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安全的手术技术：经前路髂骨截骨术用于髋关节翻修置换术

Safe surgical technique: iliac osteotomy via the anterior approach for revision hip arthroplasty.

作者信息

Ziran Navid M, Sherif Sherif M, Matta Joel M

机构信息

Hip & Pelvis Institute, Saint John's Health Center, 2001 Santa Monica Blvd, Suite 760, Santa Monica 90404, CA, USA.

出版信息

Patient Saf Surg. 2014 Sep 9;8:32. doi: 10.1186/s13037-014-0032-7. eCollection 2014.

DOI:10.1186/s13037-014-0032-7
PMID:25473418
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4253092/
Abstract

Robert Judet first performed hip arthroplasty via the anterior approach (AA) in 1947 on an orthopaedic table. Our center has a near 20-year experience on more than 3500 patients operated by AA hip arthroplasty. While primary AA total hip arthroplasty techniques have been discussed in the literature, revision AA total hip arthroplasty techniques are relatively new. The current article in the Journal's "Safe Surgical Technique" series describes the successful application of an adjunctive iliac osteotomy to improve femoral exposure in two selected patients undergoing AA revision hip arthroplasty. The potential risk/complications of an iliac osteotomy include iatrogenic fracture, malunion/nonunion, infection, and pain. These potential risks should be weighed against the potential benefits of improved surgical exposure and/or risks of other revision techniques. Future prospective longitudinal studies will be helpful to determine efficacy and risk profile compared to other revision techniques.

摘要

1947年，罗伯特·朱代（Robert Judet）首次在骨科手术台上通过前路（AA）进行髋关节置换术。我们中心在3500多名接受AA髋关节置换术的患者身上有近20年的经验。虽然原发性AA全髋关节置换术技术已在文献中有所讨论，但翻修AA全髋关节置换术技术相对较新。该期刊“安全手术技术”系列中的当前文章描述了在两名接受AA翻修髋关节置换术的特定患者中成功应用辅助性髂骨截骨术以改善股骨暴露。髂骨截骨术的潜在风险/并发症包括医源性骨折、骨不连/骨愈合不良、感染和疼痛。这些潜在风险应与改善手术暴露的潜在益处和/或其他翻修技术的风险相权衡。未来的前瞻性纵向研究将有助于确定与其他翻修技术相比的疗效和风险概况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/ba7d6b4c66b7/s13037-014-0032-7-14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/66cf8289d124/s13037-014-0032-7-1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/1774041ef2bc/s13037-014-0032-7-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/5c41a46003a3/s13037-014-0032-7-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/ea2df26b9586/s13037-014-0032-7-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/7b09f95253fd/s13037-014-0032-7-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/eeaf8fd19087/s13037-014-0032-7-10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/609ff746ccbb/s13037-014-0032-7-11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/a198906f3778/s13037-014-0032-7-12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/33cf517de02f/s13037-014-0032-7-13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/ba7d6b4c66b7/s13037-014-0032-7-14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/66cf8289d124/s13037-014-0032-7-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/19ec06442cb7/s13037-014-0032-7-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/a32e79588f48/s13037-014-0032-7-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/408e24200b76/s13037-014-0032-7-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/6a544eea7751/s13037-014-0032-7-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/1774041ef2bc/s13037-014-0032-7-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/5c41a46003a3/s13037-014-0032-7-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/ea2df26b9586/s13037-014-0032-7-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/7b09f95253fd/s13037-014-0032-7-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/eeaf8fd19087/s13037-014-0032-7-10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/609ff746ccbb/s13037-014-0032-7-11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/a198906f3778/s13037-014-0032-7-12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/33cf517de02f/s13037-014-0032-7-13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0973/4253092/ba7d6b4c66b7/s13037-014-0032-7-14.jpg

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本文引用的文献

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Traction table-related complications in orthopaedic surgery.骨科手术中牵引台相关并发症。
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Single-incision anterior approach for total hip arthroplasty on an orthopaedic table.在骨科手术台上采用单切口前路全髋关节置换术。
[髋关节翻修置换术：直接前路入路]
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