Sathappan Sathappan S, Ginat Daniel, Patel Vipul, Walsh Michael, Jaffe William L, Di Cesare Paul E
Department of Orthopaedic Surgery, Musculoskeletal Research Center, NYU Hospital for Joint Diseases, New York, New York, USA.
J Arthroplasty. 2008 Feb;23(2):203-9. doi: 10.1016/j.arth.2007.01.022. Epub 2007 Sep 24.
A retrospective study of 132 patients (63 spinal anesthesia and 69 general anesthesia) undergoing total hip arthroplasty was performed by 4 fellowship-trained adult reconstructive surgeons to determine the influence of anesthesia type on postoperative limb length and medial offset. Limb length discrepancy occurred in 87.0% of patients who received regional anesthesia as opposed to 47.6% patients who had general anesthesia (P<.001). Differences in postoperative medial offset measurements between the 2 groups were not statistically significant. It was concluded that surgeons operating on patients who receive regional anesthesia should supplement intraoperative tests for assessing hip stability with meticulous preoperative templating to avoid overlengthening the operative limb.
4名经过成人重建外科专科培训的外科医生对132例行全髋关节置换术的患者（63例接受脊髓麻醉，69例接受全身麻醉）进行了一项回顾性研究，以确定麻醉类型对术后肢体长度和内侧偏移的影响。接受区域麻醉的患者中87.0%出现肢体长度差异，而接受全身麻醉的患者中这一比例为47.6%（P<0.001）。两组术后内侧偏移测量值的差异无统计学意义。得出的结论是，对接受区域麻醉的患者进行手术的外科医生，应通过细致的术前模板制作来补充术中评估髋关节稳定性的检查，以避免手术肢体过度延长。
