髋关节外科脱位应用进展

Research progress of the surgical hip dislocation

总结髋关节外科脱位入路研究进展。广泛查阅髋关节外科脱位入路相关文献,对发展历史、适应证、手术方法、疗效等进行总结分析。髋关节外科脱位入路具有显著延缓髋关节蜕变,降低股骨头坏死,但术后存在大转子不愈合、较传统术式高异位骨化等不足。髋关节外科脱位入路结合相关保髋技术在安全开展髋关节手术同时,显著提高髋关节使用寿命,临床疗效显著,为保髋开辟了新篇章。

To summarize the research progress of the surgical hip dislocation（SHD）.The related literatures on SHD in terms of its history,indications,surgical technique and curative effect were summarized and analyzed.SHD significantly prolongs the degeneration of hip-joint,reduces necrosis rate of femoral head.However,there are some deficiency including non-union of greater trochanter and high rate of heterotopic ossification compared with traditional procedures after post-operation.SHD combined with related hip-preserving techniques can safely conduct hip intra-articular and extra-articular operations,remarkably enhance the longevity of hip-joint and has great clinical effects,which opens a new chapter for preservation of the hip considering its superior clinical results.