Comparative study on the curative effect of modified Hardinge approach and posterolateral approach in total hip arthroplasty

YUAN Jing; LU Jun; TANG Yue-ping; SHEN Wen-dong; ZHANG Jun-qiang; YAO Zhe; WANG Yifan; GAO Jian-feng

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Comparative study on the curative effect of modified Hardinge approach and posterolateral approach in total hip arthroplasty

更新时间：2022-06-24

- Comparative study on the curative effect of modified Hardinge approach and posterolateral approach in total hip arthroplasty
- null Issue 12, Pages: 1030(2021)
- 作者机构：
  
  南京医科大学附属苏州医院骨科,江苏,苏州,215000
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YUAN Jing, LU Jun, TANG Yue-ping, et al. Comparative study on the curative effect of modified Hardinge approach and posterolateral approach in total hip arthroplasty. [J]. null (12):1030(2021)
DOI：

YUAN Jing, LU Jun, TANG Yue-ping, et al. Comparative study on the curative effect of modified Hardinge approach and posterolateral approach in total hip arthroplasty. [J]. null (12):1030(2021) DOI：

摘要

目的对比改良Hardinge入路与后外侧入路人工全髋关节置换术（THA）的临床疗效。方法回顾性分析行THA的114例患者的临床资料。根据入路方式的不同

将患者分为对照组（采用后外侧入路

55例）和改良组（采用改良Hardinge入路

59例）。观察2组围术期指标、并发症情况以及髋关节功能Harris评分。结果改良组的术后引流量、术中出血量少于对照组

切口长度、手术时间、住院时间短于对照组（P<0.05）。2组术后3个月、6个月、12个月Harris评分均较术前升高（P<0.05）

术后3个月、6个月、12个月Harris评分组间比较

差异无统计学意义（P>0.05）；2组优良率比较

差异无统计学意义（P>0.05）。改良组并发症发生率低于对照组（P<0.05）。结论采用改良Hardinge入路与后外侧入路行THA均可改善患者髋关节功能

疗效较好，但改良Hardinge入路较后外侧入路创伤更小、手术时间更短、术中出血量更少、并发症更少、术后恢复更快

安全可靠。

Abstract

关键词

人工全髋关节置换术改良Hardinge入路后外侧入路疗效

Keywords

total hip arthroplastymodified Hardinge approachposterolateral approachcurative effect

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Related Institution

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