Lu Yiran, Wu Zongming, Tang Xianzhong, Gu Mengzhen, Hou Bo
Department of Orthopaedics, the Tongren Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, China.
J Int Med Res. 2019 Oct;47(10):4787-4797. doi: 10.1177/0300060519863526. Epub 2019 Aug 1.
Artificial hip dislocation is one of the most serious complications following total hip replacement. This study was performed to assess articular capsule repair in primary total hip replacement with the anterolateral approach (Watson-Jones incision) and its effect on postoperative dislocation.
Patients who underwent primary total hip replacement by the anterolateral approach in Tongren Hospital of Shanghai Jiao Tong University School of Medicine from June 2007 to June 2014 were retrospectively analyzed. The patients were divided into the repair and dissection groups based on the articular capsule repair status during surgery. Postoperative dislocation rates were compared between the two groups using the chi-squared test.
The repair and dissection groups comprised 137 and 248 patients, respectively. All patients were followed up for 6 months to 5 years (average, 3.75 years). The mean age, sex, disease composition, and follow-up time were not significantly different between the two groups. Early postoperative dislocation occurred in 1 hip (0.7%) in the repair group and 13 hips (5.2%) in the dissection group.
During the anterolateral approach for primary total hip replacement, articular capsule repair may reduce the occurrence of early postoperative dislocation of the hip joint.
人工髋关节脱位是全髋关节置换术后最严重的并发症之一。本研究旨在评估采用前外侧入路（沃森-琼斯切口）进行初次全髋关节置换时关节囊修复情况及其对术后脱位的影响。
回顾性分析2007年6月至2014年6月在上海交通大学医学院附属同仁医院接受前外侧入路初次全髋关节置换的患者。根据手术中关节囊修复情况将患者分为修复组和切开组。采用卡方检验比较两组术后脱位率。
修复组和切开组分别有137例和248例患者。所有患者均随访6个月至5年（平均3.75年）。两组患者的平均年龄、性别、疾病构成及随访时间差异无统计学意义。修复组术后早期有1例（0.7%）发生髋关节脱位，切开组有13例（5.2%）发生。
在初次全髋关节置换的前外侧入路手术中，关节囊修复可降低髋关节术后早期脱位的发生率。
