Grano Giovanni F, Pavlidou Maria, Todesco Alberto, Palermo Augusto, Molfetta Luigi
Orthopaedic Unit and Regional Hip Surgery Center, Hospital of Cittadella, Italy.
Italian Auxologic Institute, IRCSS Capitanio (MI), Italy.
Joints. 2016 Sep 21;4(3):148-152. doi: 10.11138/jts/2016.4.3.148. eCollection 2016 Jul-Sep.
the purpose of the present paper is to present the short-term results of a "detachment-free" (DF) anterolateral approach for primary total hip replacement (THR) performed in a large series of patients.
two hundred patients submitted to primary THR were retrospectively reviewed for the present study. In all cases, the surgery was performed using a minimally invasive DF anterolateral approach, which entails no disconnection of tendons and no muscle damage. The study population consisted of 96 men (48%) and 104 women (52%), with an average age of 69.4 years (range 38-75). Clinical and radiographic follow-up was performed after 12 months.
the clinical results, evaluated using the Harris Hip Score, were excellent in 95% of the cases and good in 5%; no cases had fair or poor results. X-rays taken at 3, 6 and 12 months after surgery did not show heterotopic ossification, mobilization of the prosthetic components, or hip dislocation. No infections, deep vein thrombosis, or failure of the gluteal muscles were reported.
the DF anterolateral approach for THR proved safe and provided effective results at short-term follow-up.
Level IV, therapeutic case series.
本文旨在展示在大量患者中采用“无脱位”（DF）前外侧入路进行初次全髋关节置换（THR）的短期结果。
本研究对200例行初次THR的患者进行回顾性分析。所有病例均采用微创DF前外侧入路进行手术，该入路无需切断肌腱且不会造成肌肉损伤。研究人群包括96名男性（48%）和104名女性（52%），平均年龄69.4岁（范围38 - 75岁）。术后12个月进行临床和影像学随访。
采用Harris髋关节评分评估临床结果，95%的病例结果优秀，5%的病例结果良好；无结果一般或较差的病例。术后3、6和12个月的X线检查未显示异位骨化、假体部件松动或髋关节脱位。未报告感染、深静脉血栓形成或臀肌功能障碍。
THR的DF前外侧入路在短期随访中被证明是安全且有效的。
IV级，治疗性病例系列。
