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髋关节置换术的直接外侧入路。优点与并发症。

The direct lateral approach to the hip for arthroplasty. Advantages and complications.

作者信息

Foster D E, Hunter J R

出版信息

Orthopedics. 1987 Feb;10(2):274-80. doi: 10.3928/0147-7447-19870201-06.

DOI:10.3928/0147-7447-19870201-06
PMID:3104893
Abstract

The direct lateral approach to the hip as described by Hardinge in 1982 was used in the performance of 83 hip arthroplasties. This approach was found to give excellent visualization of the proximal femur and acetabulum and was found to have comparable operative time, blood loss, time to ambulation, and range of motion to other approaches. The postoperative dislocation rate was very low (2.5%) and redislocations have not occurred. The incidence of heterotopic ossification was high (61%) and this may limit the use of this approach in some cases.

摘要

1982年哈丁格描述的髋关节直接外侧入路被用于83例髋关节置换手术。结果发现,该入路能很好地显露股骨近端和髋臼,且手术时间、失血量、下地行走时间及活动范围与其他入路相当。术后脱位率很低(2.5%),且未发生再次脱位。异位骨化的发生率较高(61%),这在某些情况下可能会限制该入路的应用。

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