Clinical Analysis of Minimal Incision for Total Hip Arthroplasty_West China Medical Journal

Authors：

ZHAO Qiang , CHEN Xingai , HU Dingxiang , et al.

Orthopedics Department, the Second People’s Hospital of Dazhou City, Dazhou Sichuan 635000, China;

Corresponding author：

Keywords：

全髋关节置换; 小切口; 治疗结果; 微创

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

摘要:目的:探讨小切口全髋关节置换的疗效及优缺点。方法:针对性选取我院行THA的病员48例,分为初期小切口THA组、熟练小切口THA组、传统切口THA组,各组16例。记录切口长度、术中出血量、术后12小时引流量、手术时间及Harris评分,对其治疗效果进行回顾性分析。结果:初期小切口THA组平均出血量,术后12小时平均引流量,平均手术时间等指标均高于传统组,术后Harris评分低于传统组,熟练组与传统组比较,切口长度较短、术中出血量略少,术后早期Harris评分高,远期Harris评分接近。结论:熟练小切口THA与传统切口THA比较远期疗效无明显优点,初期小切口THA不具微创优势,不必强求小切口THA,并应注重学习曲线。

Citation： ZHAO Qiang,CHEN Xingai,HU Dingxiang,et al.. Clinical Analysis of Minimal Incision for Total Hip Arthroplasty. West China Medical Journal, 2009, 24(7): 1684-1686. doi: Copy

1.	HOWELL J R, GERBUZ D S, DUNCAN C P. Minimally invasive hip replacement:rationale, applied anatomy and ynstrumentation[J]. Orthop clin North Am, 2004,35:107.
2.	BARRACK RL.The mini_incision:Occasionally desirable, but rarely necessary[J]. Orthoredics,2004,27:936.
3.	张先龙,王琦,蒋垚,等.前路小切口人工全髋关节置换术疗效分析[J].中华外科杂志,2006,44:512-515.
4.	MALIK A,DORR LD. The science of minirnally invasive tolal hip arthroplasty[J].Clin orthop Relat Res,2007,(463):74-84.
5.	SCULCO TP, JORCLAN Lc. The Miniincision approach to tolal nip arthrop[J]. Lasty Instr course Lect,2004,53:141-147.
6.	WOOLSON ST, MOW CS, SYQUIA JF, et al.Comparsion a standard incision or a minincison[J]. J Bone Joint Surg(Am),2004,86:1353.
7.	BERRY DJ, BERGER RA, CALLAGHAN JJ, et al. Symposium:Minimally ynvasi ve tolal hip arth roplasty.De relopment, early results and a critical analysis[J]. J Bone Joint Surg(Am),2003,85:2235.
8.	郑得志,于建华,等.小切口与标准切口全髋关节置换术早期疗效的比较[J].中国骨与关节损伤杂志,2008,23:529-532.
9.	杨柳,李起鸿.小切口关节置换术与微创关节外科[J].中国矫形外科杂志,2005,405-406.
10.	张海波,王义生,贾思明,等.一期全髋关节置换术治疗双侧股骨头缺血性坏死[J].中国骨与关节损伤杂志, 2003,20(10):649.

1. HOWELL J R, GERBUZ D S, DUNCAN C P. Minimally invasive hip replacement:rationale, applied anatomy and ynstrumentation[J]. Orthop clin North Am, 2004,35:107.
2. BARRACK RL.The mini_incision:Occasionally desirable, but rarely necessary[J]. Orthoredics,2004,27:936.
3. 张先龙,王琦,蒋垚,等.前路小切口人工全髋关节置换术疗效分析[J].中华外科杂志,2006,44:512-515.
4. MALIK A,DORR LD. The science of minirnally invasive tolal hip arthroplasty[J].Clin orthop Relat Res,2007,(463):74-84.
5. SCULCO TP, JORCLAN Lc. The Miniincision approach to tolal nip arthrop[J]. Lasty Instr course Lect,2004,53:141-147.
6. WOOLSON ST, MOW CS, SYQUIA JF, et al.Comparsion a standard incision or a minincison[J]. J Bone Joint Surg(Am),2004,86:1353.
7. BERRY DJ, BERGER RA, CALLAGHAN JJ, et al. Symposium:Minimally ynvasi ve tolal hip arth roplasty.De relopment, early results and a critical analysis[J]. J Bone Joint Surg(Am),2003,85:2235.
8. 郑得志,于建华,等.小切口与标准切口全髋关节置换术早期疗效的比较[J].中国骨与关节损伤杂志,2008,23:529-532.
9. 杨柳,李起鸿.小切口关节置换术与微创关节外科[J].中国矫形外科杂志,2005,405-406.
10. 张海波,王义生,贾思明,等.一期全髋关节置换术治疗双侧股骨头缺血性坏死[J].中国骨与关节损伤杂志, 2003,20(10):649.

West China Medical Journal

Clinical Analysis of Minimal Incision for Total Hip Arthroplasty

Abstract Full text Figures/Tables Video References Cited by

Format

Content