[1]苏之盟 罗春林.直接前方入路在全髋关节置换中的研究进展[J].大众科技,2023,25(5):62-65.
 Research Progress of Direct Anterior Approach in Total Hip Arthroplasty[J].Popular Science & Technology,2023,25(5):62-65.
点击复制

直接前方入路在全髋关节置换中的研究进展()
分享到:

《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
25
期数:
2023年5
页码:
62-65
栏目:
医药与卫生
出版日期:
2023-05-20

文章信息/Info

Title:
Research Progress of Direct Anterior Approach in Total Hip Arthroplasty
作者:
苏之盟 罗春林
(广西钦州宝顺医院,广西 钦州 535000)
关键词:
前方入路全髋关节置换术并发症
Keywords:
direct anterior approach total hip arthroplasty complication
文献标志码:
A
摘要:
全髋关节置换术(Total hip arthroplasty,THA)是治疗晚期股骨头坏死、髋关节骨性关节炎等髋部疾病的经典术式和可靠方法。当前,人工全髋关节置换术有很多不同的手术入路,手术入路的选择要以保证手术质量和患者安全为前提,各有优缺点。对于微创髋关节置换术的概念,目前没有统一的定论,绝大多数专家认为微创手术应该具有切口小、软组织损伤小、术后康复快、痛苦少等特点,即以最小的创伤实现最好的治疗效果。众所周知,直接前方入路人工全髋关节置换术是近年来最热门和最微创的全髋关节置换技术之一,文章阐述了直接前方入路在全髋关节置换中的优势和不足,以期为今后相关的治疗提供参考。
Abstract:
Total hip arthroplasty (THA) is a classic and reliable method for treating hip diseases such as advanced femoral head necrosis and hip osteoarthritis and other hip diseases. At present, there are many different surgical approaches for total hip arthroplasty. The selection of surgical approaches should be based on the premise of ensuring the quality of surgery and the safety of patient safety, each with advantages and disadvantages. There is currently no unified consensus on the concept of minimally invasive hip arthroplasty. The vast majority of experts believe that minimally invasive surgery should have the characteristics of small incision, minimal soft tissue damage, fast postoperative recovery, and minimal pain, that is, achieving the best treatment effect with minimal trauma. As is well known, direct anterior approach artificial total hip arthroplasty is one of the most popular and minimally invasive total hip arthroplasty techniques in recent years. This article elaborates on the advantages and disadvantages of direct anterior approach in total hip arthroplasty, in order to provide reference for future related treatments.

参考文献/References:

