Keggi K Iu, Zatorski L E
Khirurgiia (Mosk). 1995(2):42-8.
The anterior approach for total hip endoprosthetics (THE) developed by K. J. Keggy was used in about 3,000 patients. It is characterized by rapid accomplishment, the possibility of anatomical inspection of the joint and correct orientation of the acetabular component of the endoprosthesis. Difficulties are not encountered in exposure of the femur and favorable conditions are provided for separation of the soft tissues. Considering our preference for noncemented THE, we have been using in the recent years a modified approach. The average duration of the operation, except for revision THE, did not exceed 90 minutes. The approach is atraumatic for the para-articular soft tissues, which provides the possibility of early postoperative mobilization and rehabilitation and reduced the duration of postoperative in-patient treatment to 7.3 days. The incidence of complications was not higher, and in many respects was even lower, than that reported in the literature dealing with primary and revision THE. At present we still use the anterior approach in all operations for THE although essential contradictions occur in discussion of the advantages of cemented implants over noncemented prostheses. The suggested method for THE is best for most patients.
K. J. 凯吉研发的全髋关节假体前路手术（THE）应用于约3000例患者。其特点是手术完成迅速，能够对关节进行解剖学检查，并使假体髋臼部件正确定位。暴露股骨时不存在困难，且为软组织分离提供了有利条件。考虑到我们对非骨水泥型THE的偏好，近年来我们采用了一种改良方法。除翻修性THE外，手术平均时长不超过90分钟。该手术对关节周围软组织无创伤，这为术后早期活动和康复提供了可能，并将术后住院治疗时长缩短至7.3天。并发症发生率并不高于，且在许多方面甚至低于文献报道的初次及翻修性THE的发生率。目前，尽管在讨论骨水泥型植入物与非骨水泥型假体的优势时存在重大矛盾，但我们在所有THE手术中仍采用前路手术。所建议的THE手术方法对大多数患者而言是最佳的。
