Navarro R A, Schmalzried T P, Amstutz H C, Dorey F J
Harbor-UCLA Medical Center, Division of Orthopaedic Surgery, Torrance 90509, USA.
J Arthroplasty. 1995 Feb;10(1):1-5. doi: 10.1016/s0883-5403(05)80093-2.
A prospective study of the relation between nerve palsy and the surgical approach used for total hip arthroplasty was performed on 1,000 consecutive patients. A postoperative neuropathy was diagnosed in eight patients for an overall prevalence of 0.8%. The overall prevalence of nerve palsy with the posterior approach was 0.6% and 1.0% with the lateral transtrochanteric approach. In both primary and revision surgeries, there were no statistical differences between the two approaches. Our data suggest that it is the anatomic variations and complexity of the reconstruction that are associated with nerve injury and not the surgical approach per se. The increased prevalence of nerve palsy seen in revision surgeries (1.4%) regardless of the approach supports this position.
对1000例连续接受全髋关节置换术的患者进行了一项关于神经麻痹与手术入路关系的前瞻性研究。8例患者被诊断为术后神经病变，总体患病率为0.8%。后路手术的神经麻痹总体患病率为0.6%，经大转子外侧入路为1.0%。在初次手术和翻修手术中，两种入路之间均无统计学差异。我们的数据表明，与神经损伤相关的是解剖变异和重建的复杂性，而非手术入路本身。无论采用何种入路，翻修手术中神经麻痹患病率的增加（1.4%）支持了这一观点。
