平卧位下改良前外侧入路人工全髋关节置换术的初步探讨

发布时间：2018-04-16 15:08

本文选题：髋关节 + 关节置换　；参考：《中国临床解剖学杂志》2017年04期

【摘要】：目的探讨平卧位下改良前外侧入路全髋关节置换术的技术要点以及疗效。方法2013年8月-2016年8月采用平卧位下改良前外侧入路全髋关节置换术321例,男170例,女151例,年龄在46~84岁,平均76岁,记录切口长度、术中出血量、手术时间、术后下地时间、术后3月跛行率及Trendelenburg征阳性率、并发症,随访髋关节Harris评分。结果切口长度平均为8.4cm(7.0~10.0)cm,术中出血量平均165ml(110~300)ml,手术时间平均40 min(30~50)min,术后平均下地行走时间为2.5d(2~5 d),术后3个月跛行率及Trendelenburg征阳性率3%,未出现脱位、假体位置不良情况,随访时间最短3月,最长达3年,平均Harris评分达94.5分。结论平卧位下改良前外侧入路全髋关节置换术疗效确切,创伤小、恢复快、值得临床推广。
[Abstract]:Objective to investigate the technique and effect of modified anterolateral approach for total hip arthroplasty under supine position.Methods from August 2013 to August 2016, 321 patients (170 males and 151 females) underwent total hip arthroplasty with modified anterolateral approach under supine position. The mean age was 76 years (46 ~ 84 years). The length of incision, the amount of intraoperative bleeding, the time of operation and the time of operation were recorded.The rate of claudication and the positive rate of Trendelenburg sign, complication, and Harris score of hip joint were followed up 3 months after operation.Results the average length of incision was 8.4 cm ~ 7.0 ~ 10.0 cm, the average volume of blood loss during operation was 165 ml / 11010 ~ (300) ml, the average operation time was 40 min ~ 30 ~ 50 min, the average walking time was 2.5d(2~5 d, the claudication rate and the positive rate of Trendelenburg sign were 3 ~ 3 months after operation, there was no dislocation, and the prosthesis position was poor.The minimum follow-up time was 3 months, the longest was 3 years, and the average Harris score was 94.5.Conclusion the modified anterolateral approach for total hip arthroplasty in supine position is effective, less traumatic and quick to recover. It is worth popularizing.
【作者单位】：广东省河源市中医院骨伤科;
【基金】：河源市社会发展科技计划项目(河科【2015】80号-36)
【分类号】：R687.4

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