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全髋关节置换术的方法:一项系统评价。

Approaches for Total Hip Arthroplasty: A Systematic Review.

作者信息

Patel Niketa, Golwala Paresh

机构信息

Department of Physiotherapy, Sumandeep Vidyapeeth Deemed to be University, Vadodara, IND.

Department of Orthopedics, Sumandeep Vidyapeeth Deemed to be University, Vadodara, IND.

出版信息

Cureus. 2023 Feb 10;15(2):e34829. doi: 10.7759/cureus.34829. eCollection 2023 Feb.

Abstract

These surgical procedures have their own challenges, limitations, and success rate. The choice of surgical approach will depend on many factors including the surgeon's choice, type of pathology, bone stock, age of the patient, and experience of the surgeon. Whichever approach is used for total hip arthroplasty (THA), the primary goals of the surgery would be pain relief and enhancement in the quality of the patient's life suffering from hip pathologies. To further understand the advantages and potential pitfalls associated with different surgical approaches, we conducted a review study comparing different surgical approaches for THA in terms of their clinical and functional outcomes. All the studies done on surgical approaches used in THA published articles in the English language and from 2015 onward were included in the review. The databases searched were COCHRANE, MEDLINE, PEDRO, CINHAL, etc. Search engines that were searched were Google Scholar, Pub Med, and Science Direct. As per the inclusion criteria, out of 50 studies, 26 studies were included in the study which underwent critical analysis. Considering all the factors reviewed from the literature, the posterior approach or posterolateral approach is optimally beneficial.

摘要

这些外科手术有其自身的挑战、局限性和成功率。手术方式的选择将取决于许多因素,包括外科医生的选择、病理类型、骨量、患者年龄以及外科医生的经验。无论采用哪种方法进行全髋关节置换术(THA),手术的主要目标都是缓解疼痛并提高患有髋关节疾病患者的生活质量。为了进一步了解不同手术方式的优势和潜在风险,我们进行了一项综述研究,比较了THA不同手术方式的临床和功能结果。本综述纳入了所有2015年及以后发表的关于THA手术方式的英文研究文章。检索的数据库有COCHRANE、MEDLINE、PEDRO、CINHAL等。检索的搜索引擎有谷歌学术、PubMed和科学Direct。根据纳入标准,在50项研究中,有26项研究被纳入并进行了批判性分析。综合文献中审查的所有因素,后入路或后外侧入路最为有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f232/10008322/871d2e53436c/cureus-0015-00000034829-i01.jpg

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