全髋关节置换术的前路入路：我们使用非骨水泥假体的首批一千例手术技术及临床结果
Anterior approach to total hip replacement: surgical technique and clinical results of our first one thousand cases using non-cemented prostheses.
作者信息
Keggi K J, Huo M H, Zatorski L E
机构信息
Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut.
出版信息
Yale J Biol Med. 1993 May-Jun;66(3):243-56.
Abstract
Total hip replacement has evolved into one of the most frequently performed reconstructive procedures in orthopaedic surgery today. A modified anterior approach developed by the senior surgeon has been utilized in performing over 3,000 operations in the past two decades. It is a unique and facile exposure. It can be easily applied to primary and revision surgery. Noncemented prostheses have been used in over 1,000 of these operations. This article details the surgical exposure, acetabular and femoral preparation for both non-cemented and cemented prostheses, special considerations for revision surgery, and the clinical results of the experience with noncemented prostheses to date.
摘要
全髋关节置换术已发展成为当今骨科手术中最常实施的重建手术之一。资深外科医生所研发的改良前路手术入路在过去二十年里已应用于超过3000例手术中。这是一种独特且简便的暴露方法。它可轻松应用于初次手术和翻修手术。在这些手术中有超过1000例使用了非骨水泥假体。本文详细介绍了非骨水泥和骨水泥假体的手术暴露、髋臼和股骨准备、翻修手术的特殊注意事项以及迄今为止非骨水泥假体的临床经验结果。
相似文献
1
2
Survival of cemented total hip replacements.骨水泥型全髋关节置换术的生存率。
Semin Arthroplasty. 1990 Jul;1(1):7-11.
3
Outcomes of surgical management of total HIP replacement in patients aged 65 years and older: cemented versus cementless femoral components and lateral or anterolateral versus posterior anatomical approach.65岁及以上患者全髋关节置换手术治疗的结果：骨水泥型与非骨水泥型股骨部件以及外侧或前外侧与后侧解剖入路的比较
J Orthop Res. 2002 Mar;20(2):182-91. doi: 10.1016/S0736-0266(01)00090-0.
4
[Complications with the acetabular cup in the CLS total hip joint endoprosthesis].[CLS全髋关节置换术中髋臼杯的并发症]
Acta Chir Orthop Traumatol Cech. 2001;68(2):85-92.
5
Long-term clinical results of cemented revision of primary cemented total hip arthroplasties.初次骨水泥型全髋关节置换术骨水泥翻修的长期临床结果。
Acta Orthop Belg. 2000 Oct;66(4):376-81.
6
Total hip replacement: the case for noncemented femoral fixation because of age.全髋关节置换术：因年龄因素采用非骨水泥型股骨固定的情况。
Can J Surg. 1995 Feb;38 Suppl 1:S61-6.
7
[Personal experience with the Wagner revision stem in hip joint reoperations].[髋关节再次手术中使用瓦格纳翻修柄的个人经验]
Acta Chir Orthop Traumatol Cech. 2001;68(3):148-61.
8
[Anterior approach in hip prosthesis].[髋关节假体的前路入路]
Khirurgiia (Mosk). 1995(2):42-8.
9
[Femoral head necrosis treated with total hip alloplasty].[全髋关节成形术治疗股骨头坏死]
Ugeskr Laeger. 1996 May 27;158(22):3149-52.
10
Uncemented femoral revision arthroplasty using the modular revision prosthesis MRP-TITAN revision stem.使用模块化翻修假体MRP-TITAN翻修柄进行非骨水泥型股骨翻修关节成形术。
Oper Orthop Traumatol. 2007 Mar;19(1):56-77. doi: 10.1007/s00064-007-1195-5.
引用本文的文献
1
Direct anterior approach for femoral neck fractures: Why and how?股骨颈骨折的直接前路手术：为何及如何进行？
J Clin Orthop Trauma. 2025 Apr 2;67:102995. doi: 10.1016/j.jcot.2025.102995. eCollection 2025 Aug.
2
Anterior Minimally Invasive Approach (AMIS) for Total Hip Arthroplasty: Analysis of the First 1000 Consecutive Patients Operated at a High Volume Center.全髋关节置换术的前侧微创入路（AMIS）：对一家高手术量中心连续进行手术的首批1000例患者的分析。
J Clin Med. 2024 Apr 29;13(9):2617. doi: 10.3390/jcm13092617.
3
Anterior capsulectomy versus repair in direct anterior total hip arthroplasty.直接前路全髋关节置换术中前囊切除术与修复术的比较。
Eur J Orthop Surg Traumatol. 2023 Dec;33(8):3649-3654. doi: 10.1007/s00590-023-03606-x. Epub 2023 Jun 4.
