A comparative assessment of outcomes of large-diameter metal-on-metal total hip arthroplasty versus conventional total hip arthroplasty following posterolateral minimal incision

SHI Lin-jun; et al

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A comparative assessment of outcomes of large-diameter metal-on-metal total hip arthroplasty versus conventional total hip arthroplasty following posterolateral minimal incision

更新时间：2024-01-17

- A comparative assessment of outcomes of large-diameter metal-on-metal total hip arthroplasty versus conventional total hip arthroplasty following posterolateral minimal incision
- Journal of Chongqing Medical University Vol. 34, Issue 5, Pages: 615-618(2009)
- 作者机构：
  
  1. 重庆医科大学附属第一医院骨科
  2. 重庆医科大学检验系
- 作者简介：
- 基金信息：
- DOI：
  CLC： R687.42
- Published：2009，
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[1]施林军,张健,周爱国,杨伊萍.后外侧小切口金属对金属大头THA与常规THA的比较研究[J].重庆医科大学学报,2009,34(05):615-618.

SHI Lin-jun, et al. A comparative assessment of outcomes of large-diameter metal-on-metal total hip arthroplasty versus conventional total hip arthroplasty following posterolateral minimal incision. [J]. Journal of Chongqing Medical University 34(5):615-618(2009)
[1]施林军,张健,周爱国,杨伊萍.后外侧小切口金属对金属大头THA与常规THA的比较研究[J].重庆医科大学学报,2009,34(05):615-618. DOI：

SHI Lin-jun, et al. A comparative assessment of outcomes of large-diameter metal-on-metal total hip arthroplasty versus conventional total hip arthroplasty following posterolateral minimal incision. [J]. Journal of Chongqing Medical University 34(5):615-618(2009) DOI：

摘要

目的:比较经后外侧小切口行大头金属-金属（Large diameter metal on metal

L-MoM）全髋置换术（Total hip arthroplasty

THA）与常规金属-聚乙稀假体（Metal on poly ethylene

MoPE）THA的临床疗效。方法:2005年1月～2007年12月经后外侧小切口行LMoMTHA20例（22髋）、常规THA20例（22髋）。比较两者的切口长度、手术时间、出血量、手术前后血红蛋白（Hemoglobin

Hb）减少量、切口疼痛程度、C-反应蛋白（C reactive protein

CRP）、血沉（Erythrocyte sedimentation rate

ESR）、大腿周径增加值、住院时间、术后并发症及假体的位置。结果:两组间切口长度、手术时间、出血量、手术前后Hb减少量、切口24h视觉模拟评分（Visual analog scale

VAS）、CRP、ESR、大腿周径增加值、住院时间、术后并发症、及髋臼外展角、前倾角经统计学处理均无显著性差异（P>0.05）。结论:经后外侧小切口行L-MoMTHA可取得与常规THA相似的临床疗效

但手术需要一定技巧。

Abstract

Objective:To compare the clinical effect of large-diameter metal-on-metal(L-MoM)total hip arthroplasty(THA)versus conventional metal on poly ethylene(MoPE)THA following posterolateral minimal incision.Methods:22 L-MoM THA in 20 patients were performed with posterolateral minimal incision.A matched group of 22 hips in 20 patients who had undergone a MoPE THA with posterolateral minimal incision were also performed by the same surgeon.The two groups of patients were evaluated clinically and radiographically respectively

including the length of the incision

surgical time

intra-operative blood loss

postoperative drainage volume

postoperative amount of decreasing hemoglobin(Hb)

postoperative pain score

C-reactive rotein(CRP)

erythrocyte sedimentation rate(ESR)

the circumference difference of the operated thighs

length of stay

major complications and component positions.Results:There were no differences between the two groups with regard to the length of the skin incision

operating time

blood loss

postoperative amount of decreasing Hb

the visual analog scale(VAS)pain score at 24 hours after surgery

CRP

ESR

the circumference difference of the operated thighs

length of stay

major complications and component positions.Conclusion:L-MoM THA with posterolateral minimal incision can be effectively performed without increased risk of complications.The key is to master the surgical skills.

关键词

全髋关节置换术微创技术关节成形术髋关节关节假体疗效

Keywords

The total hip replacementA minimal-invasive surgeryArthroplastyHipHip prosthesisTreatment outco

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ZHANG Jian

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Related Institution

Department of Orthopaedics,the First Affiliated Hospital,Chongqing Medical University

重庆医科大学附属第一医院骨科

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