Pai V S
Healthcare Hawkes Bay, Hastings, New Zealand.
J Orthop Surg (Hong Kong). 2002 Jun;10(1):35-9. doi: 10.1177/230949900201000107.
A modified lateral approach of Hardinge allows adequate access for orientation of the implant was described. Although this approach is more difficult than the posterior approach, there is a learning curve, when mastered, it ll definitely reduce the incidence of dislocation. In the Author s opinion, this approach should be used routinely for total hip arthroplasty for fractured neck of femur where the incidence of dislocation is unacceptably high using the posterior approach.
描述了一种改良的哈丁格外侧入路,该入路能为植入物的定位提供足够的操作空间。尽管这种入路比后入路更具难度,存在学习曲线,但掌握后肯定能降低脱位发生率。作者认为,对于股骨颈骨折行全髋关节置换术,若采用后入路脱位发生率高得难以接受时,应常规采用这种入路。