直接前入路与后入路初次全髋关节置换术的疗效比较
[Abstract]:Objective to compare the clinical effects and complications of primary total hip arthroplasty (THA) by direct anterior approach and posterior approach. Methods the clinical data of 171 primary total hip replacement patients who met the selection criteria from 2010-01 to 2013-01 were retrospectively analyzed. According to different surgical approaches, patients were divided into anterior approach group (direct anterior approach TKA) and posterior approach group (THA). Via posterior approach group). The operation time, bleeding volume, incision length, length of hospital stay, acetabular cup abduction angle and anteversion angle, femur stalk median rate, pain visual simulation VAS score, Harris hip joint score and postoperative complications were compared between the two groups. Results there was no significant difference in the average operation time, blood loss, incision length, acetabular cup outreaching angle, acetabular cup anteversion angle, femoral stalk median rate and postoperative complication rate in all patients (P 0.05). Compared with the posterior approach group, the hospitalization time of the anterior approach group was shorter (P0.05), the VAS score was lower on the first day after operation (P0.05), the UCLA score and HHS score were higher at 6 weeks after operation (P0.05), but in the follow-up the two groups had similar VAS-UCLA score and HHS score, the difference was not statistically significant (P0.05). Conclusion the early effect of direct anterior approach after THA is better than that of posterior approach, but the two approaches have similar clinical effect.
【作者单位】: 莒县人民医院骨三科;
【分类号】:R687.4
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