Smith-Peterson 与 Watson-Jones 微创直接前入路髋关节杂交技术。
Hybrid of Smith-Peterson and Watson-Jones minimally invasive direct anterior approach to the hip joint.
机构信息
Mercy Health-Cincinnati Sports Medicine and Orthopaedic Center, Cincinnati Sports Medicine Research and Education Foundation, Cincinnati, OH, USA.
Cincinnati VA Medical Center, Cincinnati, OH, USA.
出版信息
BMC Musculoskelet Disord. 2023 Feb 28;24(1):155. doi: 10.1186/s12891-023-06254-8.
BACKGROUND
Muscle-sparing techniques, more consistent acetabular component positioning with fluoroscopy guidance, development in implants and instrumentation, expedited rehabilitation, and patients' expectations have led to increased utilization of various direct anterior and anterolateral approaches to the hip joint.
METHODS AND SURGICAL TECHNIQUE
In this technical note, we demonstrate for the first time a hybrid modification of traditional Smith-Peterson and Watson-Jones approaches to the hip joint on a standard operating room (OR) table.
CONCLUSIONS
As demonstrated in this article, a precise knowledge of anatomy and clear goals in the surgical approach can minimize complications and facilitate visualization and instrumentation placement in the "direct anterior approach" to the hip joint.
背景
肌肉保护技术、更一致的髋臼组件透视引导定位、植入物和器械的发展、加速康复以及患者的期望，导致各种髋关节直接前侧和前外侧入路的应用增加。
方法和手术技术
在本技术说明中，我们首次在标准手术室（OR）台上展示了对髋关节的传统 Smith-Peterson 和 Watson-Jones 入路的混合改良。
结论
正如本文所展示的，对解剖结构的精确了解和手术入路的明确目标可以最大限度地减少并发症，并在髋关节的“直接前侧入路”中方便可视化和器械放置。
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