改良髋直接外侧入路在人工髋关节置换术中的应用  

A modified bauer approach to the hip in the joint prosthesis

作　　者：蔡贤华[1] 徐永年[1] 罗芝荣[1] 陈庄洪[1] 唐运章[1] 尹成忠[1] 王庆[1] 刘曦明[1] 时宏富[1] 徐峰[1] 

机构地区：[1]广州军区武汉总医院骨科,430070

出　　处：《临床外科杂志》2002年第1期37-38,共2页Journal of Clinical Surgery

摘　　要：目的　探讨改良髋直接外侧入路 (改良Bauer入路 )在人工髋关节置换术中应用的可靠性。方法　采用改良Bauer入路用于人工髋关节置换 43例。结果　术中显露满意 ,患肢功能恢复快 ,疗效优良率达 96.97% ,未发现髋外展肌力减退及臀上神经损伤。结论　改良Bauer入路安全有效 。Objective To assess the reliability of the modified lateral transgluteal approach (modified Bauer approach) to the hip for the joint prosthesis.Method The Bauer approach modification was used for 43 hip endoprosthetic replacement.Results The modified approach provided good exposure of the hip for arthroplasty, and early chance of function recovery.Excellent and good rate was 96.97% according to Harris result evaluation. No evidence of weakness of abductors of the hip and damage to superior glouteal nerve was found at six months.Conclusion The modified Bauer approach is reliable and recommendable for primary hip replacement because of its good exposure of the hip and the least disturbance to the abductor function.

关 键 词：髋关节 直接外侧入路 髋关节置换 

分 类 号：R687.4[医药卫生—骨科学]