直接前侧入路髋关节置换的研究进展△

Research progress on direct anterior approach for hip arthroplasty

摘要:

随着髋关节置换术临床开展的日益增多，对于不同入路行髋关节置换的研究也越来越受到重视，伴随着微创理念的兴起，直接前入路（direct anterior approach, DAA）行髋关节置换也随之广泛应用，其优势包括肌间隙入路不切断肌肉、术中出血少、软组织损伤小、术后脱位风险小、患者临床满意度高等。但随着研究的不断深入，也出现了许多的问题，为此，许多改良技术逐渐应用于临床，现就对其改良技术进行整理分析，为临床医师提供参考。

Abstract:

With development of total hip arthroplasty (THA), the researches on different approaches for THA has been drawn more and more attention. With the rise of minimally invasive concept, direct anterior approach (DAA) for THA has also been widely used. The advan- tages of intermuscular approach include not cutting muscle, less intraoperative bleeding, less soft tissue injury, less risk of postoperative dis- location, and higher clinical satisfaction of patients. However, with the deepening of the research, many problems have emerged. Therefore, many improved techniques have been gradually applied in clinical practice. This paper summarizes and analyzes the improved techniques to provide a reference for clinicians