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髋关节置换术中直接前路入路(DAA)及相关技术的临床疗效。

Clinical outcomes of DAA and related techniques in hip arthroplasty.

作者信息

Driesman Adam, Yang Charlie C

机构信息

Colorado Joint Replacement, Denver, CO, 80210, USA.

出版信息

Arthroplasty. 2023 Sep 1;5(1):42. doi: 10.1186/s42836-023-00198-z.

Abstract

Total hip arthroplasty (THA) has been one of the most successful surgical interventions in recent memory and is nicknamed by some the "Surgery of the Century". Over the past decade, there has been a drastic change in THA management with the rise of the direct anterior approach both globally and in the USA market. While many would remark that this has been driven by false marketing, it is clear that the direct anterior approach can be an effective and safe way to perform a THA.It is the goal of this review to highlight evidence of its outcomes and clinical advantages, in particular, how it can decrease dislocation, even in high-risk individuals, and result in faster recovery in the early postoperative period with decreased muscular inflammation. We will also highlight its major disadvantages, including but not limited to increased wound complications and risk for periprosthetic fracture. Hopefully, this review will provide up-to-date information on the current state of the direct anterior approach and provide recommendations on patients that would be optimal candidates for this technique.

摘要

全髋关节置换术(THA)是近年来最成功的外科手术之一,有人将其昵称为“世纪手术”。在过去十年中,随着全球和美国市场直接前路手术的兴起,THA的管理发生了巨大变化。虽然许多人认为这是由虚假营销推动的,但很明显,直接前路手术可以是一种有效且安全的全髋关节置换术实施方式。本综述的目的是强调其结果和临床优势的证据,特别是它如何能够减少脱位,即使是在高危个体中,以及如何在术后早期实现更快恢复并减少肌肉炎症。我们还将强调其主要缺点,包括但不限于伤口并发症增加和假体周围骨折风险。希望本综述将提供有关直接前路手术当前状况的最新信息,并为最适合该技术的患者提供建议。

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Is the Direct Anterior Approach to THA Cost-effective? A Markov Analysis.THA 的直接前方入路是否具有成本效益?一种马尔可夫分析。
Clin Orthop Relat Res. 2022 Aug 1;480(8):1518-1532. doi: 10.1097/CORR.0000000000002165. Epub 2022 Mar 4.

本文引用的文献

1
Does Surgical Approach to the Hip Play a Role in Same-Day Discharge Outcomes?手术入路对髋关节能否实现当日出院结局有影响吗?
J Arthroplasty. 2023 Jul;38(7 Suppl 2):S294-S299. doi: 10.1016/j.arth.2022.12.042. Epub 2023 Jan 3.

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