手术入路对髋关节置换术后髋关节功能恢复的影响

Effects of Surgical Approaches on Function Recover in Hip Joint with THA

目的探讨手术入路对髋关节置换术后髋关节功能恢复的影响。方法对386例(392髋)髋关节疾病患者行髋关节置换术,分别采用不同手术入路,并且于术前,术后2周、4周、8周、24周进行Harris评分,分析髋关节功能恢复情况。结果前外侧入路组、外侧入路组、后外侧入路组、后侧入路组及小切口入路组总有效率分别为91%、94%、97%、100%、100%。结论不同手术入路对髋关节置换术后髋关节功能恢复有一定的影响。创伤小、对髋关节干预性较小的后侧入路及小切口手术入路是髋关节功能恢复较满意的选择。

Objective To investigate the effect of surgical approach on the function recover in hip joint with THA. Methods Different operation approaches were used in 386 patients undergoing THA. The patients were evaluated with Harris scores preoperatively, 2 weeks, 4 weeks, 8 weeks and 24 weeks postoperatively. The function recover of hip joint was analyzed. Results The total rate of effectiveness for each approach was 91% , 94% , 97% , 100% and 100% with anterolateral approach, lateral approach, posterolateral approach and minimally invasive approach. Conclusion Different surgical approaches have certain effects on hip joint function recover with THA. Posterior approach and minimally invasive approach are more satisfactory to hip joint function recovery because of less injury and less interference to hip joint.