Effects of different approaches in total hip arthroplasty on postoperative recovery of patients

WANG Yuanzhou; FU Kun; MA Chunhui; ZHUANG Huanxiong

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Effects of different approaches in total hip arthroplasty on postoperative recovery of patients

更新时间：2022-06-24

- Effects of different approaches in total hip arthroplasty on postoperative recovery of patients
- null Issue 6, Pages: 525(2021)
- 作者机构：
  
  1. 东方市人民医院骨科,海南,东方,572600
  2. 海南医学院第一附属医院关节创伤外科,海南,海口,570102
  3. 上海交通大学附属上海市第一人民医院骨科,上海,200011
- 作者简介：
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WANG Yuanzhou, FU Kun, MA Chunhui, et al. Effects of different approaches in total hip arthroplasty on postoperative recovery of patients. [J]. null (6):525(2021)
DOI：

WANG Yuanzhou, FU Kun, MA Chunhui, et al. Effects of different approaches in total hip arthroplasty on postoperative recovery of patients. [J]. null (6):525(2021) DOI：

摘要

目的探讨人工全髋关节置换术（THA）后外侧入路（PLA）和直接前方入路（DAA）的安全性及对患者术后恢复的影响。方法选取经PLA行THA的患者145例（PLA组），再选取同期经DAA行THA的患者153例（DAA组）。比较2组围术期指标、髋臼假体影像学结果、并发症及术后Harris评分等。结果与PLA组相比，DAA组手术时间更长（P＜0.05），而术中出血量、切口长度、住院时间及住院费用均更优（P＜0.05）。术后1 d，2组髋臼前倾角、外展角的角度及安全率比较，差异均无统计学意义（P>0.05）。2组并发症总发生率比较差异无统计学意义（P>0.05）。DAA组术后6个月Harris评分高于PLA组（P＜0.05），而2组术前及术后1年Harris评分比较，差异无统计学意义（P>0.05）。结论与PLA比较，经DAA行THA具有创伤小、美观度高、费用低的优点，且安全性较好，短期内对THA患者术后恢复的促进作用更显著。

Abstract

关键词

人工全髋关节置换术后外侧入路直接前方入路髋关节功能术后恢复

Keywords

total hip arthroplastyposterolateral approachdirect anterior approachhip functionpostoperative recovery

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