Williams John T, Ragland Phillip S
Department of Orthopedics, Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA.
Surg Technol Int. 2009 Apr;18:201-5.
Over the past decade, the development of modified instrumentation and navigation assistance (permitting in-situ bone excision) have stimulated advances in minimally invasive total hip arthroplasty techniques. These techniques have been developed with an objective to reduce perioperative morbidity, hospitalization expenses, and total rehabilitation time. Furthermore, a concomitant increase in the promotion of these techniques by both industry and orthopaedic surgeons themselves has fueled patient demand. However, the most common minimally invasive techniques used require two incisions and either prevent or limit the surgeon's ability to directly visualize the bony structures of the hip. In this chapter, the authors present a case study that describes a single-incision, soft-tissue sparing, minimally invasive technique for total hip arthroplasty.
在过去十年中,改良器械和导航辅助技术(允许原位骨切除)的发展推动了微创全髋关节置换术技术的进步。这些技术的开发旨在降低围手术期发病率、住院费用和总康复时间。此外,行业和骨科医生自身对这些技术推广的同时增加,也刺激了患者需求。然而,最常用的微创技术需要两个切口,这要么阻碍要么限制了外科医生直接观察髋关节骨结构的能力。在本章中,作者介绍了一个案例研究,描述了一种单切口、保留软组织的微创全髋关节置换术技术。