[1] NIZAM I, ALVA A, GOGOS S. The bikini incision anterior cemented total hip arthroplasty: Assessment of radiological and clinical outcomes: A mid-term review[J]. SICOT, 2021(7): 3.[2] PATEL N N, SHAH J A, ERENS G A. Current trends in clinical practice for the direct anterior approach total hip arthroplasty[J]. Journal of Arthroplasty, 2019, 34(9): 1987-1993.[3] BARRETT W P, TURNER S E, MURPHY J A, et al. Prospective, randomized study of direct anterior approach vs posterolateral approach total hip arthroplasty: a concise 5-year follow-up evaluation[J]. Journal of Arthroplasty, 2019, 34(6): 1139-1142.[4] AVINASH A, IKRAM N, SOPHIA G. Minimizing complications in bikini incision direct anterior approach total hip arthroplasty: A single surgeon series of 865 cases[J]. Journal of Experimental Orthopaedics, 2021, 8(1): 1.[5] CORTEN K, HOLZAPFEL B M. Direct anterior approach for total hip arthroplasty using the "bikini incision"[J]. Operative Orthop?ie und Traumatologie, 2021, 33(4): 318-330.[6] DAVIDOVITCH R, RIESGO A, BOLZ N, et al. The effect of obesity on fluoroscopy assisted direct anterior approach total hip arthroplasty[J]. Bulletin of the Hospital for Joint Diseases, 2020, 78(3): 187-194.[7] MANERIQE J, PASKEY T, TARABICHI M, et al. Total hip arthroplasty through the direct anterior approach using a bikini incision can be safely performed in obese patients[J]. Journal of Arthroplasty, 2019, 34(8): 1723-1730.[8] MENZIES-WILSON R, MARINO I T, et al. Functional outcomes of direct anterior approach hip arthroplasty: Oblique "bikini" versus longitudinal skin incision[J]. Journal of Orthopaedics, Trauma and Rehabilitation, 2020, 27(1): 52-56.[9] NAIM L, GYEMI L, GOUVEIA K, et al. The learning curve for the direct anterior total hip arthroplasty: A systematic review[J]. International Orthopaedics, 2021, 45(8): 1971-1982.[10] FLEVAS D A, TSANTES A G, MAVRIGEBUS A F. Direct anterior approach total hip arthroplasty revisited[J]. JBJS Reviews, 2020, 8(4): e0144.[11] TISSOT C, VAUTRIN M, LUYET A, et al. Are there more wound complications or infections with direct anterior approach total hip arthroplasty[J]. HIP International, 2018, 28(6): 591-598.[12] GOFTON W, FITCH D A. In-hospital cost comparison between the standard lateral and supercapsular percutaneously-assisted total hip surgical techniques for total hip replacement[J]. International Orthopaedics, 2016, 40(3): 481-485.[13] KAYANI B, KONAN S, CHANDRAMOHAN R, et al. The direct superior approach total hip arthroplasty[J]. British Journal of Hospital Medicine, 2019, 80(6): 320-324.[14] HORBERG J V, COOBS B R, JIWANLAL A K, et al. Dislocation rates following total hip arthroplasty via the direct anterior approach in a consecutive,non-selective cohort[J]. Bone and Joint Journal, 2021, 103(7 Supple B): 38-45.[15] FREE M D, OWEN D H, AsGIUS P A, et al. Direct anterior approach total hip arthroplasty: an adjunct to an enhanced recovery pathway:outcomes and learning curve effects in surgeons transitioning from other surgical approaches[J]. Arthroplasty, 2018, 33(11): 3490-3495.[16] LUO J, XU J, CHEN Y C, et al. Short-term efficacy of endoscope assisted arthroplasty for total hip replacement via a minimum invasive direct anterior approach[J]. Chinese Medical Journal, 2021, 101(27): 2164-2169.[17] MEERMANS G, S KONAN S, DAS R, et al. The direct anterior approach in total hip arthroplasty: A systematic review of the literature[J]. Bone and Joint Journal, 2017, 99(6): 732-740.[18] SANG W L, XUE S, XU Y M, et al. Bikini incision increases the incidence of lateral femoral cutaneous nerve injury in direct anterior approach hip arthroplasty: A prospective ultrasonic, electrophysiological, and clinical study[J]. Journal of Arthroplasty, 2021, 36(10): 3463-3470.[19] HOSHINA C, KOGA D, KOYANA G, et al. Femoral nerve palsy following primary total hip arthroplasty with the direct anterior approach[J]. PLoS One, 2019, 14(5): e0217068.[20] ZHANG Y, YAO Y, WANG Y X, et al. Preoperative ultrasound to map the three-dimensional anatomical distribution of the lateral femoral cutaneous nerve in direct anterior approach for total hip arthroplasty[J]. Journal of Orthopaedic Surgery and Research, 2021, 16(1): 623.[21] LEE G C, MARCONI D. Complications following direct anterior hip procedures: Costs to both patients and surgeons[J]. Journal of Arthroplasty, 2015, 30(9): 98-101.[22] KHEMKA A, MOGRABY O, LORD S J, et al. Total hip arthroplasty by the direct anterior approach using a neck-preserving stem: Safety, efficacy and learning curve[J]. Indian Journal of Orthopaedics, 2018, 52(2): 124-132.[23] FOISSEY C, FAYVERNIER M, FARY C, et al. Total hip arthroplasty performed by direct anterior approach: Does experience influence the learning curve[J]. SICOT-J, 2020, 6: 15.[24] HARTFORD J M, BELLINO M J. The learning curve for the direct anterior approach for total hip arthroplasty: a single surgeon’s first 500 cases[J]. HIP International, 2017, 27(5): 483-488.[25] KONG X, GRAU L, ONG A, et al. Adopting the direct anterior approach: experience and learning curve in a Chinese patient population[J]. Journal of Orthopaedic Surgery and Research, 2019, 14(1): 218-225.[26] KOBAYASHI H, HOMMA Y, BABA T, et al. Surgeons changing the approach for total hip arthroplasty from posterior to direct anterior with fluoroscopy should consider potential excessive cup anteversion and flexion implantation of the stem in their early experience[J]. International Orthopaedics, 2016, 40(9): 1813-1819.

备注/Memo

备注/Memo:
【收稿日期】2022-09-10【基金项目】钦州市科技攻关项目(20213729)。【作者简介】苏之盟(1988-),男,广西钦州宝顺医院副主任医师,研究方向为骨外科。【通信作者】罗春林(1972-),男,广西钦州宝顺医院院长,研究方向为骨外科。
更新日期/Last Update: 2023-07-17