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全髋关节置换术后预防脱位的历程:我们是如何走到这一步的?

The journey to preventing dislocation after total hip arthroplasty : how did we get here?

机构信息

Hospital for Special Surgery, Division of Adult Reconstruction and Joint Replacement, New York, New York, USA.

出版信息

Bone Joint J. 2022 Jan;104-B(1):8-11. doi: 10.1302/0301-620X.104B1.BJJ-2021-0823.R1.

Abstract

Dislocation following total hip arthroplasty (THA) is a well-known and potentially devastating complication. Clinicians have used many strategies in attempts to prevent dislocation since the introduction of THA. While the importance of postoperative care cannot be ignored, particular emphasis has been placed on preoperative planning in the prevention of dislocation. The strategies have progressed from more traditional approaches, including modular implants, the size of the femoral head, and augmentation of the offset, to newer concepts, including patient-specific component positioning combined with computer navigation, robotics, and the use of dual-mobility implants. As clinicians continue to pursue improved outcomes and reduced complications, these concepts will lay the foundation for future innovation in THA and ultimately improved outcomes. Cite this article:  2022;104-B(1):8-11.

摘要

全髋关节置换术后脱位是一种众所周知且可能具有破坏性的并发症。自全髋关节置换术问世以来,临床医生已经使用了许多策略来试图预防脱位。虽然术后护理的重要性不容忽视,但在预防脱位方面,特别强调了术前规划。这些策略已经从更传统的方法发展而来,包括模块化植入物、股骨头的大小和增加偏心距,到更新的概念,包括患者特异性组件定位与计算机导航、机器人技术以及使用双动性植入物的结合。随着临床医生继续追求更好的结果和减少并发症,这些概念将为全髋关节置换术的未来创新奠定基础,并最终带来更好的结果。 引用本文: 2022;104-B(1):8-11.

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