全髋关节置换术中臀中肌损伤的防范策略

Preventive strategies of gluteus medius injury in the total hip arthroplasty

全髋关节置换术（total hip arthroplasty,THA）的迅速推广,使得其在治疗股骨颈骨折、股骨头坏死、退行性关节炎、先天性髋关节脱位、骨肿瘤等疾病方面疗效显著。人工关节置换术在解除患者痛苦、恢复关节功能方面具有明显优越性[1],得到了广大的骨科医师及患者认可。但同时也应该看到手术操作不规范,操作不精细,导致术中髋关节周围软组织损伤,

Gluteal muscle（gluteus medius） as an important component of the soft tissue around the hip joint, gluteus medius has an important anatomical and physiological significance. A good protection of gluteus medius can not only improve surgical outcomes, but also increase patient satisfaction and plays an important role in improving the quality of life of patients. The protection policy of gluteus medius injury included： making personalized surgical plan according to the individual patient＇s condition, selecting reasonable surgical approach, repairing the injured gluteus medius and soft tissue and guiding patients to perform properly strength training and functional training after surgery. This article focuses on the protection policy of gluteus medius injury, and provides a brief review of the effect of the gluteus medius injury on hip function, postoperative pain and lameness and other related postoperative complications.