Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.
Ann Transl Med. 2014 Oct;2(10):100. doi: 10.3978/j.issn.2305-5839.2014.09.11.
Revision total hip arthroplasty (THA) can be successfully performed through the direct anterior (DA) approach. Patient positioning, the surgical approach and specific instruments are important for obtaining adequate exposure. Acetabular exposure can be facilitated by capsular release and correct placement of retractors. Distal and proximal extension of the incision, as well as a femoral extended trochanteric osteotomy (ETO) can be performed to increase femoral exposure. The purposes of this article are to describe the DA approach, provide surgical techniques for revision THA through this approach, and describe the indications, contraindications and complications of this approach.
翻修全髋关节置换术 (THA) 可通过直接前侧 (DA) 入路成功完成。患者体位、手术入路和特殊器械对于获得充分显露非常重要。通过囊内松解和正确放置牵开器可促进髋臼显露。可以进行切口的远侧和近侧延伸以及股骨延长转子间截骨术 (ETO) 以增加股骨显露。本文的目的是描述 DA 入路，提供通过该入路进行翻修 THA 的手术技术，并描述该入路的适应证、禁忌证和并发症。
