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本文引用的文献

1
In-hospital cost comparison between the standard lateral and supercapsular percutaneously-assisted total hip surgical techniques for total hip replacement.全髋关节置换术中标准外侧与经皮辅助的囊上入路全髋关节手术技术的院内成本比较。
Int Orthop. 2016 Mar;40(3):481-5. doi: 10.1007/s00264-015-2878-4. Epub 2015 Jul 9.
2
Thirty-day readmission rate and discharge status following total hip arthroplasty using the supercapsular percutaneously-assisted total hip surgical technique.采用经皮辅助超关节囊全髋关节手术技术进行全髋关节置换术后的30天再入院率及出院状态
Int Orthop. 2015 May;39(5):847-51. doi: 10.1007/s00264-014-2587-4. Epub 2014 Nov 16.
3
Does the direct anterior approach in THA offer faster rehabilitation and comparable safety to the posterior approach?THA 中的直接前入路是否比后入路提供更快的康复和相当的安全性?
Clin Orthop Relat Res. 2014 Feb;472(2):455-63. doi: 10.1007/s11999-013-3231-0.
4
Modified micro-superior percutaneously-assisted total hip: early experiences & case reports.改良微创经皮辅助全髋关节置换术:早期经验和病例报告。
Curr Rev Musculoskelet Med. 2011 Sep;4(3):146-50. doi: 10.1007/s12178-011-9090-y.
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The John Charnley Award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital.约翰·查恩利奖:杯位错位的危险因素:通过三级医院联合注册中心进行质量改进。
Clin Orthop Relat Res. 2011 Feb;469(2):319-29. doi: 10.1007/s11999-010-1487-1.
6
Hip disability and osteoarthritis outcome score (HOOS)--validity and responsiveness in total hip replacement.髋关节功能障碍与骨关节炎疗效评分(HOOS)——全髋关节置换术的效度与反应性
BMC Musculoskelet Disord. 2003 May 30;4:10. doi: 10.1186/1471-2474-4-10.
7
Hip disability and osteoarthritis outcome score. An extension of the Western Ontario and McMaster Universities Osteoarthritis Index.髋关节功能障碍与骨关节炎疗效评分。西安大略和麦克马斯特大学骨关节炎指数的扩展版。
Scand J Rheumatol. 2003;32(1):46-51. doi: 10.1080/03009740310000409.

经皮辅助囊上全髋关节置换术与传统后外侧手术技术治疗全髋关节置换术的早期手术和功能结局比较:一项随机对照研究方案。

Early surgical and functional outcomes comparison of the supercapsular percutaneously-assisted total hip and traditional posterior surgical techniques for total hip arthroplasty: protocol for a randomized, controlled study.

机构信息

1 University Hospital of Coventry & Warwick, Clifford Bridge Rd, Coventry, West Midlands, CV2 2DX, UK ; 2 Ottawa Hospital - Civic Campus, J153-1053 Carling Ave., Ottawa, ON, K1Y4E9, Canada ; 3 MicroPort Orthopedics Inc., 5677 Airline Rd., Arlington, TN 38002, USA ; 4 Hedley Orthopaedic Institute, 2122 E. Highland Ave., Ste. 300, Phoenix, AZ 85016, USA.

出版信息

Ann Transl Med. 2015 Dec;3(21):335. doi: 10.3978/j.issn.2305-5839.2015.12.15.

DOI:10.3978/j.issn.2305-5839.2015.12.15
PMID:26734645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4691001/
Abstract

BACKGROUND

Total hip arthroplasty (THA) is one of the most commonly performed and successful orthopaedic surgeries. While the long-term success of THA is well documented, there is still significant room for improving patient speed of recovery and return to activities. The surgical technique used during THA has the potential to affect these early outcomes.

METHODS

The described design is a single center, prospective, randomized, controlled study. Subjects will be randomized to receive THA using either the supercapsular percutaneously-assisted total hip (SuperPath) or traditional posterior surgical techniques. Subjects will be evaluated using Timed Up and Go (TUG), Timed Stair Climb (TSC), Hip Dysfunction and Osteoarthritis Outcome Score (HOOS), and Visual Analog Scale (VAS) for pain level estimation preoperatively, during the hospital stay, and at 2, 6 weeks, and 100 days post-discharge. Other endpoints to be evaluated include: length of stay (LOS); discharge status; transfusion rates; readmission rates; complication rates; operative time; date returned to work; and acetabular component anteversion and inclination angles.

DISCUSSION

The described study will determine the effect of a tissue-sparing surgical technique on short term subject recovery following THA in comparison to the most commonly used technique in clinical practice.

摘要

背景

全髋关节置换术(THA)是最常进行且最成功的矫形外科手术之一。虽然 THA 的长期成功率已有充分记录,但仍有很大的空间可以提高患者的恢复速度和重返活动能力。THA 中使用的手术技术有可能影响这些早期结果。

方法

本研究设计为单中心、前瞻性、随机、对照研究。受试者将被随机分为接受经皮SuperPath 或传统后路手术技术的 THA。受试者将使用计时起立行走测试(TUG)、计时楼梯攀爬测试(TSC)、髋关节功能障碍和骨关节炎结局评分(HOOS)以及视觉模拟评分(VAS)在术前、住院期间以及出院后 2、6 周和 100 天进行评估。其他评估的终点包括:住院时间(LOS);出院状态;输血率;再入院率;并发症发生率;手术时间;返回工作的日期;髋臼组件前倾角和倾斜角。

讨论

本研究将确定一种组织保护手术技术与临床实践中最常用的技术相比,对 THA 后短期受试者恢复的影响。