Benoit Benoit, Gofton Wade, Beaulé Paul E
Chirurgien orthopédique, Hôpital Sacré-Coeur de Montréal, Université de Montréal, 3980 Berri, Montréal, Québec, H2L 4H1, Canada.
Orthop Clin North Am. 2009 Jul;40(3):357-63. doi: 10.1016/j.ocl.2009.02.002.
The results of metal-on-metal hip resurfacing arthroplasty have been very encouraging. However, extensile approaches such as the posterior have been recommended to ensure proper component placement. This article evaluates the safety and the learning curve with the less invasive Hueter hip resurfacing using an anterior approach on an orthopedic traction table. The first 50 hip resurfacings using this approach are compared with the previous 50 procedures performed through a surgical dislocation approach. The authors conclude that it is a reasonable alternative to more extensile surgical approaches for a high-volume resurfacing arthroplasty surgeon. Further long-term studies and comparisons to other approaches will determine if the anterior approach provides advantages in terms of patient function and time to recovery.
金属对金属髋关节表面置换术的结果一直非常令人鼓舞。然而，有人推荐采用如后路等扩展性入路以确保假体组件正确植入。本文评估了在骨科牵引台上采用前路的侵入性较小的休特髋关节表面置换术的安全性和学习曲线。将采用该入路的首批50例髋关节表面置换术与之前通过手术脱位入路进行的50例手术进行比较。作者得出结论，对于进行大量表面置换术的外科医生而言，这是一种比更具扩展性的手术入路更合理的选择。进一步的长期研究以及与其他入路的比较将确定前路在患者功能和恢复时间方面是否具有优势。
