Khvisiuk A N
Ortop Travmatol Protez. 1989 May(5):39-44.
The author analyses the results of 40 experimental operations on cadavers to work through and to improve the approach for the hip joint arthroplasty performed by means of intertrochanteric osteotomy of the femur. The main parameters of the approach at various stages of the procedure have been evaluated according to O. Y. Sozon--Yaroshevich, the traumatizing factors of the operation have been determined and the peculiarities of mobilization of the proximal part of the femur and the possibility of displacement of the femoral head in various directions have been studied. Variations of the approach have been proposed taking into consideration the degree of limitation of the movements and the character of pathologic changes in the joint for performing hip joint arthroplasty in clinical practice. An approach to the supraacetabular area from the part of the joint cavity has been worked out which preserves the gluteal muscles, at the same time allowing to perform the arthroplasty and to reconstruct the supraacetabular area.
作者分析了40例尸体实验手术的结果，以完善并改进通过股骨转子间截骨术进行髋关节置换的手术入路。根据O.Y.索宗-亚罗舍维奇的方法，评估了手术各阶段入路的主要参数，确定了手术的创伤因素，研究了股骨近端的活动特点以及股骨头在各个方向移位的可能性。考虑到临床实践中进行髋关节置换时关节活动受限程度和病理变化特征，提出了入路的变体。设计了一种从关节腔部分进入髋臼上区域的入路，该入路保留了臀肌，同时允许进行关节置换和髋臼上区域的重建。
