直接前入路在老年人工股骨头置换中的应用

Progress of direct anterior approach in hip hemiarthroplasty in elderly patients

直接前入路(direct anterior approach,DAA)是一种微创的髋关节手术入路,近年来被广泛应用于全髋关节置换术(total hip arthroplasty,THA)。现有文献表明,DAA应用于人工股骨头置换术可有效保护肌肉、减少术中及术后失血量、减轻术后疼痛,促进患者早期下床活动。本文对DAA人工股骨头置换术的临床意义、手术方法、应用效果等方面做一综述,以期为DAA在人工股骨头置换手术中的进一步应用提供理论基础。

The direct anterior approach（DAA） is a minimally invasive operative approach that has recently gained popularity in patients undergoing total hip arthroplasty（THA）. Many studies have reported that the DAA in hip hemiarthroplasty provided benefits for patients in terms of muscle protection, blood loss, post-operative pain and early mobilization. This paper will give a review of clinical significance, surgical methods, clinical outcomes of DAA in hip hemiarthplasty so as to provide more evidence for further use.