Dixon Michael C, Scott Richard D, Schai Pascal A, Stamos Van
Brigham and Womens Hospital, Boston, Massachusetts, USA.
J Arthroplasty. 2004 Apr;19(3):373-6. doi: 10.1016/j.arth.2003.10.002.
In an attempt to decrease a 4% incidence of posterior hip dislocation following a posterior approach, a simple capsulorrhaphy was utilized in 255 consecutive primary total hip arthroplasties performed by 1 surgeon. All patients were reviewed at a minimum of 2 years' postoperatively, and no patient was lost to follow-up. One patient sustained a posterior hip dislocation, whereas there were no anterior hip dislocations. The dislocation rate of 0.4% is equal to or less than the rates of dislocation reported in the literature using other posterior repairs. This technique differs from other reported methods because of its simplicity and ease of repair. Only the capsule (and not the rotators) is sutured to the medius tendon (not to bone), creating an elastic endpoint that is less likely to disrupt during the healing process.
为降低后入路全髋关节置换术后4%的后髋关节脱位发生率，一位外科医生在其连续进行的255例初次全髋关节置换术中采用了一种简单的关节囊缝合术。所有患者至少在术后2年接受复查，无一例失访。1例患者发生后髋关节脱位，无前髋关节脱位。0.4%的脱位率等于或低于文献中报道的使用其他后入路修复方法的脱位率。该技术与其他报道的方法不同，因其操作简单且易于修复。仅将关节囊（而非旋转肌）缝合至臀中肌腱（而非骨），形成一个弹性终点，在愈合过程中不太可能断裂。
