DAA及相关技术在髋关节置换术中的临床效果。

IF 2.3 4区 医学 Q2 ORTHOPEDICS
Adam Driesman, Charlie C Yang
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引用次数: 0

摘要

全髋关节置换术(THA)是近年来最成功的手术干预之一,被一些人戏称为“世纪手术”。在过去的十年中,随着全球和美国市场直接前路入路的兴起,THA的管理发生了巨大的变化。虽然许多人会说这是由虚假营销驱动的,但很明显,直接前路入路是一种有效且安全的THA手术方式。本综述的目的是强调其结果和临床优势的证据,特别是它如何减少脱位,甚至在高危人群中,并在术后早期更快地恢复,减少肌肉炎症。我们还将强调其主要缺点,包括但不限于增加伤口并发症和假体周围骨折的风险。希望这篇综述能够提供关于直接前路入路现状的最新信息,并为该技术的最佳候选患者提供建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical outcomes of DAA and related techniques in hip arthroplasty.

Total hip arthroplasty (THA) has been one of the most successful surgical interventions in recent memory and is nicknamed by some the "Surgery of the Century". Over the past decade, there has been a drastic change in THA management with the rise of the direct anterior approach both globally and in the USA market. While many would remark that this has been driven by false marketing, it is clear that the direct anterior approach can be an effective and safe way to perform a THA.It is the goal of this review to highlight evidence of its outcomes and clinical advantages, in particular, how it can decrease dislocation, even in high-risk individuals, and result in faster recovery in the early postoperative period with decreased muscular inflammation. We will also highlight its major disadvantages, including but not limited to increased wound complications and risk for periprosthetic fracture. Hopefully, this review will provide up-to-date information on the current state of the direct anterior approach and provide recommendations on patients that would be optimal candidates for this technique.

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来源期刊
Arthroplasty
Arthroplasty ORTHOPEDICS-
CiteScore
2.20
自引率
0.00%
发文量
49
审稿时长
15 weeks
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