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直接前侧入路侧卧位髋关节置换术后假体角度的影像学分析。

Imaging Analysis of Prosthesis Angle after Hip Replacement with Direct Anterior Approach in Lateral Position.

机构信息

Peking University First Hospital, Beijing 100034, China.

出版信息

J Healthc Eng. 2021 Feb 17;2021:5540834. doi: 10.1155/2021/5540834. eCollection 2021.

Abstract

The use of lateral DAA-THA for the treatment of end-stage hip disorders has good recent clinical efficacy, does not require special surgical beds and traction equipment, uses traditional surgical instruments, reduces the requirements for surgical beds and surgical instruments, enters through the nerve and muscle anatomical gap without cutting any muscle or nerve tissue, is minimally invasive, and has good surgical maneuverability, low bleeding, low postoperative pain, short hospitalization time, and rapid recovery. It is a safe and effective minimally invasive procedure because of its light weight, short hospital stay, and rapid recovery. In this paper, we used imaging to observe the angle of the posterior prosthesis. And the results showed that hip arthroplasty using the direct anterior approach improved hip mobility in early stages compared with other approaches and reduced pain. The direct anterior approach and length between total hip arthroplasty using direct lateral and posterior lateral approach and partial data (surgical time, blood loss, etc.) were significantly worse than those using direct forward approach. In addition, the direct anterior approach to total hip arthroplasty is subject to a learning curve and requires at least 33 cases of experience to achieve a lower complication rate.

摘要

直接前方入路髋关节置换术治疗终末期髋关节疾病具有良好的近期临床疗效,不需要特殊的手术床和牵引设备,使用传统的手术器械,降低了对手术床和手术器械的要求,通过神经和肌肉解剖间隙进入,不切割任何肌肉或神经组织,微创,手术可操作性好,出血少,术后疼痛轻,住院时间短,恢复迅速。由于其重量轻、住院时间短、恢复快,是一种安全有效的微创手术。在本文中,我们使用影像学观察了后假体的角度。结果表明,与其他入路相比,直接前方入路髋关节置换术在早期改善了髋关节活动度,减轻了疼痛。直接前方入路与直接外侧和后外侧入路全髋关节置换术的长度和部分数据(手术时间、失血量等)明显差于直接前方入路。此外,直接前方入路全髋关节置换术存在学习曲线,至少需要 33 例经验才能降低并发症发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4549/7904353/d43f554ee3a2/JHE2021-5540834.001.jpg

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