Department of Traumatology and Orthopedics, The First Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Eur Rev Med Pharmacol Sci. 2023 Jun;27(12):5604-5613. doi: 10.26355/eurrev_202306_32799.
The aim of this study was to retrospectively analyze the clinical efficacy of the direct anterior approach (DAA) vs. posterolateral approach (PLA) in primary total hip arthroplasty (THA).
A total of 382 patients who underwent primary THA in our hospital from March 2016 to March 2021 were identified as research subjects, with 183 patients in the DAA group and 199 in the PLA group. Outcome measures included operation time, intraoperative blood loss, postoperative creatine kinase (CK), Harris score, visual analogue scale (VAS), postoperative hospital stay, and postoperative complications.
DAA resulted in significantly longer operative time but lower intraoperative bleeding volume vs. PLA. Three months postoperatively, patients receiving DAA showed significantly lower visual analogue scale (VAS) scores and higher Harris scores than those given PLA. No hip dislocation was observed in the DAA group.
DAA results in less intraoperative hemorrhage and muscle damage, better postoperative recovery, and a lower incidence of hip dislocation.
本研究旨在回顾性分析初次全髋关节置换术（THA）中直接前入路（DAA）与后外侧入路（PLA）的临床疗效。
本研究共纳入了 2016 年 3 月至 2021 年 3 月在我院接受初次 THA 的 382 例患者作为研究对象，其中 DAA 组 183 例，PLA 组 199 例。观察指标包括手术时间、术中出血量、术后肌酸激酶（CK）、Harris 评分、视觉模拟评分（VAS）、术后住院时间和术后并发症。
与 PLA 相比，DAA 组的手术时间显著延长，但术中出血量显著减少。术后 3 个月，DAA 组的视觉模拟评分（VAS）明显低于 PLA 组，Harris 评分明显高于 PLA 组。DAA 组未发生髋关节脱位。
DAA 可减少术中出血和肌肉损伤，促进术后恢复，降低髋关节脱位的发生率。
