[1]严卫锋 曾忠友△ 裴斐.直接前入路与后外侧入路全髋关节置换术的2年随访结果分析[J].中国中医骨伤科杂志,2017,25(11):59-62.
点击复制

直接前入路与后外侧入路全髋关节置换术的2年随访结果分析()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年11期
页码:
59-62
栏目:
临床论著
出版日期:
2017-11-15

文章信息/Info

文章编号:
1005-0205(2017)11-0059-04
作者:
严卫锋1 曾忠友1△ 裴斐1
1武警浙江省总队嘉兴医院骨二科(浙江 嘉兴,314000) 通信作者 E-mail:tjgk_2006@163.com
关键词:
手术入路 关节成形术
分类号:
R687.4
文献标志码:
B
摘要:
目的:比较直接前入路与后外侧入路全髋关节置换术的2年随访结果。方法:2013年8月至2015年5月间共行全髋关节置换术62例,其中30例行直接前入路(A组),32例行后外侧入路(B组),比较两组患者手术创伤和临床疗效。结果:两组患者的性别比例、年龄、体质量指数、疾病类型、术前髋关节Harris评分无显著差异,而两组在手术切口长度、术中出血量、手术时间、术后引流量比较,差异均有统计学意义(P<0.05); 术后1周、1个月及3个月Harris评分两组间差异有统计学意义(P>0.05); 术后6个月,24个月Harris评分两组间差异无统计学意义(P>0.05)。所有病例手术切口均一期愈合,无感染、脱位发生,直接前入路有1例术中髓腔锉穿破股骨内侧壁1例,2例股外侧皮神经损伤,2例阔筋膜张肌明显挫伤。结论:直接前入路全髋关节置换术具有创伤小、出血量少,术后恢复快等优点,但有一定的学习曲线,在有条件的单位可推广应用。

参考文献/References:

[1] York PJ,Smarck CT,Judet T,et al.Total hip arthroplasty via the anterior approach:tips andtricks for primary and revision surgery[J].Int Orthop,2016,40(10):2041-2048.
[2] Christensen CP,Jacobs CA.Comparison of patient function during the first six weeks after direct anterior or posterior total hip arthroplasty(THA):a randomized study[J].J Arthroplasty,2015,30(9):94-97.
[3] Judet J,Judet H.Anterior approach in total hip arthroplasty[J].Presse Med,1985,14(18):1031-1033.
[4] Den Hartog YM,Mathijssen NM,Vehmeijer SB.The less invasive anterior approach for total hip arthroplasty:a comparison to other approachs and an evaluation of the learning curve -a systematic review[J].Hip Int,2016,26(2):105-120.
[5] Paillard P.Hip replacement by a minimal anterior approach[J].Int Orthop, 2007,31(1):S13-S15.
[6] Moskal JT,Capps SG,SCanelliJA.Anterior muscle sparing approach for total hip arthroplasty[J].World J Orthop,2013,4(1):12-18.
[7] Xu CP,Li X,Song JQ,et al.Mini -incision versus standard incision total hip arthroplasty regarding surgical outcome:a systematic review and meta-analysis of randomized controlled trials[J].PLoS One,2013,8(11):e800211.
[8] Hallert,Li Y,Brismar H,et al.The direct anterior approach:initial experence of a minimally invasive technique for total hip arthroplasty [J].J Orthop Surg Res,2012(7):17-22.
[9] de Geest T,Vansintjan P,de Loore G.Direct anterior total hip arthroplasty:complications and early outcome in a series of 300 cases [J].Acta Orthop Belg,2013,79(2):166-173.
[10] Ho KW,Whitwell GS,Young SK.Rrducing the rate of early primary hip dislocation by combining a change in surgical technique and an increase in femoral head diameter to 36 mm[J].Arch Orthop Trauma Surg,2012,132(7):1031-1036.
[11] Sariali E,Leonard P,Mamoudy P.Dislocation after total hip arthroplasty using Hueter anterior approach[J].J Arthroplasty, 2008,23(2):266-272.
[12] Tsukada S,Wakui M.Lower dislocation rate following total hip arthroplasty via direct anterior approach than via posterior approach:five-year-average follow-up results[J].Open Orthop J,2015(9):157-162.
[13] Bergin PF,Doppelt JD,Kephart CJ,et al.Comparison of minimally invasive direct anterior versus posterior total hip arthroplasty based on inflammation and muscle damage markers[J].J Bone Joint Surg Am,2011,93(15):1392-1398.
[14] Zawadsky MW,Paulus MC,Murray PJ,et al.Early outcome comparison between the direct anterior approach and the mini-incision posterior approach for primary total hip arthroplasty:150 consecutive case[J].J Arthroplasty, 2014,29(6):1256-1260.
[15] Lee CC,Marconi D,Complicatins following direct anterior hip procedures:costs to both patients and surgeons[J].J Arthroplasty,2015,30(9):98-101.
[16] Zawadsky MW,Paulus MC,Murray PJ,et al.Early outcome comparison between the direct anterior approach and the mini-incision posterior approach for primary total hip arthroplasty:150 consecutive cases[J].J Arthroplasty,2014,29(6):1256-1260.

备注/Memo

备注/Memo:
基金项目:浙江省嘉兴市科研资助项目(2015AY23061)
更新日期/Last Update: 1900-01-01