SuperPath入路和Watson-Jones入路全髋关节置换术治疗创伤性股骨颈骨折的临床对比分析  

Clinical comparative study of SuperPath approach and Watson-Jones approach total hip replacement for traumatic femoral neck fractures

作　　者：姜付宁 夏洪超[1] 孙磊[1] JIANG Funing;XIA Hongchao;SUN Lei(Department of Orthopedics,Eighth People*s Hospital of Qingdao,Shandong,Qingdao 266100,China)

机构地区：[1]山东省青岛市第八人民医院骨一科,266100

出　　处：《临床外科杂志》2022年第1期71-73,共3页Journal of Clinical Surgery

摘　　要：目的对比SuperPath入路和Watson-Jones入路全髋关节置换术治疗创伤性股骨颈骨折的临床效果。方法创伤性股骨颈骨折病人120例,均行全髋关节置换术,根据治疗方法不同分为两组,观察组77例,采取SuperPath入路全髋关节置换术治疗;对照组43例,采取Watson-Jones入路全髋关节置换术治疗。比较两组临床疗效、围手术期指标、Harris评分及并发症发生率。结果观察组术后住院时间短于对照组,术后7天、1个月、12个月Harris评分高于对照组,差异有统计学意义(P<0.05)。观察组病人切口延迟愈合率低于对照组,差异有统计学意义(P<0.05)。结论 SuperPath入路治疗创伤性股骨颈骨折创伤更小,术后髋关节功能恢复更好,且延迟愈合发生率低。Objective To compare the clinical effect of superpath approach and Watson Jones approach in the treatment of traumatic femoral neck fracture.Methods 120 cases of traumatic femoral neck fracture treated by total hip arthroplasty in our hospital were retrospectively selected.77 cases in the observation group were treated by total hip arthroplasty via superpath approach, and 43 cases in the control group were treated by total hip arthroplasty via Watson Jones approach.The curative effect, perioperative indexes, Harris score and incidence of complications of the two groups were compared.Result The postoperative hospitalization time of observation group was significantly lower than control group(P<0.05).The Harris score of observation group was significantly higher than that of control group at 7 d, 1 month and 12 months after operation(P<0.05).The delayed wound healing rate in observation group was significantly lower than that in control group(P<0.05).Conclusion Superpath approach in the treatment of traumatic femoral neck fracture has certain clinical advantages, such as less trauma, better postoperative hip function recovery, and low incidence of delayed healing.

关 键 词：全髋关节置换术 SuperPath入路 Watson-Jones入路 创伤性股骨颈骨折 切口延迟愈合 

分 类 号：R687.4[医药卫生—骨科学]