SuperPATH入路全髋置换在不全瘫痪侧股骨颈骨折中的临床应用  

Clinical application of SuperPATH approach for total hip replacement in the treatment of femoral neck fracture of incomplete paralysis

作　　者：郑江[1] 陈尔东[1] 陈明灿[1] ZHENG Jiang;CHEN Erdong;CHEN Mingcan(Department of Orthopedics,Affiliated Hospital of Chengdu University,Chengdu,Sichuan,610081,China)

机构地区：[1]成都大学附属医院骨科,成都四川610081

出　　处：《当代医学》2023年第6期169-172,共4页Contemporary Medicine

摘　　要：目的探讨SuperPATH入路全髋置换在不全瘫痪侧股骨颈骨折治疗中的应用效果。方法选取2017年3月至2019年7月本院收治的9例不全瘫痪侧股骨颈骨折患者作为研究对象,均采用SuperPATH入路全髋置换术治疗。记录手术切口长度、手术时间、术中出血量、输血量、术后下床时间及术后并发症,比较手术前后髋关节功能Harris评分。结果所有患者获得随访,随访时间为13~30个月,平均(21.89±6.30)个月;切口长度为5.0~6.7 cm,平均(5.87±0.57)cm;手术时间为50~118 min,平均(76.78±20.30)min;术中出血量为100~500 ml,平均(297.78±141.58)ml;输血量为0~200 ml,平均(77.78±93.91)ml。术后X线片测量髋臼假体外展角为39°~49°,平均(43.89±3.41)°;前倾角为10°~16°,平均(12.67±2.12)°;术后下床时间为1~2 d,平均(1.44±0.53)d。所有患者均无切口感染、血管神经损伤、深静脉栓塞及关节脱位等并发症发生。患者术前髋关节功能Harris评分为(82.89±5.95)分,末次随访时为(81.67±4.66)分,差异无统计学意义。结论SuperPATH入路全髋置换术具有微创、并发症少、恢复快等优点,应用于不全瘫痪侧股骨颈骨折患者治疗中,有利于促进患者患侧髋关节功能恢复,减少关节脱位等并发症的发生,是处理该类骨折的一种理想方式。Objective To investigate the clinical effect of SuperPATH approach for total hip replacement in the treatment of femoral neck fracture of incomplete paralysis.Methods 9 patients with femoral neck fracture of incomplete paralysis admitted to our hospital from March 2017 to July 2019 were selected as the research subjects,all of whom were treated by SuperPATH approach for total hip replacement.Surgical incision length,operation time,intraoperative blood loss,blood transfusion volume,postoperative ambulation time and postoperative complications were recorded,and the Harris score of hip joint function before and after operation was compared.Results All patients were followed up for 13-30 months,with an average of(21.89±6.30)months;the surgical incision length was 5.0-6.7 cm,with an average of(5.87±0.57)cm;the operation time was 50-118 min,with an average of(76.78±20.30)min;the intraoperative blood loss was 100-500 ml,with an average of(297.78±141.58)ml;the blood transfusion was 0-200 ml,with an average of(77.78±93.91)ml.After the operation,the in vitro extension Angle of acetabular prosthesis was measured by X-ray film was 39°-49°,with an average of(43.8°±3.41)°;the anterior inclination Angle was 10°-6°,with an average of(12.67±2.12)°,and the postoperative ambulation time was 1-2 d,with an average of(1.44±0.53)d.No incision infection,vascular and nerve injury,deep venous embolism or joint dislocation were found in all patients.The Harris score of hip joint function was(82.89±5.95)scores before operation,and(81.67±4.66)scores at the last follow-up,and the difference was not statistically significant.Conclusion The SuperPATH approach for total hip replacement has the advantages of minimally invasive,fewer complications and faster recovery and so on,it is helpful to promote the functional recovery of the affected hip joint and reduce the occurrence of complications such as joint dislocation in the treatment of femoral neck fracture of incomplete paralysis,which is an ideal way to deal with this kind of

关 键 词：股骨颈骨折 不全瘫 SuperPATH 全髋关节置换 

分 类 号：R687.4[医药卫生—骨科学]