单切口经前路全髋置换术治疗内固定术后终末期股骨头坏死20例  

20 Cases of Efficacy of Single-Incision Direct Anterior Approach Total Hip Replacement on the Treatment of End-Stage Femoral Head Necrosis after Internal Fixation

作　　者：张超[1] 环大维 邱越 沈计荣[1] ZHANG Chao;HUAN Dawei;QIU Yue;SHEN Jirong(Department of Orthopaedics and Traumatology,Jiangsu Provincial Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属江苏省中医院骨伤科,南京210029

出　　处：《中国中医骨伤科杂志》2022年第11期70-72,76,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:介绍单切口经前路全髋置换术治疗内固定术后终末期股骨头坏死的方法和临床疗效。方法:采用单切口直接前方入路全髋置换术治疗内固定术后终末期股骨头坏死患者20例,采用疼痛视觉模拟量表(VAS)评分和Harris评分评价髋关节疼痛和功能情况,观察并发症的发生情况。结果:所有患者均获得随访,时间为6~32个月,VAS评分和Harris评分末次随访均较术前明显改善,差异有统计学意义(P<0.05),获得较好的临床疗效和安全性。结论:单切口既能取出内固定,又能凸显直接前方入路的优势,显著改善患者疼痛程度和髋关节功能。Objective:To introduce the method and clinical efficacy of single-incision direct anterior approach(DAA) total hip replacement on the treatment of end-stage femoral head necrosis combined with internal fixation of the hip.Methods:20 patients with end-stage femoral head necrosis combined with internal fixation were treated with single-incision DAA total hip replacement.The hip pain and function were evaluated by VAS scores, and the occurrence of complications were observed by Harris scores.Results:All patients were followed up for 6 to 32 months.VAS scores and Harris scores were significantly improved at the last follow-up as compared with the preoperative period(P<0.05), which obtained better clinical efficacy and safety.Conclusion:A single incision can remove the internal fixation, highlight the advantages of DAA and significantly improve the patient’s pain and hip function.

关 键 词：单切口技术 直接前方入路 人工全髋关节置换 内固定失败 股骨头坏死 

分 类 号：R681.8[医药卫生—骨科学]