Schneider M, Kawahara I, Breusch S J
Orthopaedic Department, Royal Infirmary, University of Edinburgh, Little France EH, GB-Edinburgh, UK.
Orthopade. 2006 Jul;35(7):751-60. doi: 10.1007/s00132-006-0968-0.
The technique of a minimally invasive anterolateral, intracapsular, modified Hardinge approach with transosseous refixation developed by the senior author is described in detail.
Clinical and radiographic data after cemented total hip arthroplasty reveal adequate outcome without increased complication rates despite limited incision technique (average 10 cm). This technique can be safely applied by surgeons in training and performed in acceptable operating times.
A comparison of the described technique to a standard incision cannot be made from our data, but current literature suggests the main benefit to be cosmetic. A technically well performed operation with adequate long-term outcome remains far more important than a short incision.
详细描述了资深作者所开发的采用经骨重新固定的微创前外侧囊内改良哈丁格入路技术。
骨水泥型全髋关节置换术后的临床和影像学数据显示,尽管切口技术有限(平均10厘米),但结果良好且并发症发生率未增加。该技术可供培训中的外科医生安全应用,且手术时间在可接受范围内。
根据我们的数据,无法将所描述的技术与标准切口进行比较,但目前的文献表明其主要优势在于美观。技术操作良好且长期效果满意的手术远比切口短更为重要。