Soni R K
Rotherham District General Hospital, South Yorkshire, U.K.
Acta Orthop Scand. 1997 Oct;68(5):490-4. doi: 10.3109/17453679708996268.
I describe an anterolateral approach to the hip joint. The intermuscular plane is between the gluteus medius and tensor fascia lata. The anterior one third of gluteus medius and the insertion of gluteus minimus are stripped from the anterior aspect of the greater trochanter to raise a flap in a way that facilitates reattachment. The vastus lateralis muscle is left undisturbed. This simple and relatively quick approach provides sufficient anatomic orientation and exposure to allow the surgeon to perform total hip arthroplasty, with minimal dissection and without excessive retraction. There is no danger of injury to the superior gluteal nerve or its branches. This has been used in 178 patients for primary total hip replacement. The strength of the hip abductor muscles was unimpaired and there were no complications attributable to the approach in 128 patients reviewed after at least 6 months.
我描述了一种髋关节的前外侧入路。肌间平面位于臀中肌和阔筋膜张肌之间。将臀中肌前三分之一及臀小肌附着点从大转子前方剥离，以一种便于重新附着的方式掀起一个皮瓣。股外侧肌保持不动。这种简单且相对快速的入路提供了足够的解剖定位和暴露，使外科医生能够进行全髋关节置换术，且解剖分离最少，无需过度牵拉。不存在损伤臀上神经及其分支的风险。此方法已应用于178例患者进行初次全髋关节置换。在至少6个月后接受复查的128例患者中，髋外展肌力量未受损，且未出现与该入路相关的并发症。