4
Hemiarthroplasty of the hip using the direct anterior approach.采用直接前路入路行髋关节半关节置换术。
Oper Orthop Traumatol. 2021 Aug;33(4):304-317. doi: 10.1007/s00064-021-00727-6. Epub 2021 Aug 3.
5
Minimizing complications in bikini incision direct anterior approach total hip arthroplasty: A single surgeon series of 865 cases.减少比基尼切口直接前路全髋关节置换术的并发症：单术者865例病例系列
J Exp Orthop. 2021 Jan 4;8(1):1. doi: 10.1186/s40634-020-00318-7.
6
Anterior Percutaneous-Assisted Total Hip Arthroplasty: Surgical Technique and Early Outcomes.前路经皮辅助全髋关节置换术：手术技术及早期疗效
Arthroplast Today. 2020 Aug 27;6(4):716-720. doi: 10.1016/j.artd.2020.07.030. eCollection 2020 Dec.
7
Does surgical approach influence mid- to long-term patient-reported outcomes after primary total hip replacement? A comparison of the 3 main surgical approaches.初次全髋关节置换术后，手术入路是否会影响中、长期患者报告的结局？3 种主要手术入路的比较。
Can J Surg. 2020 Apr 17;63(22):E181-E189. doi: 10.1503/cjs.008919.
8
Does a fluoro-assisted direct anterior approach for total hip arthroplasty pose an excessive risk of radiation exposure to the surgeon?对于全髋关节置换术，荧光辅助直接前路入路会给外科医生带来过高的辐射暴露风险吗？
SICOT J. 2020;6:6. doi: 10.1051/sicotj/2020004. Epub 2020 Feb 18.
9
Capsulectomy vs capsulotomy in total hip arthroplasty. Clinical outcomes and proprioception evaluation: Study protocol for a randomized, controlled, double blinded trial.全髋关节置换术中囊切除术与囊切开术的比较。临床结果与本体感觉评估：一项随机、对照、双盲试验的研究方案。
J Orthop. 2019 Sep 12;16(6):526-533. doi: 10.1016/j.jor.2019.09.020. eCollection 2019 Nov-Dec.
10
Comparison of clinical results and patient's satisfaction between direct anterior approach and Hardinge approach in primary total hip arthroplasty in a community hospital.社区医院初次全髋关节置换术中直接前路与Hardinge入路的临床结果及患者满意度比较
Musculoskelet Surg. 2017 Dec;101(3):261-267. doi: 10.1007/s12306-017-0478-8. Epub 2017 Apr 27.
本文引用的文献
1
Approach to and exposure of the hip joint for mold arthroplasty.用于模具关节成形术的髋关节入路及暴露
J Bone Joint Surg Am. 1949 Jan;31A(1):40-6.
2
Surgical approaches to bones and joints.骨骼与关节的手术入路
Surg Clin North Am. 1949 Feb;29(1):65-76. doi: 10.1016/s0039-6109(16)32634-2.
3
Anterior approach to hip arthroplasty.髋关节置换术的前路入路
Clin Orthop Relat Res. 1980 Oct(152):255-60.
4
A comparison of the posterolateral and anterolateral approaches to total hip arthroplasty.全髋关节置换术的后外侧入路与前外侧入路的比较。
Clin Orthop Relat Res. 1984 Jul-Aug(187):205-10.
5
A comparison of the anterolateral, transtrochanteric, and posterior surgical approaches in primary total hip arthroplasty.初次全髋关节置换术中前外侧、经大转子和后入路手术方式的比较。
Clin Orthop Relat Res. 1984 Sep(188):152-9.
6
The long-term results of low-friction arthroplasty of the hip performed as a primary intervention.作为初次干预进行的髋关节低摩擦关节成形术的长期结果。
J Bone Joint Surg Br. 1972 Feb;54(1):61-76.
7
The anterior approach to the hip joint.髋关节的前路入路。
Clin Orthop Relat Res. 1968 Nov-Dec;61:193-8.
8
The anatomical basis of the hip joint exposures.髋关节暴露的解剖学基础。
Clin Orthop Relat Res. 1974 Jan-Feb(98):27-31. doi: 10.1097/00003086-197401000-00004.
9
Results of revision for mechanical failure after cemented total hip replacement, 1979 to 1982. A two to five-year follow-up.1979年至1982年骨水泥型全髋关节置换术后机械性故障翻修结果。两年至五年随访。
J Bone Joint Surg Am. 1985 Sep;67(7):1074-85.
10
Revision total hip arthroplasty.全髋关节翻修术
J Bone Joint Surg Am. 1985 Apr;67(4):517-26.
Zotero 插件