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促进康复:直接前路髋关节置换术后的手术技术和康复策略。

Enhancing recovery: surgical techniques and rehabilitation strategies after direct anterior hip arthroplasty.

机构信息

1st Orthopedic and Traumatology Clinic, IRCCS Rizzoli Orthopedic Institute, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy.

Department of Biomedical and Neuromotor Science-DIBINEM, University of Bologna, 40136, Bologna, Italy.

出版信息

J Orthop Traumatol. 2024 Sep 30;25(1):45. doi: 10.1186/s10195-024-00786-y.

Abstract

Total hip arthroplasty (THA) is a common surgical procedure for hip joint pathologies, with the direct anterior approach (DAA) gaining popularity due to potential benefits in postoperative recovery. This review aims to provide a comprehensive analysis of rehabilitation strategies following DAA THA, focusing on surgical techniques, postoperative care, and outcomes. The evolution of the DAA to THA is discussed, highlighting historical advancements and comparisons with other surgical approaches. Surgical techniques and considerations specific to the DAA are detailed, including outcomes and complications compared to alternative approaches. The role of the surgical technique in influencing postoperative rehabilitation is explored, emphasizing the importance of optimizing surgical procedures for enhanced recovery. Postoperative care and rehabilitation models following DAA THA are examined, with a focus on the impacts of different rehabilitation protocols on patient outcomes. The review underscores the significance of tailored rehabilitation programs in promoting optimal recovery and patient satisfaction. Current evidence from recent studies, meta-analyses, and clinical trials is critically analyzed to provide insights into the effectiveness of postoperative rehabilitation strategies. The review identifies gaps in the existing literature and proposes recommendations for future research to improve rehabilitation protocols and enhance outcomes. In conclusion, this review highlights the importance of postoperative rehabilitation in the context of DAA THA. By synthesizing historical perspectives, current evidence, and future directions, the review offers a comprehensive understanding of rehabilitation strategies following DAA THA. The findings underscore the need for personalized rehabilitation programs and ongoing research to optimize postoperative recovery and improve outcomes in the field of THA.

摘要

全髋关节置换术 (THA) 是治疗髋关节病变的常见手术方法,直接前入路 (DAA) 由于在术后恢复方面的潜在优势而越来越受欢迎。本综述旨在全面分析 DAA-THA 后的康复策略,重点关注手术技术、术后护理和结果。讨论了 DAA 向 THA 的演变,强调了历史进展和与其他手术方法的比较。详细介绍了 DAA 特有的手术技术和注意事项,包括与其他方法相比的结果和并发症。探讨了手术技术在影响术后康复中的作用,强调了优化手术程序以促进恢复的重要性。研究了 DAA-THA 后的术后护理和康复模式,重点关注不同康复方案对患者结果的影响。该综述强调了制定个性化康复计划在促进最佳恢复和患者满意度方面的重要性。批判性分析了来自近期研究、荟萃分析和临床试验的现有证据,以了解术后康复策略的有效性。该综述确定了现有文献中的空白,并提出了未来研究的建议,以改进康复方案并提高 THA 领域的结果。总之,本综述强调了 DAA-THA 背景下术后康复的重要性。通过综合历史观点、现有证据和未来方向,该综述全面了解了 DAA-THA 后的康复策略。研究结果强调了制定个性化康复计划和开展持续研究的必要性,以优化术后恢复并改善 THA 领域的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48eb/11442739/7688ab7dcc11/10195_2024_786_Fig1_HTML.jpg

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