Levine Brett R, Klein Gregg R, Di Cesare Paul E
NYU Hospital for Joint Diseases, Department of Orthopaedic Surgery, New York, New York, USA.
Bull NYU Hosp Jt Dis. 2007;65(1):5-18.
Modern advances in total hip arthroplasty have included improved biomaterials, alternative bearings, so-called fourth-generation cement techniques, and enhanced in-growth prostheses. Recently, much attention has been focused on improving the surgical technique for total hip arthroplasty. This endeavor has included the development of mini-incision arthroplasty and has now progressed to minimally invasive procedures. Minimally invasive techniques are modified versions of the classic approaches to the hip, with the goal of decreasing soft tissue dissection and trauma. While these new surgical exposures may result in improved short-term outcomes, their long-term results have yet to be proven. In addition, they are technically demanding, may require specialized training, and can be associated with a difficult learning curve. Only the future will determine if mini-incision and minimally invasive arthroplasty are as successful as the well-proven standard surgical approaches used for the last three to four decades.
现代全髋关节置换术的进展包括改进的生物材料、替代轴承、所谓的第四代骨水泥技术以及增强的骨长入型假体。最近，人们将大量注意力集中在改进全髋关节置换术的手术技术上。这一努力包括开发小切口置换术，目前已发展到微创手术。微创技术是经典髋关节手术入路的改良版本，目的是减少软组织分离和创伤。虽然这些新的手术暴露方式可能会改善短期疗效，但其长期效果尚未得到证实。此外，它们对技术要求很高，可能需要专门培训，并且学习曲线较难。只有未来才能确定小切口和微创置换术是否会像过去三四十年中已得到充分验证的标准手术方法那样成功。
