Crawford David A, Berend Keith R
JIS Orthopedics, 7277 Smith's Mill Road, Suite 200, New Albany, OH 43054, USA.
JIS Orthopedics, 7277 Smith's Mill Road, Suite 200, New Albany, OH 43054, USA.
Orthop Clin North Am. 2021 Oct;52(4):297-304. doi: 10.1016/j.ocl.2021.05.002.
The direct anterior approach (DAA) is gaining popularity in primary total hip arthroplasty (THA). Although DAA has demonstrated many advantages over other surgical approaches, periprosthetic femur fractures (PPFF) rates continue to be higher. Femoral stem designs that allow for easier insertion via a DAA may contribute to the higher rates of fracture seen in this approach. Certain stem designs and fixation methods may reduce the risk of PPFF via a DAA in primary THA.
直接前路（DAA）在初次全髋关节置换术（THA）中越来越受欢迎。尽管与其他手术入路相比，DAA已显示出许多优势，但假体周围股骨骨折（PPFF）的发生率仍然较高。允许通过DAA更容易插入的股骨柄设计可能是导致该入路中骨折发生率较高的原因。某些柄设计和固定方法可能会降低初次THA中通过DAA发生PPFF的风险。
