全髋关节置换术：进展、优势与局限性综述
Total hip arthroplasty: areview of advances, advantages and limitations.
作者信息
Liu Xin-Wei, Zi Ying, Xiang Liang-Bi, Wang Yu
机构信息
Department of Orthopedics, General Hospital of Shenyang Military Area Command of Chinese PLA, Rescue Center of Severe Wound and Trauma of Chinese PLA Shenyang 110016, Liaoning, China.
Department of Emergency, 463rd Hospital of Chinese PLA Shenyang 110042, Liaoning, China.
出版信息
Int J Clin Exp Med. 2015 Jan 15;8(1):27-36. eCollection 2015.
The therapeutic outcomes of Osteoarthritis (OA) has been unsatisfactory and often surgeries such as total hip arthroplasty (THA) is required. THA is an effective treatment for patients with end-stage arthritic hip conditions. Cemented THA has been the treatment of choice for elderly patients with OA. An improvement in Timed "Up and Go" (TUG) before surgery might contribute to a decrease in the occurrence of DVT after THA, though post-thrombotic syndrome (PTS), a chronic condition in the lower extremity does not appear to be a major complication after DVT in patients undergoing THA. For OA, four domains to be evaluated: pain, physical function, joint imaging, and patient global assessment. Thus, THA can be cost saving or, at least cost- effective in improving quality-adjusted life expectancy. The purpose of this review is to discuss the recent advances as well as advantages and limitations of THA.
骨关节炎（OA）的治疗效果一直不尽人意，通常需要进行诸如全髋关节置换术（THA）等手术。THA是终末期关节炎髋关节疾病患者的有效治疗方法。骨水泥型THA一直是老年OA患者的首选治疗方法。术前定时起立行走测试（TUG）的改善可能有助于降低THA后深静脉血栓形成（DVT）的发生率，不过下肢慢性疾病——血栓后综合征（PTS）在接受THA的患者发生DVT后似乎并非主要并发症。对于OA，有四个领域需要评估：疼痛、身体功能、关节成像和患者整体评估。因此，THA在改善质量调整预期寿命方面可以节省成本，或者至少具有成本效益。本综述的目的是讨论THA的最新进展以及优缺点。
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