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[微创全髋关节置换术中经皮辅助上关节囊入路全髋关节置换术的研究进展]

[RESEARCH PROGRESS OF SUPERCAPSULAR PERCUTANEOUSLY ASSISTED TOTAL HIP IN MINIMALLY INVASIVE TOTAL HIP ARTHROPLASTY].

作者信息

Yao Jian, Ding Hai

机构信息

Department of Orthopaedics, the First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui, 233000, P. R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2016 Sep 8;30(9):1170-1173. doi: 10.7507/1002-1892.20160238.

Abstract

OBJECTIVE

To summarize the research progress of Supercapsular percutaneously assisted total hip (SuperPath) in minimally invasive total hip arthroplasty (THA).

METHODS

The related literature on SuperPath in terms of its history, indications, contraindications, surgical technique, and curative effect was summarized and analyzed.

RESULTS

SuperPath for minimally invasive THA is an approach that makes use of the interval between the gluteus medius and piriformis, it can eliminate the need to cut through any muscle and tendon. In comparison to conventional surgery, the SuperPath has the advantages of less soft tissue injury, quicker post-operative recovery, shorter hospitalization days, and the short-term curative effect is good. But there are also some disadvantages of narrower indications, need of special equipment and higher prosthesis malposition.

CONCLUSIONS

The SuperPath can reduce surgical trauma and the risk of postoperative dislocation and other complications, so the purpose of early rapid rehabilitation is achieved. However, the time of its clinical application is still short, so the long-term effectiveness and related complications should be further observed.

摘要

目的

总结经皮辅助上关节囊入路全髋关节置换术(SuperPath)在微创全髋关节置换术(THA)中的研究进展。

方法

对SuperPath在历史、适应证、禁忌证、手术技术及疗效等方面的相关文献进行总结分析。

结果

SuperPath微创THA是利用臀中肌与梨状肌之间的间隙的一种入路方式,可避免切开任何肌肉和肌腱。与传统手术相比,SuperPath具有软组织损伤小、术后恢复快、住院时间短等优点,短期疗效良好。但也存在适应证较窄、需要特殊设备及假体位置不良发生率较高等缺点。

结论

SuperPath可减少手术创伤及术后脱位等并发症的风险,从而达到早期快速康复的目的。然而,其临床应用时间尚短,长期疗效及相关并发症仍需进一步观察。

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