摘要
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.
作者
王方曦
曾晖
王德利
林健静
张卫飞
李国庆
熊奡
WANG Fangxi;ZENG Hui;WANG Deli;L;ZHANG Weifei;LI Guoqing;XIONG Ao(Department of Bone and Joint Surgery,Peking University Shenzhen Hospital,Shenzhen 518036,Guangdong,China)
出处
《中华骨与关节外科杂志》
2018年第8期637-640,共4页
Chinese Journal of Bone and Joint Surgery
基金
深圳市科创委资助项目(JCYJ20150403091443275)
深圳市科创委资助项目(JCYJ20170307111755218)
上海交通大学丁文江院士骨与关节修复与重建团队(SZSM201612092)
关键词
直接前入路
人工股骨头置换
微创
早期下床活动
Direct Anterior Approach
Hip Hemiarthroplasty
Minimally Invasive
Early Mobilization