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微创入路在髋关节手术中的应用-20 个标本的解剖学研究。

Minimally Invasive Approaching in Hip Surgery-An Anatomical Investigation of 20 Specimens.

机构信息

Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Krankenhausstrasse 9, 4020 Linz and Altenberger Strasse 69, 4040 Linz, Austria.

Centre for Anatomy and Cellbiology, Department of Anatomy, Medical University Vienna, Waehringerstrasse 13, 1090 Vienna, Austria.

出版信息

Medicina (Kaunas). 2021 Nov 22;57(11):1283. doi: 10.3390/medicina57111283.

Abstract

: Based on the preparation of 20 formalin-fixed anatomical cadavers, the feasibility of the anterior, minimally invasive approach to the hip joint was investigated in each side of the body. The hypothesis of the study was that the Lateral Femoral Cutaneous Nerve can be spared under the use of this approach. : The anterior approach to the hip was performed via an incision of 8 cm. The position of the nerve was noticed in relation to the skin incision, and the distance was measured in millimeters. The nerves main, gluteal and femoral trunk were distinguished and investigated for injury. : No injury of the main trunk was noticed. The average distance of the main trunk to the skin incision was 14.9 and 15.05 mm in the medial direction, respectively ( < 0.001). Injury of the gluteal branch has to be considered at an overall rate of 40%. : The anterior, minimally invasive approach to the hip joint can be performed without injury of the Lateral Femoral Cutaneous Nerve.

摘要

: 在准备 20 具福尔马林固定的解剖尸体的基础上,研究了在每侧身体上经前路微创入路髋关节的可行性。本研究的假设是,在使用这种方法时,可以避免股外侧皮神经损伤。: 髋关节前路切口长 8 厘米。注意到神经在皮肤切口处的位置,并以毫米为单位测量距离。对神经主干、臀肌支和股干进行区分并研究损伤情况。: 未发现主干损伤。主干到皮肤切口的平均距离分别为 14.9 和 15.05 毫米(<0.001)。臀肌支损伤的总体发生率为 40%。: 髋关节前路微创入路可在不损伤股外侧皮神经的情况下进行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/781a/8621586/ed215e744dc4/medicina-57-01283-g001.jpg

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