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[全髋关节置换术的内侧入路]

[The medial approach for total hip replacement].

作者信息

Thomas W, Lucente L, Benecke P, Busch C L, Grundei H

机构信息

Clinica Quisisana, Via Gian Giacomo Porro n. 5, I-OO197, Roma, Italy.

出版信息

Orthopade. 2006 Jul;35(7):769-75. doi: 10.1007/s00132-006-0970-6.

DOI:10.1007/s00132-006-0970-6
PMID:16683129
Abstract

BACKGROUND

In an anatomical study we investigated the medial approach to the hip joint and developed the surgical technique for patients with hip joint replacement.

MATERIAL AND METHODS

The temporary detachment of the adductor longus tendon allows a perfect exposure of the surgical site without risk of damaging important structures.

RESULTS

The operation is possible with normal instruments. The blood loss is little.

CONCLUSION

The abductor apparatus (gluteal muscles and fascia lata) and the superior gluteal nerve remain intact. Immediate lateral positioning is allowed after surgery. The scar is unremarkable.

摘要

背景

在一项解剖学研究中,我们研究了髋关节的内侧入路,并为髋关节置换患者开发了手术技术。

材料与方法

长收肌腱的临时离断可完美暴露手术部位,而不会有损伤重要结构的风险。

结果

使用常规器械即可完成手术。出血量少。

结论

外展装置(臀肌和阔筋膜)及臀上神经保持完整。术后允许立即进行侧卧位。瘢痕不明显。

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1
[The medial approach for total hip replacement].[全髋关节置换术的内侧入路]
Orthopade. 2006 Jul;35(7):769-75. doi: 10.1007/s00132-006-0970-6.
2
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Modified Ludloff's medial approach for resection of heterotopic ossification of the hip following severe SARS-CoV-2 infection: a case report.改良Ludloff内侧入路用于严重新型冠状病毒2型感染后髋关节异位骨化切除术:一例报告
J Hip Preserv Surg. 2024 Jan 4;11(2):150-155. doi: 10.1093/jhps/hnad048. eCollection 2024 Jul.
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[Minimally invasive hip arthroplasty - what must be spared?].[微创髋关节置换术——必须保留什么?]
Orthopade. 2012 May;41(5):338-45. doi: 10.1007/s00132-011-1888-1.
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[Surgical approaches in hip resurfacing].[髋关节表面置换术的手术入路]

本文引用的文献

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Effect of posterior capsular repair on early dislocation in primary total hip replacement.后囊修复对初次全髋关节置换早期脱位的影响。
Clin Orthop Relat Res. 2001 Dec(393):163-7. doi: 10.1097/00003086-200112000-00019.
2
Risk factors for dislocation during the first 3 months after primary total hip replacement.初次全髋关节置换术后前3个月脱位的危险因素。
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A modified direct lateral approach in total hip arthroplasty: a comprehensive review.全髋关节置换术中改良直接外侧入路:一项综述
Orthopade. 2008 Jul;37(7):650-8. doi: 10.1007/s00132-008-1282-9.
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Z Orthop Ihre Grenzgeb. 1997 Jan-Feb;135(1):40-4. doi: 10.1055/s-2008-1039553.
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Z Orthop Ihre Grenzgeb. 1994 Nov-Dec;132(6):521-6. doi: 10.1055/s-2008-1039481.
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A comparison of the posterolateral and anterolateral approaches to total hip arthroplasty.全髋关节置换术的后外侧入路与前外侧入路的比较。
Clin Orthop Relat Res. 1984 Jul-Aug(187):205-10.
7
A comparison of the anterolateral, transtrochanteric, and posterior surgical approaches in primary total hip arthroplasty.初次全髋关节置换术中前外侧、经大转子和后入路手术方式的比较。
Clin Orthop Relat Res. 1984 Sep(188):152-9.
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Total hip replacement in congenital dislocation and dysplasia of the hip.先天性髋关节脱位和发育不良的全髋关节置换术。
J Bone Joint Surg Am. 1979 Jan;61(1):15-23.