of arthroscopic treatment for intra-articular pathologies arising from traumatic hip dislocation. The study enrolled four patients who initially underwent closed reduction, followed by arthroscopy at the Hospital for Traumatology and Orthopaedics in Ho Chi Minh City between March 2020 and February 2025. Each patient was meticulously followed for a minimum of two years postoperatively, with functional outcomes quantitatively assessed using the Harris Hip Score (HHS). The findings revealed that all patients presented with posterior hip dislocations predominantly due to motor vehicle accidents. Critically, 100% of cases exhibited intra-articular pathologies, including loose bodies, labral tears, and chondral lesions. Encouragingly, all patients achieved excellent functional outcomes as measured by the HHS, with no reported severe complications. These results suggest that hip arthroscopy offers a safe, effective, and minimally invasive treatment modality for managing the complex intra-articular sequelae of traumatic hip dislocation. The approach demonstrates significant potential for pain reduction and restoration of hip function, thereby improving patients' quality of life. This research supports the expanding role of arthroscopy as a valuable intervention, though further large-scale prospective studies are warranted to solidify these findings and explore long-term implications.