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采用微创前外侧入路进行全髋关节置换术后的早期结果及患者满意度

Early results and patient satisfaction after total hip arthroplasty using a minimally invasive anterolateral approach.

作者信息

Walde Tim Alexander, Blattgerste Dirk, Sehmisch Stefan, Kuttler Wolfgang, Walde Hans-Joachim, Köster Georg

机构信息

Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine, Göttingen, Germany.

出版信息

Hip Int. 2009 Oct-Dec;19(4):367-71. doi: 10.1177/112070000901900411.

Abstract

Rehabilitation and patient satisfaction following a modified anterolateral approach for implantation of a total hip replacement (THR) were reviewed following 72 consecutive cases. The Harris Hip and Merle d'Aubigné Scores were recorded at 6 and 12 weeks postoperatively. The patient's satisfaction with regard to the surgical result and the need for analgesia for mobilization were recorded. Rehabilitation was assessed by postoperative crutch use.Significant improvements of the Harris Hip and Merle d'Aubigné scores were demonstrated. All patients thought their surgical outcome was good or better. 2 patients needed pain medicine on an irregular basis and 4 patients used crutches at 12 weeks. This study demonstrates patient satisfaction and satisfactory rehabilitation following a modified antero-lateral approach for minimally-invasive implantation of THR.

摘要

对连续72例采用改良前外侧入路进行全髋关节置换(THR)植入术后的康复情况及患者满意度进行了回顾。在术后6周和12周记录Harris髋关节评分和Merle d'Aubigné评分。记录患者对手术结果的满意度以及活动时的镇痛需求。通过术后使用拐杖情况评估康复情况。结果显示Harris髋关节评分和Merle d'Aubigné评分有显著改善。所有患者都认为他们的手术结果良好或更好。2例患者偶尔需要止痛药,4例患者在12周时仍使用拐杖。本研究表明,采用改良前外侧入路进行THR微创植入术后患者满意度高,康复情况良好。

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