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本文引用的文献

1
Slower recovery after two-incision than mini-posterior-incision total hip arthroplasty. A randomized clinical trial.两切口全髋关节置换术后恢复比小后外侧切口全髋关节置换术慢。一项随机临床试验。
J Bone Joint Surg Am. 2008 May;90(5):1000-6. doi: 10.2106/JBJS.G.00804.
2
Minimally invasive hip arthroplasty: what role does patient preconditioning play?微创髋关节置换术：患者术前准备起到什么作用？
J Bone Joint Surg Am. 2007 Sep;89(9):1920-7. doi: 10.2106/JBJS.F.01153.
3
Early pain relief and function after posterior minimally invasive and conventional total hip arthroplasty. A prospective, randomized, blinded study.后路微创与传统全髋关节置换术后的早期疼痛缓解及功能。一项前瞻性、随机、双盲研究。
J Bone Joint Surg Am. 2007 Jun;89(6):1153-60. doi: 10.2106/JBJS.F.00940.
4
Comparison of the 2-incision and mini-incision posterior total hip arthroplasty technique: a retrospective match-pair controlled study.双切口与小切口后路全髋关节置换术技术比较：一项回顾性配对对照研究。
J Arthroplasty. 2007 Jan;22(1):48-56. doi: 10.1016/j.arth.2006.09.012.
5
Patients preferred a mini-posterior THA to a contralateral two-incision THA.患者更喜欢微创后外侧全髋关节置换术而非对侧双切口全髋关节置换术。
Clin Orthop Relat Res. 2006 Dec;453:156-9. doi: 10.1097/01.blo.0000238858.38992.2d.
6
Two-incision THA had modest outcomes and some substantial complications.双切口全髋关节置换术的效果一般，且存在一些严重并发症。
Clin Orthop Relat Res. 2005 Dec;441:86-90. doi: 10.1097/01.blo.0000191275.80527.d6.
7
Early complications of primary total hip replacement performed with a two-incision minimally invasive technique.采用双切口微创技术进行初次全髋关节置换的早期并发症
J Bone Joint Surg Am. 2005 Nov;87(11):2432-8. doi: 10.2106/JBJS.D.02847.
8
Development and validation of a lower-extremity activity scale. Use for patients treated with revision total knee arthroplasty.下肢活动量表的开发与验证。用于接受翻修全膝关节置换术治疗的患者。
J Bone Joint Surg Am. 2005 Sep;87(9):1985-94. doi: 10.2106/JBJS.D.02564.
9
Minimally invasive total hip arthroplasty: a prospective randomized study.微创全髋关节置换术：一项前瞻性随机研究。
J Arthroplasty. 2005 Feb;20(2):139-44. doi: 10.1016/j.arth.2004.09.061.
10
A minimal-incision technique in total hip arthroplasty does not improve early postoperative outcomes. A prospective, randomized, controlled trial.全髋关节置换术中的微创技术并不能改善术后早期疗效。一项前瞻性、随机、对照试验。
J Bone Joint Surg Am. 2005 Apr;87(4):701-10. doi: 10.2106/JBJS.D.02645.

三种微创全髋关节置换术式的早期出院与康复：一项初步研究

Early discharge and recovery with three minimally invasive total hip arthroplasty approaches: a preliminary study.

作者信息

Meneghini R Michael, Smits Shelly A

机构信息

Department of Orthopaedic Surgery, New England Musculoskeletal Institute, University of Connecticut Health Center, Medical Arts and Research Building, 4th Floor, #4016, 263 Farmington Avenue, Farmington, CT 06034-4037, USA.

出版信息

Clin Orthop Relat Res. 2009 Jun;467(6):1431-7. doi: 10.1007/s11999-009-0729-6. Epub 2009 Feb 18.

DOI:10.1007/s11999-009-0729-6
PMID:19224307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2674169/
Abstract

UNLABELLED

Purported advantages of THA performed with minimally invasive surgical approaches include less muscle damage and faster recovery. The purpose of this preliminary investigation was to determine if differences existed between minimally invasive approaches in hospital discharge and early functional recovery in THA patients with a rapid rehabilitation protocol. Twenty-four consecutive patients were randomized to one of three minimally invasive surgical approaches (two-incision, mini-posterior, and mini-anterolateral) and enrolled in an aggressive postoperative rehabilitation program. Hospital discharge, early functional milestone recovery, and validated outcome measures (SF-36, WOMAC, Harris hip score, lower extremity activity scale) were collected. All patients met hospital discharge criteria no later than the first postoperative day. There was no difference in hospital discharge, functional milestone recovery, or validated outcome measures during the first year after surgery with the numbers available. There were no complications directly related to early hospital discharge or the aggressive rehabilitation protocol. While the data suggest earlier hospital discharge and rapid rehabilitation protocols may be implemented successfully we found no difference between the three minimally invasive approaches in early hospital discharge or early functional recovery utilizing a rapid rehabilitation protocol.

LEVEL OF EVIDENCE

Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

摘要

未标注

采用微创外科手术方法进行全髋关节置换术（THA）的所谓优势包括肌肉损伤较小和恢复较快。这项初步研究的目的是确定在采用快速康复方案的THA患者中，微创方法在出院和早期功能恢复方面是否存在差异。连续24例患者被随机分为三种微创外科手术方法（双切口、迷你后外侧和迷你前外侧）之一，并参加积极的术后康复计划。收集出院情况、早期功能里程碑恢复情况以及经过验证的结果指标（SF-36、WOMAC、Harris髋关节评分、下肢活动量表）。所有患者均在术后第一天内达到出院标准。就现有数据而言，术后第一年的出院情况、功能里程碑恢复情况或经过验证的结果指标均无差异。没有与早期出院或积极康复方案直接相关的并发症。虽然数据表明可以成功实施早期出院和快速康复方案，但我们发现在采用快速康复方案时，三种微创方法在早期出院或早期功能恢复方面没有差异。

证据水平

IV级，治疗性研究。有关证据水平的完整描述，请参阅作者指南。