髋关节置换术中外侧直接前入路（L-DAA）与传统后外侧入路（PLA）的早期结果比较。
Comparison of the Early Results of Lateral Direct Anterior Approach (L-DAA) and Traditional Posterolateral Approach (PLA) in Hip Arthroplasty.
机构信息
Department of Orthopaedics, The Yijishan Hospital of Wannan Medical College, Wuhu, 241002 Anhui, China.
出版信息
Comput Math Methods Med. 2021 Dec 22;2021:1187011. doi: 10.1155/2021/1187011. eCollection 2021.
OBJECTIVE
To evaluate the early results of lateral direct anterior approach (L-DAA) and traditional posterolateral approach (PLA) in hip arthroplasty.
METHODS
A total of 24 patients who underwent hip replacement from 2018 to 2021 were divided into PLA group ( = 12) and L-DAA group ( = 12) according to the method of random table number. Outcomes were evaluated between the two groups.
RESULTS
The length of incision was shorter; the amount of bleeding was less in the L-DAA group than that in the PLA group. The visual analogue scale (Vas) pain scores for the L-DAA group were significantly lower than that for the PLA group at 24 h, 72 h, and 1 month after operation, and Harris hip scores in the L-DAA group were significantly high in the PLA group at 1 month after operation. In addition, there are no statistically significant differences in acetabular anteversion, abduction, and angle between the two groups.
CONCLUSION
L-DAA was superior to PLA for early recovery after hip arthroplasty.
目的
评估髋关节置换术中外侧直接前方入路（L-DAA）与传统后外侧入路（PLA）的早期结果。
方法
根据随机数字表法，将 2018 年至 2021 年接受髋关节置换术的 24 例患者分为 PLA 组（n=12）和 L-DAA 组（n=12）。对两组患者的结果进行评估。
结果
L-DAA 组切口长度较短，出血量少于 PLA 组。L-DAA 组术后 24 h、72 h 和 1 个月的视觉模拟评分（VAS）疼痛评分明显低于 PLA 组，L-DAA 组术后 1 个月的 Harris 髋关节评分明显高于 PLA 组。此外，两组髋臼前倾角、外展角和角度无统计学差异。
结论
与 PLA 相比，L-DAA 髋关节置换术后早期恢复更好。
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